Jankowiak Barbara, Kowalewska Beata, Krajewska-Kułak Elżbieta, Khvorik Dzmitry Fiodaravich, Niczyporuk Wiaczesław
Department of Integrated Medical Care, Medical University of Bialystok, Bialystok, Poland.
Department of Dermatovenerology, Medical University, Grodno, Belarus.
Postepy Dermatol Alergol. 2020 Aug;37(4):597-602. doi: 10.5114/ada.2020.93242. Epub 2020 Feb 19.
Psoriasis is classified as a psychosomatic disease since its development and outcome may be modulated by various psychological factors. Due to the presence of clinical signs visible to others and poor social awareness of the disease, psoriasis patients are not infrequently classified as different or stigmatized, and their value as human beings tends to decrease.
To analyse the relationship between self-esteem and stigmatization in psoriasis patients.
The study included 120 patients with psoriasis vulgaris. The study participants completed Polish versions of the Rosenberg Self-Esteem Scale (RSES) and the 6-Item Stigmatization Scale developed by Evers ., as well as an original survey containing questions about their sociodemographic characteristics.
Mean RSES score of the study participants was 24.1 points. Mean RSES score for female patients was nearly 2 points lower than the mean score for men. Analysis of Spearman's rho coefficients showed that the higher the self-esteem in the study participants the less often they considered themselves unattractive to others (0.23), less often believed that people gaze at their skin lesions (0.23) or avoid them because of their condition (0.38).
Our findings demonstrate clearly that both self-esteem and stigmatization are significant components of psoriasis' influence on the patient life. Psoriasis should not be considered merely as a somatic problem, but also as a significant psychological and social burden.
银屑病被归类为心身疾病,因为其发病和病情转归可能受到多种心理因素的调节。由于存在他人可见的临床体征以及社会对该疾病认知不足,银屑病患者常常被视为异类或受到污名化,其作为人的价值也往往降低。
分析银屑病患者自尊与污名化之间的关系。
该研究纳入了120例寻常型银屑病患者。研究参与者完成了波兰语版的罗森伯格自尊量表(RSES)和由埃弗斯等人编制的6项污名化量表,以及一份包含其社会人口学特征问题的原始调查问卷。
研究参与者的RSES平均得分为24.1分。女性患者的RSES平均得分比男性低近2分。对斯皮尔曼等级相关系数的分析表明,研究参与者的自尊水平越高,他们认为自己对他人缺乏吸引力的频率越低(0.23),认为人们盯着他们皮肤病变的频率越低(0.23),或者因自身状况而被他人避开的频率越低(0.38)。
我们的研究结果清楚地表明,自尊和污名化都是银屑病对患者生活影响的重要组成部分。银屑病不应仅仅被视为一个躯体问题,还应被视为一项重大的心理和社会负担。