Department of Human Sciences, European University of Rome, 00163 Rome, Italy.
Department of Psychological, Health and Territorial Sciences, University of "G. D'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
Int J Environ Res Public Health. 2022 Mar 3;19(5):2943. doi: 10.3390/ijerph19052943.
Skin diseases (e.g., psoriasis and systemic sclerosis) are generally associated with negative psychosocial outcomes. Although different psychological interventions have been used to improve the quality of life of dermatological patients, the effects of the guided written disclosure (GWD) protocol have not been previously examined in these patients. Moreover, little attention has been paid to positive psychology constructs. This study investigates the effectiveness of GWD on positive and negative functioning in dermatological patients. Pre- and 1-month post-intervention measures included emotion regulation, sense of inner peace, skin-related symptoms and functioning, sense of coherence, and psychological distress. A total of 196 consecutive outpatients were randomly assigned to GWD and active control groups, of whom 60 (30.6%) completed the study and 45 (GWD: = 24; AC: = 21) provided complete data. Our results did not show any significant difference between the experimental and control groups in the outcome variables, whereas non-completers reported higher levels of distress, unpleasant skin-related emotions, and lower cognitive reappraisal compared to completers. These findings show a poor compliance, and suggest that expressive writing is not well accepted by patients and is not effective in improving positive and negative psychological functioning in dermatological patients.
皮肤病（如银屑病和系统性硬化症）通常与负面的心理社会结局相关。尽管已经使用了不同的心理干预措施来改善皮肤科患者的生活质量，但指导性书面暴露（GWD）方案对这些患者的效果尚未进行过研究。此外，很少关注积极心理学的构建。本研究调查了 GWD 对皮肤科患者积极和消极功能的影响。干预前和干预后 1 个月的测量指标包括情绪调节、内心平静感、与皮肤相关的症状和功能、心理一致性感和心理困扰。共有 196 名连续门诊患者被随机分配到 GWD 和积极对照组，其中 60 名（30.6%）完成了研究，45 名（GWD： = 24；AC： = 21）提供了完整的数据。我们的结果显示，实验组和对照组在结局变量上没有显著差异，而未完成组报告的困扰、不愉快的皮肤相关情绪以及认知重评水平均低于完成组。这些发现表明依从性差，并表明表达性写作不受患者欢迎，并且不能有效改善皮肤科患者的积极和消极心理功能。
