对银屑病患者进行短期心理干预的研究：德国一家诊所的横断面观察性研究
Interest in a short psychological intervention in patients with psoriasis: a cross-sectional observational study at a German clinic.
作者信息
Stadtmüller Laura R, Eckardt Markus A, Zick Christoph, Kupfer Joerg, Schut Christina
机构信息
Institute of Medical Psychology, University of Giessen, Giessen, Germany.
Department of Dermatology, Rehabilitation Clinic Borkum Riff, Borkum, Germany.
出版信息
Front Med (Lausanne). 2023 Jun 15;10:1074632. doi: 10.3389/fmed.2023.1074632. eCollection 2023.
INTRODUCTION
Utilization of health services is not only associated with the kind of illness one has, but also with patient characteristics like age, sex or psychological variables. Psoriasis (PS) is a chronic inflammatory skin condition, in which psychological interventions were shown to be beneficial regarding not only psychological variables, but also regarding the skin status. The present study investigated with regard to which patient characteristics PS-patients with interest in participation in a short psychological intervention differ from PS-patients without interest.
METHODS
This cross-sectional questionnaire study was conducted at a German rehabilitation clinic. At the beginning of their stay at the clinic, 127 PS-patients filled in questionnaires to assess the severity of their PS, stress, illness perceptions, mindfulness, anxiety, and depression. Interest in taking part in a short psychological intervention was assessed using a dichotomous item. The statistical analysis comprised group comparisons using -tests of patients with and without interest to take part in a short psychological intervention.
RESULTS
Sixty-four of the participants were male (50.4%). Participants were 50.7 ± 10 years on average (range: 25-65). 50.4% of them had a mild, 37.0% a moderate, and 12.6% a severe PS. Results indicated that patients with interest in a short psychological intervention were younger, reported to have more skin symptoms due to their PS (higher skin-related illness identity), were more anxious and depressed, but less stressed and less mindful than patients without interest.
CONCLUSION
This study shows that in PS-patients with certain characteristics, it might help to raise awareness on the relationship between psychological factors and symptoms of the skin disease in order to motivate this group of patients to take part in psychological interventions to improve their skin condition. Further studies are needed to investigate whether patients who show interest in a psychological intervention also actually take part in the intervention and profit from it. DRKS00017426.
引言
卫生服务的利用不仅与一个人所患疾病的类型有关，还与患者特征如年龄、性别或心理变量有关。银屑病（PS）是一种慢性炎症性皮肤病，研究表明心理干预不仅对心理变量有益，而且对皮肤状况也有益。本研究调查了有兴趣参与短期心理干预的银屑病患者与无兴趣的银屑病患者在哪些患者特征上存在差异。
方法
这项横断面问卷调查研究在一家德国康复诊所进行。在患者入住诊所之初，127名银屑病患者填写问卷，以评估其银屑病的严重程度、压力、疾病认知、正念、焦虑和抑郁情况。使用一个二分项目评估参与短期心理干预的兴趣。统计分析包括对有兴趣和无兴趣参与短期心理干预的患者进行组间比较的t检验。
结果
64名参与者为男性（50.4%）。参与者平均年龄为50.7±10岁（范围：25 - 65岁）。其中50.4%患有轻度银屑病，37.0%患有中度银屑病，12.6%患有重度银屑病。结果表明，有兴趣参与短期心理干预的患者更年轻，报告因银屑病出现更多皮肤症状（更高的与皮肤相关的疾病认同），更焦虑和抑郁，但比无兴趣的患者压力更小且正念程度更低。
结论
本研究表明，对于具有某些特征的银屑病患者，提高对心理因素与皮肤病症状之间关系的认识可能有助于促使这组患者参与心理干预以改善其皮肤状况。需要进一步研究来调查对心理干预表现出兴趣的患者是否实际参与了干预并从中受益。DRKS00017426。
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