Łakuta Patryk, Marcinkiewicz Kamil, Bergler-Czop Beata, Brzezińska-Wcisło Ligia, Słomian Anna
Department of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland.
Institute of Psychology, University of Silesia, Katowice, Poland.
Postepy Dermatol Alergol. 2018 Feb;35(1):60-66. doi: 10.5114/pdia.2016.62287. Epub 2018 Feb 20.
Research has demonstrated a link between psoriasis and a multitude of psychological impairments; however, relatively few studies have examined the importance of site of skin lesions for negative psychological outcomes in psoriasis patients.
To investigate relationships between anatomical location of psoriatic lesions and experiences of stigmatization, negative emotional attitude towards the body, depression and social anxiety.
Adult psoriasis patients ( = 193) completed the Stigmatization Scale, the Body Emotions Scale, the Beck Depression Inventory and the Social Anxiety Questionnaire. The body surface area index was used to assess the location and extent of psoriasis.
Feelings of stigmatization were found to be most closely related to the presence of psoriatic lesions on the chest, and the arms and hands. Higher levels of social anxiety were found to be most closely related to the location of psoriatic lesions on the head and neck. Negative emotional attitude towards the body was found to be most closely related to the location of psoriatic lesions on the arms and hands, and on the head and neck. Higher levels of depressive symptoms were most closely related to the presence of psoriatic lesions on the head and neck, the arms and hands, and the genital area.
The presence of psoriatic lesions on the head, neck, and chest, and also on the arms and hands and the genital area, should alert clinicians to a higher risk of psychological impairments. This may help to better recognize and prevent cumulative life course impairment.
研究表明银屑病与多种心理障碍之间存在关联；然而，相对较少的研究探讨了皮肤病变部位对银屑病患者负面心理结果的重要性。
调查银屑病病变的解剖位置与耻辱感经历、对身体的负面情绪态度、抑郁和社交焦虑之间的关系。
成年银屑病患者（n = 193）完成了耻辱感量表、身体情绪量表、贝克抑郁量表和社交焦虑问卷。使用体表面积指数评估银屑病的位置和范围。
发现耻辱感与胸部、手臂和手部存在银屑病病变关系最为密切。发现较高水平的社交焦虑与头部和颈部的银屑病病变位置关系最为密切。对身体的负面情绪态度与手臂和手部以及头部和颈部的银屑病病变位置关系最为密切。较高水平的抑郁症状与头部和颈部、手臂和手部以及生殖器区域存在银屑病病变关系最为密切。
头部、颈部和胸部以及手臂、手部和生殖器区域存在银屑病病变应提醒临床医生注意心理障碍的较高风险。这可能有助于更好地识别和预防累积的生命历程障碍。
