[The role of attachment in healthy ageing]

Attachment dimensions are relatively stable patterns that persist throughout the lifespan. However, longitudinal studies suggest that a partial reorganization of childhood attachment can be observed in old age. A large body of literature supports the idea that, in contrast to secure attachment, high levels of attachment anxiety and avoidance are associated with higher levels of negative mental health indicators and lower levels of physical health and quality of life. The aim of this literature review is to provide a comprehensive overview of research that can provide insights into the mechanisms underlying the relationship between attachment and healthy ageing. Considering the role of oxytocin and vasopressin in shaping social relationships and the role of oxytocin in sympathetic nervous system regulation, these molecules may play a key role in controlling the neuroendocrine processes underlying the relationship between attachment styles and healthy ageing. When discussing the links between attachment and healthy ageing, it is important to consider studies on the relationship between attachment and memory. Current literature suggests that secure attachment is significantly associated with cognitive health and emotional well-being, while insecure attachment styles may negatively affect memory function and indicators of health. Finally, understanding the factors that contribute to the vulnerability and resilience to pathological ageing, may prove as an important milestone in understanding the relationship between attachment and healthy ageing. Research into these factors suggests that the quality of attachment, even in old age, can affect our physical and mental health through its effects on the quality of our social relationships, and through its effects on the regulation of the glucocorticoid system, the immune system and the autonomic nervous system. Orv Hetil. 2026; 167(25): 971-985.