Panasiti Maria Serena, Ponsi Giorgia, Violani Cristiano
Department of Psychology, "Sapienza University of Rome," Rome, Italy.
Social Neuroscience Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy.
Front Psychol. 2020 May 19;11:836. doi: 10.3389/fpsyg.2020.00836. eCollection 2020.
Psoriasis is a chronic dermatological condition that is frequently associated with problematic patterns of emotional reactivity (the way in which patients react to stimuli), alexithymia (their ability to recognize and label the emotional reaction), and emotion regulation (the ability to enhance or reduce their own emotional reaction). A research in the peer-reviewed scientific literature was conducted in order to identify articles describing the association of psoriasis and affective problems. In particular, we first evaluate studies that have investigated abnormal emotional reactivity (in terms of duration, frequency, or type of the experienced emotions) and its impact on patients' quality of life; next, we review the role of alexithymia and emotion regulation in modulating the relationship between emotional reactivity and quality of life in this population. From a critical analysis of the reviewed studies, we highlight that altered emotional processing might be particularly important in the characterization of this condition. In particular, we show that this condition is related to an emotional reactivity characterized by negative emotions that have a stronger impact on patients' quality of life when emotion regulation abilities are weak, especially if patients have alexithymia. Finally, we present suggestions for future directions in both clinical and research fields.
银屑病是一种慢性皮肤病，常与情绪反应模式（患者对刺激的反应方式）、述情障碍（他们识别和标记情绪反应的能力）以及情绪调节（增强或降低自身情绪反应的能力）问题相关。为了识别描述银屑病与情感问题关联的文章，我们在同行评审的科学文献中进行了一项研究。具体而言，我们首先评估那些研究异常情绪反应（从所经历情绪的持续时间、频率或类型方面）及其对患者生活质量影响的研究；接下来，我们回顾述情障碍和情绪调节在调节该人群情绪反应与生活质量之间关系中的作用。通过对所回顾研究的批判性分析，我们强调情绪加工改变在这种疾病的特征描述中可能尤为重要。特别是，我们表明这种疾病与一种情绪反应相关，当情绪调节能力较弱时，尤其是患者存在述情障碍时，负面情绪对患者生活质量的影响更强。最后，我们提出了临床和研究领域未来方向的建议。
