Psychological characteristics of psoriatics. Implications for management

Goldsmith, Lowell A.

doi:10.1001/archderm.100.6.674

Cited by 9 publications

(5 citation statements)

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“…Fourth, our study found that EPQR-A-extraversion and neuroticism subscale scores have significant influence on LSAS-Social Anxiety scores. Also, we showed that the neuroticism scores were significantly higher for our patients, but their extraversion scores were much lower than the controls, consistent with previous psoriasis studies (22,23). According to the Eysenck and Eysenck personality theory, extraversion and introversion represent opposing traits among specific personality attributes (24).…”

Section: Discussionsupporting

confidence: 90%

Evaluation of Social Anxiety Levels and Related Factors in Psoriasis Patients: A Controlled, Cross- Sectional Study

Yıldırım

Seremet

Afşar

et al. 2019

Archives of Neuropsychiatry

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Introduction: Psoriasis patients usually feel shame over their appearance and suffer from poor self-esteem, social anxiety, and avoidance. However, little is known about factors affecting social anxiety levels in these patients. We sought to examine the psychological, as well as disease-related factors which may affect social anxiety levels in psoriasis patients. Methods: Our study consisted of 50 psoriasis outpatients and a corresponding 50 age and sex-matched healthy control volunteers who filled out the Liebowitz Social Anxiety Scale (LSAS), the Hospital Anxiety and Depression Scale (HADS), Multidimensional Scale of Perceived Social Support (MSPSS), Ways of coping questionnaire (WCQ) and Eysenck Personality Questionnaire Revised: abbreviated form (EPQR-A). The patients also completed the Dermatology Life Quality Index (DLQI). The extensiveness and severity of the disease were examined by employing the Psoriasis Area and Severity Index (PASI). Results: Compared with our controls, psoriasis patients displayed significantly higher degrees of social anxiety. Both social fear⁄ avoidance subscale scores of LSAS showed a significant correlation to impairment in quality of life (r: 0.373, p: 0.008, r: 0.336, p: 0.018). No appreciable correlation was observable among the PASI and LSAS scores. Regression analysis showed that EPQR-A-extraversion and neuroticism subscale scores had significant influence on LSAS-Social Anxiety scores, accounting for 41.5% of the variance. EPQR-A-extraversion was found to have significant influence on LSAS-Social avoidance scores, accounting for 26.8% of the variance. Conclusion: Our results indicate that psoriasis causes increased levels of social anxiety which is closely related to impaired quality of life. Personality characteristics might contribute considerably in expressing psychosocial morbidity among individuals living with psoriasis.

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Section: Discussionsupporting

confidence: 90%

Evaluation of Social Anxiety Levels and Related Factors in Psoriasis Patients: A Controlled, Cross- Sectional Study

Yıldırım

Seremet

Afşar

et al. 2019

Archives of Neuropsychiatry

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“…The finding of greater self‐consciousness in skin disease subjects compared to controls is consistent with previous studies 28–30 . The finding of significantly greater levels of neuroticism in skin patients is also consistent with studies in acne, 31 eczema 32 and psoriasis 33 …”

Section: Discussionsupporting

confidence: 90%

“…[28][29][30] The finding of significantly greater levels of neuroticism in skin patients is also consistent with studies in acne, 31 eczema 32 and psoriasis. 33 The lack of difference in psychological morbidity between patients from specialist and general practice is of some importance given the considerable psychological morbidity suggested by many studies in specialist settings and the paucity of previous studies based in general practice. Exceptions are the studies of Harlow et al .…”

Section: Univariate Findingsmentioning

confidence: 99%

A cross‐sectional study of psychological morbidity in patients with acne, psoriasis and atopic dermatitis in specialist dermatology and general practices

Magin

Pond

Smith

et al. 2008

Acad Dermatol Venereol

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“…Health Attitudes and Behavior Goldsmith et al [69] observed attitudes of denial in psoriatic patients who were generally uncooperative in following an outpatient treatment regimen. In a subsequent cross-sectional study with patients having a dermatologist-confirmed diagnosis of psoriasis, Fortune et al [70] found that those who used alcohol and drugs as a way of coping with their illness were more likely to be in denial and to report greater disability as a result of their psoriasis.…”

Section: Dermatologymentioning

confidence: 99%

Illness Denial in Medical Disorders: A Systematic Review

Patierno

Fava

Carrozzino

2023

Psychother Psychosom

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Introduction: Illness denial pertains to medical patients who do not acknowledge the presence or severity of their disease or the need of treatment. Objective: This systematic review was performed to clarify the clinical role and manifestations of illness denial, its impact on health attitudes and behavior, as well as on short- and long-term outcomes in patients with medical disorders. Methods: The systematic search according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was conducted on PubMed, Scopus, and Web of Science. Results: The initial search yielded a total of 14,098 articles; 176 studies met the criteria for inclusion. Illness denial appeared to be a relatively common condition affecting a wide spectrum of health attitudes and behavior. In some cases, it may help a person cope with various stages of illness and treatment. In other situations, it may determine delay in seeking treatment, impaired adherence, and reduced self-management, leading to adverse outcomes. The Diagnostic Criteria for Psychosomatic Research (DCPR) were found to set a useful severity threshold for the condition. An important clinical distinction can also be made based on the DCPR for illness denial, which require the assessment of whether the patient has been provided with an adequate appraisal of the medical situation. Conclusions: This systematic review indicates that patients with medical disorders experience and express illness denial in many forms and with varying degrees of severity. The findings suggest the need for a multidimensional assessment and provide challenging insights into the management of medical disorders.

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Psychological characteristics of psoriatics. Implications for management

Cited by 9 publications

References 0 publications

Evaluation of Social Anxiety Levels and Related Factors in Psoriasis Patients: A Controlled, Cross- Sectional Study

Evaluation of Social Anxiety Levels and Related Factors in Psoriasis Patients: A Controlled, Cross- Sectional Study

A cross‐sectional study of psychological morbidity in patients with acne, psoriasis and atopic dermatitis in specialist dermatology and general practices

Illness Denial in Medical Disorders: A Systematic Review

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