An evaluating of the relationship between body image, body satisfaction, depression, marital quality, and self-esteem in patients with psoriasis

Hassani, Fatemeh; Koraei, Amin; Yaghoobi, Reza; Zarea, Kourosh

doi:10.1080/13548506.2020.1766093

Cited by 18 publications

(8 citation statements)

References 21 publications

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“…In the study conducted by Nazik [ 72 ], the presence of psoriasis, as well as lower self-esteem and poor body image, correlated significantly with a decrease in the quality of life (all relationships at p = 0.001). A decrease in the self-esteem of patients with psoriasis was also reported by Hassani et al [ 73 ] and Alariny et al [ 74 ].…”

Section: Discussionsupporting

confidence: 74%

Skin-Disease Specific and Generic Psychometric Measures in Patients with Psoriasis

Kowalewska

Jankowiak

Krajewska-Kułak

et al. 2021

Dermatol Ther (Heidelb)

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Introduction Psychosocial problems of patients with chronic dermatoses, such as psoriasis, add to their somatic ailments, which results in the lack of illness acceptance, lowered self-esteem, deteriorated quality of life, and an array of somatic comorbidities. The aim of this study was to analyze the effect of psoriasis on the quality of life, sense of stigmatization, self-esteem, and satisfaction with life in patients with psoriasis. Methods The study was based on a short survey prepared by the authors and five validated scales: Dermatology Life Quality Index (DLQI), 6-Item Stigmatization Scale, 33-Item Feelings of Stigmatization Questionnaire, Rosenberg Self-Esteem Scale (SES), and Satisfaction With Life Scale (SWLS). The study included 111 patients with psoriasis (46.8% women and 53.2% men). The inclusion criteria of the study were the diagnosis of plaque psoriasis and written informed consent to participate. Results DLQI scores ranged between 0 and 28 points (pts) (mean 10.8 pts). Mean stigmatization scores determined with the 33- and 6-Item Stigmatization Scale were 81.6 pts and 7.5 pts, respectively. The mean SWLS score for the study group (18.5 pts) was slightly below the average. The mean score SES of 27 pts implies that the study respondents’ self-esteem level was slightly above the average. Conclusions Satisfaction with life turned out to be significantly modulated by overall stigmatization level on the 33-Item Stigmatization Scale (the stronger the sense of stigmatization, the lower the satisfaction with life) and education (respondents with higher education presented with higher satisfaction with life than those with non-higher education).

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Section: Discussionsupporting

confidence: 74%

Skin-Disease Specific and Generic Psychometric Measures in Patients with Psoriasis

Kowalewska

Jankowiak

Krajewska-Kułak

et al. 2021

Dermatol Ther (Heidelb)

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“…negative body perception fosters negative mood and further distorts illness severity perception, which subsequently makes the body image even worse etc. [ 16 , 33 , 41 ]. Conversely, many authors found that positive body image may facilitate more effective coping with physical symptoms of psoriasis and enhance well-being in these patients [ 15 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the constructive perception of skin symptoms, family resources are crucial [ 21 ]. Second, psoriasis has substantial repercussions on multiple aspects of the functioning of these patients ranging from family or intimate relationships to patients’ body image [ 16 , 31 , 33 , 41 ]. Especially this latter variable, which is a multidimensional construct describing individual’s thoughts, beliefs, emotions and behaviours associated with one’s physical appearance, is shaped greatly by social and cultural factors [ 4 ].…”

mentioning

confidence: 99%

Comparative study of life satisfaction among patients with psoriasis versus healthy comparison group: the explanatory role of body image and resource profiles

et al. 2020

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Purpose The aim of the study was first to examine the heterogeneity of body image and resources, as described by the conservation of resources theory (COR), in a sample of psoriatic patients and explore whether heterogeneity within these variables explains the possible differences in levels of life satisfaction among the participants. Second, we aimed to investigate if life satisfaction level among the observed profiles of psoriatic patients, extracted on the basis of their body image and resources, differed from that of the healthy comparison group. Methods The sample consisted of 735 participants, including 355 adults with a medical diagnosis of psoriasis and 380 healthy adults recruited from a non-clinical general population. Participants filled the Satisfaction with Life Scale, the Multidimensional Body-Self Relations Questionnaire and the COR evaluation questionnaire. Results Latent profile analysis revealed four classes of psoriatic patients with different levels of resources and body image. The group with the highest level of resources and the most positive body image did not differ from the healthy comparison group regarding satisfaction with life. The group with the lowest level of resources and the most negative body image was characterized by the lowest satisfaction with life. Conclusions The results of our study may change the simplifying trend that highlights the traditionally very poor well-being of psoriatic patients. Moreover, the discovery of specific profiles of these patients, which differ with regard to psychological variables, can lead to rethinking contemporary forms of psychological counselling in psoriatic patients.

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“…Kouris et al [ 48 ] found a statistically significant difference in self-esteem (SES) between psoriatic patients and healthy controls ( p < 0.0001), with lower self-esteem among women than men. Hassani et al [ 49 ] and Alarina et al [ 50 ] also noted lower self-esteem among psoriatic patients [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Stress-Coping Strategies and the Severity of Psoriasis on Self-Esteem, Illness Acceptance and Life Satisfaction

Kowalewska

Krajewska-Kułak

Sobolewski

2022

Dermatol Ther (Heidelb)

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Introduction The visibility of skin lesions is a significant burden for patients with psoriasis, who experience social hostility as well as many emotional and psychological problems. The recurrent nature of cutaneous manifestations and their location are also a source of emotional distress, which in turn is one of the main factors that intensifies skin lesions in these patients. The aim of the study was to assess the impact of the severity of psoriasis and stress-coping strategies on general psychometric measures in the affected patients. Methods The study used a short demographic questionnaire, Psoriasis Area and Severity Index (PASI), and four standardised general psychometric tools: Rosenberg Self-Esteem Scale (SES), Satisfaction With Life Scale (SWLS), Coping Inventory for Stressful Situations (CISS) and Acceptance of Illness Scale (AIS). A total of 111 patients participated in the study. Results The mean PASI score was 14.0 (12.1–15.9). The mean SWLS score was below average, i.e., 18.5 (17.3–19.7), and the SES score—26.8 points (26.1–27.5)—indicated self-esteem slightly above average among patients with psoriasis. The mean stress-coping level measured with CISS was 53.6 (51.9–55.2) for the task-oriented strategy (TOS), 46.2 (43.8–48.6) for the emotion-oriented strategy (EOS) and 50.1 (48.5–51.8) for the avoidance-oriented strategy (AOS). Higher PASI was associated with lower illness acceptance among men ( r = 0.48) and lower self-esteem among women ( r = 0.44). The level of life satisfaction was lower in respondents with higher PASI scores (mainly in the group of women, r = 0.44). Conclusions Higher severity of psoriasis (PASI) and greater frequency of emotion-oriented stress-coping mechanisms (CISS) are factors that negatively affect the overall psychophysical condition of respondents.

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An evaluating of the relationship between body image, body satisfaction, depression, marital quality, and self-esteem in patients with psoriasis

Cited by 18 publications

References 21 publications

Skin-Disease Specific and Generic Psychometric Measures in Patients with Psoriasis

Skin-Disease Specific and Generic Psychometric Measures in Patients with Psoriasis

Comparative study of life satisfaction among patients with psoriasis versus healthy comparison group: the explanatory role of body image and resource profiles

The Impact of Stress-Coping Strategies and the Severity of Psoriasis on Self-Esteem, Illness Acceptance and Life Satisfaction

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