{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T02:04:48Z","timestamp":1773367488285,"version":"3.50.1"},"reference-count":38,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background and Objectives: While associations between attachment styles and certain dermatologic conditions have been documented, their role in chronic pruritus remains unexplored. Given the significant psychosomatic component in the etiology of chronic pruritus, this study aimed to assess attachment styles in patients with chronic pruritus in the absence of organic or psychiatric disorders and to examine their potential contribution to its development. Methods: Sixty patients with chronic pruritus were compared with a healthy control group (n = 60). Socio-demographic data, the duration of the disease, and the itch severity were noted. Additionally, assessments performed via the Questionnaire of Relation Scale, Questionnaire of Relation, Hospital Anxiety and Depression Scale, General Health Questionnaire, and Dermatology Life Quality Index (DLQI). Results: Statistically higher scores of fearful, dismissive, and preoccupied attachment styles were observed in the patient group compared to the control group. Among patients, those with moderate to high itch severity had higher mean scores of anxiety and preoccupied attachment than those with low itch severity. In contrast, secure attachment scores were significantly higher in the control group than in the patient group. Limitations: Attachment styles were examined with a self-report instrument without stimulated recall procedures. Conclusions: Our findings clearly demonstrate that patients with chronic pruritus exhibit significantly higher levels of insecure attachment styles alongside elevated anxiety, depression, and psychosocial burden. Notably, the association between preoccupied attachment and greater itch severity highlights how emotional dysregulation may intensify pruritus symptoms. Due to limited research directly examining attachment in chronic pruritus, our study provides novel insight and supports a biopsychosocial approach to care.<\/jats:p>","DOI":"10.3390\/jcm15062167","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T13:12:24Z","timestamp":1773321144000},"page":"2167","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Attachment Styles in Patients with Chronic Pruritus"],"prefix":"10.3390","volume":"15","author":[{"given":"K\u0131v\u0131lc\u0131m","family":"\u00c7\u0131nk\u0131r \u00d6zsara\u00e7","sequence":"first","affiliation":[{"name":"Department of Dermatology, K\u0131r\u0131kkale University Faculty of Medicine, K\u0131r\u0131kkale 71450, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eadiye Visal","family":"Buturak","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, K\u0131r\u0131kkale University Faculty of Medicine, K\u0131r\u0131kkale 71450, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz","family":"\u00d6zt\u00fcrk Kara","sequence":"additional","affiliation":[{"name":"Department of Dermatology, K\u0131r\u0131kkale University Faculty of Medicine, K\u0131r\u0131kkale 71450, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1021-5219","authenticated-orcid":false,"given":"\u00d6zg\u00fcr","family":"G\u00fcnd\u00fcz","sequence":"additional","affiliation":[{"name":"Department of Dermatology, K\u0131r\u0131kkale University Faculty of Medicine, K\u0131r\u0131kkale 71450, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ay\u015fe","family":"\u0130\u015fcan \u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Kayseri Education and Research Hospital, Kayseri 38030, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehtap","family":"K\u0131d\u0131r","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Dumlup\u0131nar University Faculty of Medicine, K\u00fctahya 43100, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1159\/000080898","article-title":"Itch: More than skin deep","volume":"135","author":"Greaves","year":"2004","journal-title":"Int. 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