Bowman Gray School of Medicine, Wake Forest University, NC, USA.
J Health Psychol. 1997 Oct;2(4):525-37. doi: 10.1177/135910539700200409.
Psoriasis is a chronic, disabling skin disease affecting up to 2 percent of the population. Little is known about how physical, psychological and social features of the illness interact to create a negative impact. In this article, a biopsychosocial model of the impact of psoriasis is described, and results from a survey of 317 psoriasis patients are presented. The types of functional disability, psychological distress and disease-related stressors are described for highly strained patients (i.e. those with disease-related suicidal ideation) and compared with less strained patients (i.e. those without suicidal ideation). As predicted by the model, significantly more disability, psychological distress and disease-related stressors are found among highly strained patients. Logistical regression analysis revealed that strain is more strongly associated with disability, distress and disease-related stress level than with disease severity. Implications for research and clinical interventions are discussed.
银屑病是一种慢性、致残性皮肤病，影响人群达 2%。人们对疾病的生理、心理和社会特征如何相互作用产生负面影响知之甚少。本文描述了银屑病影响的一种心理社会生物学模型，并呈现了对 317 名银屑病患者的调查结果。对高压力患者（即有疾病相关自杀意念的患者）和低压力患者（即无自杀意念的患者）进行了功能性残疾、心理困扰和疾病相关应激源类型的描述。正如该模型所预测的，高压力患者的残疾、心理困扰和疾病相关应激源明显更多。逻辑回归分析显示，与疾病严重程度相比，压力与残疾、痛苦和疾病相关应激水平的相关性更强。讨论了对研究和临床干预的影响。
