Department of Dermatology and Allergy, Technical University of Munich, School of Medicine, Munich, Germany.
Department of Dermatology and Allergy, Technical University of Munich, School of Medicine, Munich, Germany; Private Practice, Dermatologie Arnold, Augsburg, Germany.
Acta Derm Venereol. 2023 May 30;103:adv5284. doi: 10.2340/actadv.v103.5284.
Positive health approaches, such as happiness, are largely unexplored in medicine, including dermatology. Taking into consideration the various happiness measures, the aims of this cross-sectional study were to assess this concept using a 1-item heuristic happiness question and its related dimensions (Satisfaction with Life, Positive and Negative Affect, Quality of Life, and Compound Psychological Capital) in outpatients with different skin diseases between December 2019 and June 2020, and to examine the link between these dimensions. Overall, 414 dermatological patients were included: 67 with psoriasis, 84 atopic eczema, 10 mastocytosis, 19 nummular eczema, 84 malignant melanoma and 150 keratinocyte carcinoma. Comparing the skin diseases, differences were observed for heuristic happiness, Positive Affect, and some domains of Quality of Life and Compound Psychological Capital. Analysing the relationship between heuristic happiness and other happiness measures, the data revealed moderate to strong correlations (r = 0.30-0.46, p< 0.001) and variations in the understanding of happiness between the skin diseases. Overall, the most important facet of happiness was Hope as a domain of Compound Psychological Capital. This study emphasizes the individual definition of heuristic happiness in patients with skin diseases. A 1-item heuristic approach may be a simple and practical method to assess the complexity and individuality of happiness.
积极的健康方法，如幸福感，在医学领域，包括皮肤病学中，很大程度上尚未得到探索。考虑到各种幸福感的衡量标准，本横断面研究的目的是使用 1 项启发式幸福感问题及其相关维度（生活满意度、积极和消极情绪、生活质量和复合心理资本）评估不同皮肤病门诊患者的这一概念，并研究这些维度之间的联系。总体而言，共纳入了 414 名皮肤科患者：67 名银屑病患者、84 名特应性皮炎患者、10 名肥大细胞增多症患者、19 名钱币状湿疹患者、84 名恶性黑素瘤患者和 150 名角化细胞癌患者。比较这些皮肤病，发现启发式幸福感、积极情绪以及生活质量和复合心理资本的一些维度存在差异。分析启发式幸福感与其他幸福感衡量标准之间的关系，数据显示，两者之间存在中等至强相关关系（r=0.30-0.46，p<0.001），并且皮肤病之间对幸福感的理解也存在差异。总的来说，幸福感最重要的方面是复合心理资本的希望领域。本研究强调了皮肤病患者对启发式幸福感的个体定义。1 项启发式方法可能是评估幸福感的复杂性和个体性的一种简单实用的方法。
