牛皮癣和情绪失调:一项多中心的心理皮肤科结果分析。

IF 2.3 4区 医学 Q2 DERMATOLOGY
Tonia Samela, Gaia Moretta, Alessia Provini, Gianluca Pagnanelli, Claudio Bonifati, Dario Graceffa, Viviana Lora, Diego Orsini, Arianna Zangrilli, Domenico Giordano, Annunziata Dattola, Antonio Richetta, Nicoletta Bernardini, Giacomo Caldarola, Eleonora De Luca, Cinzia Masini, Mauro Bavetta, Paola Tribuzi, Vincenzo Panasiti, Damiano Abeni
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引用次数: 0

摘要

与牛皮癣相关的心理症状包括抑郁、焦虑和社交恐惧症,常因述情障碍的高发率而加重。治疗决定不仅要考虑临床严重程度,还要考虑患者的特点和生活质量。然而,牛皮癣的社会心理负担可能并不总是与临床严重程度一致。目的:本研究旨在评估银屑病门诊患者的情绪调节困难,将这些困难与普通人群进行比较,并检查与社会人口因素、合并症和治疗方案的关系。方法:一项横断面、多中心研究,从意大利拉齐奥皮肤病中心连续招募了107例牛皮癣患者。记录每位患者的银屑病区域严重程度指数(PASI)、研究者整体评估(IGA)和情绪调节困难量表(DERS)。结果:分析显示,与意大利普通人群相比,牛皮癣患者报告的情绪调节困难明显更高,即使是那些病情轻微的患者。发现银屑病严重程度与情绪调节困难之间存在显著关联,特别是在PASI评分较高的患者中。生物治疗与情绪调节困难程度较低有关。结论:本研究证实了现有文献关于银屑病严重程度与情绪调节困难之间的关系。然而,它与先前关于身体质量指数(BMI)与情绪失调之间关系的研究结果有所不同。评估情绪调节困难可以帮助临床医生识别易受伤害的患者,优化治疗决策,以提高整体生活质量和治疗依从性。需要进一步的研究来验证这些发现,并探索情绪调节与牛皮癣预后之间的纵向关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psoriasis and Emotional Dysregulation: A Multicenter Analysis of Psychodermatology Outcomes.

Introduction: Psychological symptoms associated with psoriasis include depression, anxiety, and social phobia, often exacerbated by high rates of alexithymia. Treatment decisions should consider not only clinical severity but also patient characteristics and quality of life. However, the psychosocial burden of psoriasis may not always align with clinical severity.

Objectives: This study aimed to assess emotional regulation difficulties in outpatients with psoriasis, comparing these difficulties to those of the general population and examining associations with sociodemographic factors, comorbidities, and treatment options.

Methods: A cross-sectional, multicenter study enrolled 107 consecutive patients with psoriasis from dermatological centers in Lazio, Italy. For every patient the Psoriasis Area Severity Index (PASI), Investigator's Global Assessment (IGA), and Difficulties in Emotional Regulation scale (DERS) were recorded.

Results: Analysis revealed that patients with psoriasis reported significantly higher emotional regulation difficulties compared to the general Italian population, even those with mild disease. A significant association was found between psoriasis severity and emotional regulation difficulties, particularly in patients with higher PASI scores. Biological treatments were associated with lower levels of emotional regulation difficulties.

Conclusions: This study corroborates the existing literature on the association between psoriasis severity and emotional regulation difficulties. However, it diverges from prior findings regarding the association between body mass index (BMI) and emotional dysregulation. Assessing emotional regulation difficulties may aid clinicians in identifying vulnerable patients and optimizing treatment decisions to improve overall quality of life and treatment adherence. Further research is needed to validate these findings and to explore longitudinal associations between emotional regulation and psoriasis outcomes.

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CiteScore
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