Children with disinhibited social engagement disorder show reduced reticence with strangers, do not check back with their caregiver after venturing away, and may willingly leave with an unfamiliar adult. The recent DSM-5 has moved away from an attachment framework to understand disinhibited social engagement behavior (DSEB) due to studies indicating its presence in previously institutionalized children even after these children are adopted and show a selective, more secure attachment with their substitute caregiver (e.g. Chisholm et al., 1998). This meta-analysis aims to clarify the size of the associations between DSEB and attachment insecurity or disorganization. It also examines whether studies effect sizes differ according to various moderators (e.g., child age, type of attachment and DSEB measures). The results (k = 24) showed that the associations between DSEB and attachment insecurity (d = 0.48) or attachment disorganization (d = 0.47) were of small magnitude. There were no publication biases. As for moderator analyses on both attachment insecurity and disorganization, the effect sizes in studies using DSEB observational measures (respectively d = 0.63 and 0.57) were of moderate magnitude and stronger than those in studies not using an observational component (respectively d = 0.28 and 0.32). Given these small-to-moderate associations, attachment can be considered a relationship process associated with DSEB, and attachment-informed interventions could be potential tools to reduce DSEB in children. Nevertheless, given the sizable unshared portion of variance between DSEB and child attachment, future studies should examine other variables related to caregiving and noncaregiving contexts to further understand DSEB.

患有不受抑制的社交参与障碍的儿童对陌生人表现出较少的沉默，在冒险离开后不会与他们的照顾者核对，并且可能会心甘情愿地与不熟悉的成年人一起离开。最近的 DSM-5 已经脱离了依恋框架来理解去抑制的社会参与行为 (DSEB)，因为研究表明，即使在这些儿童被收养之后，它也存在于先前被收容的儿童中，并且与他们的替代照顾者表现出选择性的、更安全的依恋。例如 Chisholm 等人，1998 年）。这项荟萃分析旨在阐明 DSEB 与依恋不安全或无组织之间关联的大小。它还检查研究效果大小是否因各种调节因素（例如，儿童年龄、依恋类型和 DSEB 措施）而异。结果 ( k = 24) 表明 DSEB 与依恋不安全 ( d  = 0.48) 或依恋紊乱 ( d  = 0.47)之间的关联很小。没有发表偏倚。至于对依恋不安全和混乱的调节分析，使用 DSEB 观察性措施（分别为d  = 0.63 和 0.57）的研究中的效应量大小适中且强于不使用观察性分量的研究（分别为d = 0.28 和 0.32）。鉴于这些小到中等的关联，依恋可以被视为与 DSEB 相关的关系过程，依恋知情干预可能是减少儿童 DSEB 的潜在工具。然而，鉴于 DSEB 和儿童依恋之间存在相当大的未共享部分，未来的研究应该检查与照料和非照料环境相关的其他变量，以进一步了解 DSEB。