Attachment style and children and young people with chronic dermatological conditions

© 2023 The Authors. Child: Care, Health and Development published by John Wiley & Sons Ltd..

BACKGROUND: Dermatological conditions are common in childhood and, in their more severe forms, can cause pain, disability and social marginalisation. Despite attachment being a known factor contributing to psychological and physiological development in childhood and several adult studies showing associations between attachment and dermatology outcomes (Tomas-Aragones, 2018), attachment in young dermatology patients has not been investigated.

OBJECTIVES: This study examined if (1) 8-16-year-olds with chronic dermatological conditions were more likely to show attachment insecurity than general population peers; (2) attachment style was linked to psychological functioning; and (3) facial involvement was associated with attachment insecurity.

METHOD: One hundred and twenty-two 8-16-year-olds attending a specialist paediatric dermatological service were compared on the Child Attachment Interview (CAI) to general population data. The Strengths and Difficulties Questionnaire (SDQ) was used to measure psychosocial functioning.

RESULTS: The dermatology group was significantly more likely to be insecurely attached than their general population peers (χ2 [1] = 4.76, p < .05). The secure group self-reported significantly better psychological functioning on all indices compared with the insecure group (Total Difficulties: F[1,89] = 15.30, p < .001). There were no significant differences between secure and insecure groups on parent-reported psychological measures (Total Difficulties: F[1,94] = 0.67, p = .42). Children with facial involvement were not significantly more likely to be insecurely attached.

CONCLUSIONS: Increased risk of attachment insecurity, particularly in the anxious pre-occupied category, as well as an association between attachment and psychosocial functioning resonated with adult studies suggesting that further research about the role of attachment with young dermatology patients is warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Child: care, health and development - 50(2024), 1 vom: 01. Jan., Seite e13152

Sprache:

Englisch

Beteiligte Personen:

Soon, Kristina [VerfasserIn]
Shipton, Anna [VerfasserIn]
Wray, Jo [VerfasserIn]
Butler, Stephen [VerfasserIn]

Links:

Volltext

Themen:

Adolescent
Attachment
Child
Dermatology
Journal Article
Psychology

Anmerkungen:

Date Completed 25.01.2024

Date Revised 27.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/cch.13152

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359877923