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Toward a better understanding of social anxiety and depression in psoriasis patients: The role of determinants, mediators, and moderators.

Abstract：

OBJECTIVE:To determine how and under which conditions psoriasis is related to the psychological impairments, in particular, to social anxiety and depression, the current study tested the interplay of selected factors such as gender, age of onset of psoriasis, cognitive and affective elements of body image, experiences of stigmatization, and patients' subjective perceptions of severity of the disease. METHODS:Adult psoriasis patients (N=193) completed the Appearance Schemas Inventory-Revised, the Stigmatization Scale, the Body Emotions Scale, the Beck Depression Inventory, and the Social Anxiety Questionnaire. The disease severity was defined based on the Body Surface Area (BSA) index. RESULTS:The effect of psoriasis on social anxiety was moderated by age of onset: higher severity of the disease was associated with higher levels of social anxiety, but only for patients with pre-adult onset psoriasis. Hierarchical multiple regressions revealed that in patients with adult-onset (≥18years of age) the importance of appearance to one's sense of self-worth was the main contributor to social anxiety, while in patients with pre-adult onset, social anxiety was most strongly related to experiences of stigmatization. Moreover, the results indicated that negative body-related emotions mediated the relationship between severity of the disease and depression. Additionally, the relationship between severity of psoriasis and body image emotions was moderated by gender. CONCLUSIONS:Findings significantly extend previous studies by confirming and highlighting the role of age of onset of psoriasis in psychological impairments, and provide more insight into factors that contribute to social anxiety in this group of patients.

journal_name

J Psychosom Res

journal_title

Journal of psychosomatic research

authors

Łakuta P,Przybyła-Basista H

doi

10.1016/j.jpsychores.2017.01.007

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

32-38

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(17)30030-2

journal_volume

94

pub_type

杂志文章

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