Bahmer Judith A, Kuhl Julius, Bahmer Friedrich A
Department for Differential Psychology and Personality Research, University of Osnabrueck, Osnabrueck, Germany.
Acta Derm Venereol. 2007;87(4):317-24. doi: 10.2340/00015555-0246.
The aim of this study was to evaluate characteristic personality system interaction in patients with psoriasis, atopic dermatitis and urticaria. The differences between these three disease groups were examined with respect to various psychological variables and deviations from a group of healthy controls. A total of 56 patients with atopic dermatitis (n=21), psoriasis (n=20) and urticaria (n=15) were tested with the "Assessment of Personality Functioning in Therapy" Inventory, which consists of psychometric scales for basic needs (affiliation, achievement, power), enactment of needs-related behaviour, stress, emotional dispositions, cognitive styles and various self-regulation functions. Significant differences with respect to needs and motivational goals, cognitive styles and self-regulation competence were found between the three disease groups, showing considerable overlap between atopic dermatitis and urticaria, but only a little overlap with psoriasis. From a psychological viewpoint, patients with psoriasis seem to carry a higher risk of developing mental disorders. Based on our results, existing prevention programmes for patients with atopic dermatitis seem appropriate, whereas such programmes for patients with psoriasis should focus on self-motivation, prevention of addictive behaviour, and strengthening of self-efficacy.
本研究的目的是评估银屑病、特应性皮炎和荨麻疹患者的特征性人格系统相互作用。研究考察了这三个疾病组在各种心理变量方面的差异以及与一组健康对照者的偏差。共有56例特应性皮炎患者（n = 21）、银屑病患者（n = 20）和荨麻疹患者（n = 15）接受了“治疗中人格功能评估”量表测试，该量表由基本需求（归属、成就、权力）、与需求相关行为的表现、压力、情绪倾向、认知风格和各种自我调节功能的心理测量量表组成。在三个疾病组之间发现了需求和动机目标、认知风格和自我调节能力方面的显著差异，表明特应性皮炎和荨麻疹之间有相当大的重叠，但与银屑病只有很少的重叠。从心理学角度来看，银屑病患者似乎有更高的患精神障碍风险。根据我们的研究结果，现有的针对特应性皮炎患者的预防方案似乎是合适的，而针对银屑病患者的此类方案应侧重于自我激励、预防成瘾行为和增强自我效能感。
