The University of Sheffield, UK.
Cardiff University, UK.
Br J Health Psychol. 2020 Sep;25(3):540-557. doi: 10.1111/bjhp.12421. Epub 2020 May 11.
Objectives Skin conditions can be accompanied by significant levels of depression; there is therefore a need to identify the associated psychological factors to assist with the development of appropriate interventions. This study sought to examine the effects of disgust propensity, disgust sensitivity, self-focused/ruminative disgust, and self-compassion on depression in people with skin conditions. Design A cross-sectional survey with follow-up survey. Methods Dermatology outpatients (N = 147) completed self-report measures of disgust traits, self-compassion, and depression. At three-month follow-up, participants (N = 80) completed the depression measure again. Results Multiple regression analyses revealed that disgust propensity, disgust sensitivity, self-focused/ruminative disgust, and self-compassion each explained significant amounts of variance in baseline depression. Self-compassion also explained a significant amount of variance in depression at follow-up, after accounting for baseline depression. In addition, self-compassion moderated the effect of disgust propensity on depression at baseline, such that at high levels of self-compassion, disgust propensity no longer had a positive relationship with depression. Conclusions Disgust traits contribute to depression in people with skin conditions, while being self-compassionate may be protective against depression. High self-compassion also buffers the effects of disgust propensity on depression in people with skin conditions. The findings indicate the potential of compassion-focused interventions for depression in people with skin conditions. Statement of contribution What is already known on this subject? People with skin conditions can experience depression that is not well explained by condition severity. Skin conditions can elicit disgust reactions that, in turn, may contribute to the development of depression. Self-compassion is negatively associated with depression. What does this study add? Disgust traits explain significant variance in depression in people with skin conditions. Self-compassion may protect against depression through main and moderation effects. Disgust and self-compassion may provide important targets for interventions.
皮肤状况可能伴有明显程度的抑郁；因此，需要确定相关的心理因素，以帮助制定适当的干预措施。本研究旨在探讨厌恶倾向、厌恶敏感性、自我关注/沉思性厌恶和自我同情对皮肤病患者抑郁的影响。
横断面调查和随访调查。
皮肤科门诊患者（N=147）完成了厌恶特征、自我同情和抑郁的自我报告测量。在三个月的随访中，参与者（N=80）再次完成了抑郁测量。
多元回归分析显示，厌恶倾向、厌恶敏感性、自我关注/沉思性厌恶和自我同情都解释了基线抑郁的显著差异。自我同情在考虑到基线抑郁后，也解释了随访时抑郁的显著差异。此外，自我同情调节了厌恶倾向对基线抑郁的影响，即自我同情水平高时，厌恶倾向与抑郁之间不再存在正相关关系。
厌恶特征会导致皮肤病患者抑郁，而自我同情可能对抑郁有保护作用。高自我同情也可以缓冲皮肤病患者中厌恶倾向对抑郁的影响。研究结果表明，以同情为重点的干预措施可能对皮肤病患者的抑郁有潜在作用。
