The empathy–attachment relationship exists in three possible patterns. The first pattern is that attachment serves as the antecedent variables of empathy. The attachment theory reveals that infants develop their social emotions based on the attachment
[12][19]. The infant–caregiver interaction is important for infants to recognize and understand the feelings and emotions of caregivers
[13][20]. The theory also points out the specific mechanism by which children’s attachment quality affects empathy. Secure attachment enables children to develop positive IWMs, including self-affirmation and trust in others, which enable individuals to pay less attention to their feelings but more attention to others’ feelings
[12][19]. Insecure IWMs involve the denial of the self and distrust of others, hindering individuals from understanding and feeling the emotions of others
[22][23][29,30]. In addition, attachment also affects empathy through emotional regulation
[24][31]. The second pattern is that empathy influences attachment. From childhood to adolescence, individuals develop peer attachment
[25][32]. The equal status of individuals and their peers allows them to share and understand feelings for each other to meet their needs, thus maintaining and promoting peer relationships. This may further enhance peer secure attachment
[26][27][33,34]. The third pattern is that there has been an interaction effect across time. According to the cascade model
[28][35], empathy and attachment may influence each other in different development stages. The main pattern in early childhood is that secure attachment promotes empathy, while insecure attachment hinders empathy. In late childhood, especially in adolescence, empathy plays an important role in developing peer attachment.