Illness acceptance degree versus intensity of psychopathological symptoms in patients with psoriasis

Kostyła, Magdalena; Tabała, Klaudia; Kocur, Józef

doi:10.5114/pdia.2013.35613

Cited by 27 publications

(42 citation statements)

References 9 publications

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“…As a result, they feel undesired in their interaction with others and are led to isolation from social events. 19 In addition, in our sample, female patients showed elevated levels of psychoticism. According to a study, psoriatic patients appear to have higher scores of psychoticism compared to patients with other skin diseases.…”

Section: Discussionmentioning

confidence: 52%

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Psychopathology and alexithymia in patients with psoriasis

Κορκολιάκου

Efstathiou

Giannopoulou

et al. 2017

An. Bras. Dermatol.

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BackgroundPsoriasis is a chronic, inflammatory, relapsing skin disease that has a psychosocial impact on the patients' life.ObjectiveThis study aimed to investigate psychopathology in patients with psoriasis based on a valid psychometric instrument, as well as on the relationship between psychopathology and alexithymia.Methods108 patients with psoriasis were included in the study. Psychopathology was evaluated with the Symptom Checklist-90-Revised (SCL-90-R) and alexithymia with the Toronto Alexithymia Scale (TAS-20). Disease severity was clinically assessed using the Psoriasis Area and Severity Index.ResultsAs regards the psychopathological dimensions, female patients presented with statistically significant higher somatization, depression, anxiety, phobic anxiety, and psychoticism than males. Patients with alexithymia presented with statistically significant higher somatization, interpersonal sensitivity, anxiety, and phobic anxiety than non-alexithymic patients. Alexithymia positively correlated with somatization (r = 0.26, p < 0.01), interpersonal sensitivity (r = 0.24, p < 0.05), depression (r = 0.27, p < 0.01), anxiety (r = 0.26, p < 0.01), and phobic anxiety (r = 0.26, p < 0.01). In addition, alexithymia also contributed to the prediction of these conditions.Study LimitationsA larger study sample could yield safer generalized results. Nevertheless, to the best of our knowledge, this was the first study to investigate various psychopathological dimensions in patients with psoriasis.ConclusionsOur study results indicate that alexithymia and female sex were associated with several psychopathological dimensions in patients with psoriasis. It may be suggested that alexithymia constitutes an important factor in the development of mental disorders among patients with psoriasis.

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Section: Discussionmentioning

confidence: 52%

“…It is possible that patients with severe psoriasis feel greater stigmatization, which may lead them to avoid social situations. 19 …”

Section: Discussionmentioning

confidence: 99%

Psychopathology and alexithymia in patients with psoriasis

Κορκολιάκου

Efstathiou

Giannopoulou

et al. 2017

An. Bras. Dermatol.

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“…Often, patients have the impression of being unattractive to others [7]. Due to their visibility, psoriatic lesions stimulate negative responses on other people, which eventually contributes to lack of illness acceptance and negative self-image of patients [8]. Problems with acceptance of the illness may trigger negative emotions.…”

Section: Introductionmentioning

confidence: 99%

Acceptance of Illness, Satisfaction with Life, Sense of Stigmatization, and Quality of Life among People with Psoriasis: A Cross-Sectional Study

Kowalewska

Cybulski

Jankowiak

et al. 2020

Dermatol Ther (Heidelb)

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“…In the case of patients suffering from psoriasis, it was proved that a higher level of acceptance of the illness is connected with a more positive assessment of the quality of life (Miniszewska, 2011;Miniszewska, Juczyński, Ograczyk, & Zalewska, 2013). It was also proved that patients suffering from psoriasis with a higher level of acceptance of an illness show a lower level of exacerbation of psychopathological symptoms, such as somatization disorders, obsessive-compulsive disorders or anxiety (Kostyła, Tabała, & Kocur, 2013). That fact may be of particular significance because mental disorders (in particular, depression and anxiety disorders) are reported to occur four times more frequently in individuals suffering from psoriasis than in individuals suffering from other medical conditions of the skin (Parafianowicz et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Determinants of acceptance of an illness in the case of patients suffering from psoriasis treated in the hospital and outpatient clinic settings

Adamska¹,

Miniszewska²

2015

Health Psychology Report

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Psoriasis is one of the most commonly occurring cutaneous conditions. In connection with its chronic character, and with the presence of defacing pathological changes on the skin, this medical condition reduces the quality of life in the physical, mental and social aspects. It is also an illness whose course is substantially influenced by psychological factors. The level of acceptance of an illness in the case of psoriasis patients may exert a significant influence on their level of adjustment to their medical condition and psycho-social functioning. The objective of this research was to estimate the level of acceptance of the illness, and to determine the correlations between acceptance of the illness and the way in which it is perceived, the exacerbation of symptoms, and the health locus of control in groups of patients with psoriasis treated in the hospital and outpatient clinic settings. participants and procedureThe research included a group of 61 patients suffering from psoriasis. The following research tools were applied: the Acceptance of Illness Scale (AIS), the Multidimensional Health Locus of Control Scale (MHLC), the Disease Rating Scale (DRS), the Self-Administered Psoriasis Area Severity Index (SAPASI), and the Visual Analogue Scale (VAS). resultsThe studied patients accepted their illness to an average degree. No significant differences were found for that variable between the studied individuals treated in the hospital setting and those treated in the outpatient clinic setting. In the group of hospitalized patients, the perception of the illness in the categories of a threat, harm, life balance disturbance and an obstacle/a loss was negatively correlated with the acceptance of it. In the group of patients treated in the outpatient clinic setting, the assessment of the illness in the categories of a threat and harm, and the subjective assessment of exacerbation of symptoms of the illness, measured using the VAS, were negatively correlated, whereas being convinced that the health locus of control was located internally was positively correlated with acceptance of the illness. The perception of an illness as an obstacle and being convinced that the health locus of control is the internal one make it possible to predict the degree of acceptance of an illness in the case of patients suffering from psoriasis. conclusionsPlanning psychological influences, and wanting to understand the functioning of individuals suffering from psoriasis better, it is recommendable to concentrate upon the understanding of the possible modification of the way in which the individuals in question assess their own illness, and also their own influence upon their state of health.

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Illness acceptance degree versus intensity of psychopathological symptoms in patients with psoriasis

Cited by 27 publications

References 9 publications

Psychopathology and alexithymia in patients with psoriasis

Psychopathology and alexithymia in patients with psoriasis

Acceptance of Illness, Satisfaction with Life, Sense of Stigmatization, and Quality of Life among People with Psoriasis: A Cross-Sectional Study

Determinants of acceptance of an illness in the case of patients suffering from psoriasis treated in the hospital and outpatient clinic settings

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