Łakuta Patryk, Marcinkiewicz Kamil, Bergler-Czop Beata, Brzezińska-Wcisło Ligia
SWPS University of Social Sciences and Humanities, Warsaw, Poland.
Institute of Cardiology, Warsaw, Poland.
Postepy Dermatol Alergol. 2017 Feb;34(1):36-41. doi: 10.5114/pdia.2016.62286. Epub 2017 Feb 7.
Psoriasis is associated with a major additional psychological burden.
To investigate whether the extent of skin involvement, stigmatization, and perceived social support are related to depressive symptoms in psoriasis patients.
One hundred and forty-eight psoriasis patients completed in the BSA, the Beck Depression Inventory, Stigmatization Scale, and Multidimensional Scale of Perceived Social Support.
Almost 13% of participants obtained a BDI total score indicating moderate depressive symptoms. The results of regression analysis revealed that greater depression severity in psoriasis patients is associated with higher levels of psoriasis-related stigma, lower perceived social support, female gender and a shorter duration of the disease, explaining 43% of the variance of depression. The stigmatization was the most powerful predictor of depressive symptoms for psoriasis patients and accounted for 33% of the variance.
The extent of psoriasis does not directly lead to mood disturbance in these patients. Rather, social stigma accounted for this relationship. Strategies for reducing the stigma attached to patients with psoriasis are required.
银屑病会带来额外的重大心理负担。
调查银屑病患者的皮肤受累程度、污名化以及感知到的社会支持是否与抑郁症状相关。
148名银屑病患者完成了体表面积（BSA）、贝克抑郁量表、污名化量表和多维感知社会支持量表的测评。
近13%的参与者贝克抑郁量表总分显示有中度抑郁症状。回归分析结果显示，银屑病患者抑郁症状越严重，与银屑病相关的污名化程度越高、感知到的社会支持越低、女性以及病程越短有关，这解释了抑郁差异的43%。污名化是银屑病患者抑郁症状最有力的预测因素，占差异的33%。
银屑病的严重程度并不会直接导致这些患者出现情绪障碍。相反，社会污名解释了这种关系。需要采取策略来减少与银屑病患者相关的污名。
