Evidence map›Paper›PMID 41252010›Full record

ArticleAdvances in experimental medicine and biology2026

Attachment Style, Perceived Stress, and Physical and Mental Health: A Cross-sectional Study.

Despina Betinaki, Flora Bacopoulou, Elli Koumantarou, Dimitrios Vlachakis, George P Chrousos, Christina Darviri

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Article in Advances in experimental medicine and biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Despina BetinakiSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Flora BacopoulouCenter for Adolescent Medicine and UNESCO Chair in Adolescent Health Care, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece. fbacopoulou@med.uoa.gr.
Elli KoumantarouDepartment of Psychiatry, School of Medicine, National and Kapodistrian University of Athens, Eginition Hospital, Athens, Greece.
Dimitrios VlachakisLaboratory of Genetics, Department of Biotechnology, School of Applied Biology and Biotechnology, Agricultural University of Athens, Athens, Greece.
George P ChrousosUniversity Research Institute of Maternal and Child Health & Precision Medicine, and UNESCO Chair in Adolescent Health Care, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece.
Christina DarviriSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress is a multifaceted phenomenon with a significant impact on physical and mental health. Unsafe attachment, along with a high level of perceived stress, has been projected to have a detrimental effect on physical and mental health. The purpose of this study was to investigate the interrelation between attachment style, perceived stress, and health disorders in a sample of Greek adults. A total of 211 Greek individuals were investigated for their attachment style, levels of perceived stress, and levels of consciousness in relation to the reported physical and/or mental illness with a set of validated questionnaires (Adult Attachment Questionnaire, Perceived Stress Scale, Health records questionnaire) translated into Greek. Most participants were classified as anxious or avoidant according to the adult attachment questionnaire. Eighty percent of the participants reported that they suffered from a physical or mental illness, with musculoskeletal pain, headache, and autoimmune diseases, predominantly. It was shown that modifiable and non-modifiable factors (such as gender, age, education, work, etc.) contributed to the reported levels of perceived stress and the formation of the attachment style. Indicatively, participants with higher levels of awareness developed more effective coping strategies. Unsafe attachment is associated with a higher level of perceived stress, which is also correlated with a higher prevalence of physical and mental conditions. It seems that the anxious or avoidant attachment type is prevalent in people of average to high socioeconomic status. A high level of perceived stress among these individuals has been related to the development of various physical and mental health conditions. Further research may focus on studying possible causal relationships between the aforementioned variables.

Indexed as

Mental DisordersMental HealthObject AttachmentStress, PsychologicalAdaptation, PsychologicalAdultAgedAnxietyCross-Sectional StudiesFemaleGreeceHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultAttachmentCoping strategiesStress

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.