Attachment styles of dermatological patients in europe: A multicentre study in 13 countries

Csanád Szabó, Anita Altmayer, Lars Lien, Francoise Poot, Uwe Gieler, Lucia Tomas-Aragones, Jörg Kupfer, Gregor B.E. Jemec, Laurent Misery, Dennis Linder, Francesca Sampogna, Henriët Van Middendorp, Jon Anders Halvorsen, Flora Balieva, Jacek C. Szepietowski, Dmitry Romanov, Servando E. Marron, Ilknur K. Altunay, Andrew Y. Finlay, Sam S. SalekFlorence Dalgard

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Attachment styles of dermatological outpatients and satisfaction with their dermatologists were investigated within the framework of a multicentre study conducted in 13 European countries, organized by the European Society for Dermatology and Psychiatry. Attachment style was assessed with the Adult Attachment Scale. Patient satisfaction with the dermatologist was assessed with an 11-degree scale. A total of 3,635 adult outpatients and 1,359 controls participated in the study. Dermatological outpatients were less able to depend on others, were less comfortable with closeness and intimacy, and experienced similar rates of anxiety in relationships as did the controls. Participants who had secure attachment styles reported stressful life events during the last 6 months significantly less often than those who had insecure attachment styles. Patients with secure attachment styles tended to be more satisfied with their dermatologist than did insecure patients. These results suggest that secure attachment of dermatological outpatients may be a protective factor in the management of stress.

Original languageEnglish
Pages (from-to)813-818
Number of pages6
JournalActa Dermato-Venereologica
Issue number7
Early online date25 Jan 2017
Publication statusPublished - 1 Jul 2017


  • Attachment styles
  • Psychodermatology
  • Satisfaction


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