Yildirim Fatma Elif, Şeremet Sıla, Afşar Fatma Şule, Yildiz İrem, İyidoğan Esin
Department of Dermatology, Sanko University Faculty of Medicine, Gaziantep, Turkey.
Department of Dermatology, Katip Çelebi University Faculty of Medicine, İzmir, Turkey.
Noro Psikiyatr Ars. 2020 Jan 27;57(2):148-153. doi: 10.29399/npa.24854. eCollection 2020 Jun.
Psoriasis patients usually feel shame over their appearance and suffer from poor self-esteem, social anxiety, and avoidance. However, little is known about factors affecting social anxiety levels in these patients. We sought to examine the psychological, as well as disease-related factors which may affect social anxiety levels in psoriasis patients.
Our study consisted of 50 psoriasis outpatients and a corresponding 50 age and sex-matched healthy control volunteers who filled out the Liebowitz Social Anxiety Scale (LSAS), the Hospital Anxiety and Depression Scale (HADS), Multidimensional Scale of Perceived Social Support (MSPSS), Ways of coping questionnaire (WCQ) and Eysenck Personality Questionnaire Revised: abbreviated form (EPQR-A). The patients also completed the Dermatology Life Quality Index (DLQI). The extensiveness and severity of the disease were examined by employing the Psoriasis Area and Severity Index (PASI).
Compared with our controls, psoriasis patients displayed significantly higher degrees of social anxiety. Both social fear⁄avoidance subscale scores of LSAS showed a significant correlation to impairment in quality of life (r: 0.373, p: 0.008, r: 0.336, p: 0.018). No appreciable correlation was observable among the PASI and LSAS scores. Regression analysis showed that EPQR-A-extraversion and neuroticism subscale scores had significant influence on LSAS-Social Anxiety scores, accounting for 41.5% of the variance. EPQR-A-extraversion was found to have significant influence on LSAS-Social avoidance scores, accounting for 26.8% of the variance.
Our results indicate that psoriasis causes increased levels of social anxiety which is closely related to impaired quality of life. Personality characteristics might contribute considerably in expressing psychosocial morbidity among individuals living with psoriasis.
银屑病患者通常会因自身外表而感到羞耻，并遭受自卑、社交焦虑和回避行为的困扰。然而，对于影响这些患者社交焦虑水平的因素却知之甚少。我们试图研究可能影响银屑病患者社交焦虑水平的心理因素以及与疾病相关的因素。
我们的研究包括50名银屑病门诊患者以及50名年龄和性别匹配的健康对照志愿者，他们填写了莱博维茨社交焦虑量表（LSAS）、医院焦虑抑郁量表（HADS）、领悟社会支持多维量表（MSPSS）、应对方式问卷（WCQ）和艾森克人格问卷修订版：简式（EPQR - A）。患者还完成了皮肤病生活质量指数（DLQI）。采用银屑病面积和严重程度指数（PASI）来评估疾病的范围和严重程度。
与我们的对照组相比，银屑病患者表现出明显更高程度的社交焦虑。LSAS的社交恐惧/回避分量表得分均与生活质量受损显著相关（r：0.373，p：0.008，r：0.336，p：0.018）。PASI与LSAS得分之间未观察到明显相关性。回归分析表明，EPQR - A外向性和神经质分量表得分对LSAS社交焦虑得分有显著影响，占方差的41.5%。发现EPQR - A外向性对LSAS社交回避得分有显著影响，占方差的26.8%。
我们的结果表明，银屑病会导致社交焦虑水平升高，这与生活质量受损密切相关。人格特征可能在银屑病患者心理社会发病机制的表现中起很大作用。
