Institute of Social Sciences, University of Lisbon, Lisbon, Portugal; Faculty of Psychology, University of Lisbon, Lisbon, Portugal.
Federal University of Campina Grande, Campina Grande, Paraíba, Brazil.
Acta Psychol (Amst). 2022 Jul;227:103613. doi: 10.1016/j.actpsy.2022.103613. Epub 2022 May 12.
Psychological impacts of Vitiligo have been demonstrated, and associations of the skin disease with anxiety and depression disorders have already been shown. However, it is still unclear the role of individuals' personality factors, such as neuroticism, stress, and rumination, as well as sociodemographic characteristics of people with Vitiligo in such disorders. We conducted a study in a community sample of individuals with Vitiligo (N = 324) aiming to test the hypothesis that neuroticism, stress, and rumination are subjacent to these individuals' anxiety and depression symptomatology. We also explored whether individuals' gender might favor the onset or worsening of the psychological consequences of such disorders. Results showed that the relationship between neuroticism, anxiety and depression was mediated by stress and rumination (brooding), being this effect moderated by the participants' gender. Specifically, women's reflection and stress seemed to be important mechanisms to predict their anxiety and depression symptoms, whereas brooding predicts such disorders' symptomatology in men with Vitiligo. These findings may guide future research and clinical interventions for this population, for which it is necessary to consider the psychological consequences of the disease and not just its physiological aspects.
白癜风的心理影响已经得到证实，并且已经表明这种皮肤病与焦虑和抑郁障碍有关。然而，目前尚不清楚个体的人格因素（如神经质、压力和反刍）以及白癜风患者的社会人口特征在这些障碍中的作用。我们在一个社区样本的白癜风患者中进行了一项研究（N=324），旨在检验神经质、压力和反刍是这些个体焦虑和抑郁症状的潜在因素的假设。我们还探讨了个体的性别是否可能有利于这些障碍的心理后果的发生或恶化。结果表明，神经质、焦虑和抑郁之间的关系是由压力和反刍（沉思）介导的，而这种影响受到参与者性别的调节。具体来说，女性的反思和压力似乎是预测她们焦虑和抑郁症状的重要机制，而反刍则预测了男性白癜风患者的这些障碍的症状。这些发现可能为该人群的未来研究和临床干预提供指导，对于该人群，有必要考虑疾病的心理后果，而不仅仅是其生理方面。
