Department of Psychology, University of Finance and Management in Warsaw, Poland.
Arch Dermatol Res. 2012 Aug;304(6):421-32. doi: 10.1007/s00403-012-1235-3. Epub 2012 Mar 29.
Social support was shown to be an important factor buffering negative effects of stress in a range of clinical populations. Little is known, however, about the role of social support in the population of patients with psoriasis although strong psychosocial stress has been implicated in this disease. The objective of this study was to evaluate the association between social support and selected indices of adaptation to life with the disease, including health-related quality of life, depressive symptoms and acceptance of life with the disease, in a sample of patients with psoriasis. Additionally, gender differences in these relationships were analyzed. One-hundred-four patients with psoriasis completed psychological tests measuring disease-related social support, health-related quality of life, depressive symptoms and acceptance of life with the disease. Psoriasis severity was assessed by Psoriasis Area and Severity Index. The patients reporting higher social support levels had significantly higher quality of life, lower depression levels, and higher acceptance of life with the disease. The strengths of these effects, however, were different in women and men. Higher social support was slightly more closely associated with better acceptance of life with the disease in men than in women. However, higher social support was more closely associated to lower depression and better quality of life in women than in men. Among different types of social support, tangible support was found to be the best predictor for the all adaptation indices. Effects of social support perceived by psoriasis patients on adaptation to the disease may be gender-related and exact pathways of these effects may depend on the type on the dimension of social support and the selected type of adaptation indicator. Tangible support seems the most important type of support contributing to better adaptation in both women and men with psoriasis.
社会支持被证明是缓冲各种临床人群压力负面影响的一个重要因素。然而，人们对社会支持在银屑病患者群体中的作用知之甚少，尽管强烈的心理社会压力与这种疾病有关。本研究的目的是评估社会支持与患者适应疾病的选定指标之间的关联，包括与健康相关的生活质量、抑郁症状和对疾病的接受程度，在银屑病患者样本中。此外，还分析了这些关系中的性别差异。104 名银屑病患者完成了心理测试，测试内容包括与疾病相关的社会支持、与健康相关的生活质量、抑郁症状和对疾病的接受程度。银屑病严重程度通过银屑病面积和严重程度指数评估。报告社会支持水平较高的患者生活质量明显更高、抑郁水平更低、对疾病的接受程度更高。然而，这些影响的强度在女性和男性之间是不同的。在男性中，较高的社会支持与对疾病的更高接受程度的相关性略强于女性。然而，在女性中，较高的社会支持与更低的抑郁和更好的生活质量的相关性更强。在不同类型的社会支持中，有形支持被发现是所有适应指标的最佳预测因子。银屑病患者感知到的社会支持对疾病适应的影响可能与性别有关，这些影响的确切途径可能取决于社会支持的类型和维度以及所选的适应指标类型。在女性和男性银屑病患者中，有形支持似乎是促进更好适应的最重要的支持类型。
