Samela Tonia, Cordella Giorgia, Antinone Valeria, Pupa Maria Beatrice, Vendoni Capitani Alessandra, Didona Dario, Di Girolamo Luciana, Giampetruzzi Anna Rita, Abeni Damiano
Clinical Psychology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, 00167 Rome, Italy.
Clinical Epidemiology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, 00167 Rome, Italy .
Behav Sci (Basel). 2025 Mar 13;15(3):354. doi: 10.3390/bs15030354.
Chronic disfiguring skin conditions profoundly affect patients' quality of life (QoL) due to their physical, psychological, and emotional consequences. Although the presence of depression and anxiety symptomatology in dermatological patients is well established, the specific roles of emotional dysregulation, dysmorphophobic concerns, and hopelessness in this population require further investigation. This study aimed for the following: (1) to assess symptoms of emotional dysregulation, dysmorphophobic concerns, and hopelessness in hospitalized patients with severe dermatological diseases; (2) analyze whether emotional dysregulation mediates the relationship between dysmorphophobic concerns and hopelessness. A cross-sectional study was conducted with 120 hospitalized dermatology patients. Patients completed standardized measures, including the Emotional Dysregulation Scale (EDs), Beck Hopelessness Scale (BHS), and the Questionario sul Dismorfismo Corporeo "Body Dysmorphic Disorder Questionnaire" (QDC). Disease severity and pain perception were assessed using the Physician Global Assessment (PGA) and the Numerical Rating Scale (NRS). Significant associations were observed between emotional dysregulation, dysmorphophobic concerns, and hopelessness. Emotional dysregulation partially mediated the relationship between dysmorphophobic concerns and hopelessness (indirect effect: = 0.013, CI [0.004, 0.026]). Higher dysmorphophobic concerns were associated with emotional dysregulation, which, in turn, predicted greater hopelessness. Emotional dysregulation seems to play a critical role in the relationship between dysmorphophobic concerns and hopelessness in dermatological patients.
慢性毁容性皮肤病因其对身体、心理和情绪的影响，会严重影响患者的生活质量（QoL）。尽管皮肤科患者中抑郁和焦虑症状的存在已得到充分证实，但情绪失调、畸形恐惧症和绝望感在该人群中的具体作用仍需进一步研究。本研究旨在：（1）评估重症皮肤病住院患者的情绪失调、畸形恐惧症和绝望感症状；（2）分析情绪失调是否介导畸形恐惧症和绝望感之间的关系。对120名住院皮肤科患者进行了横断面研究。患者完成了标准化测量，包括情绪失调量表（EDs）、贝克绝望量表（BHS）和躯体畸形问卷“身体畸形障碍问卷”（QDC）。使用医生整体评估（PGA）和数字评分量表（NRS）评估疾病严重程度和疼痛感知。观察到情绪失调、畸形恐惧症和绝望感之间存在显著关联。情绪失调部分介导了畸形恐惧症和绝望感之间的关系（间接效应：= 0.013，CI [0.004, 0.026]）。更高的畸形恐惧症与情绪失调相关，而情绪失调反过来又预示着更大的绝望感。情绪失调似乎在皮肤科患者的畸形恐惧症和绝望感之间的关系中起着关键作用。
