RELACIÓN ENTRE TIPO DE APEGO Y SATISFACCIÓN SEXUAL EN USUARIOS DE CETADS DEL AZUAY. 2025

Abstract

Background: Early attachment bonds shape adult relationship patterns and the experience of sexuality. In populations with problematic substance use, insecure attachment styles often predominate, affecting intimacy and relational satisfaction. In Ecuador, there is limited evidence integrating these variables within specialized treatment centers. Objective: Analyze the relationship between attachment type and sexual satisfaction among users of CETADs in the province of Azuay. Method: This was a quantitative, cross-sectional, and correlational study. A population census was conducted with 237 users from nine CETADs. The ECR-R instrument was used to evaluate attachment dimensions (anxiety and avoidance), and the NSSS scale measured sexual satisfaction. Statistical analysis utilized Chi-square tests and Odds Ratio calculations. Results: 32.9% of the sample presented secure attachment, while 67.1% showed insecure styles, with fearful attachment being the most prevalent (29.5%). A statistically significant relationship was found between attachment and sexual satisfaction (p=0.006). Paradoxically, 59% of those with secure attachment reported low sexual satisfaction, while 59.7% with insecure attachment reported high satisfaction. Conclusion: Attachment style significantly influences sexual satisfaction in this population. Therapeutic programs should integrate affective and sexual dimensions to enhance rehabilitation and prevent relapses.