Examining Individual Differences in Wellbeing, Anxiety and Depression in Psoriasis Using a Clinically Modified Buddhist Psychological Model

  • Alan MaddockEmail author
  • David Hevey
  • Paul D’Alton
  • Brian Kirby


Psoriasis patients can experience a range of psychosocial difficulties, which can lead to issues with wellbeing, anxiety and depression. Mindfulness-based interventions have positive impacts on these outcomes; however, there is a need to identify the mechanisms of action of such interventions. This study attempts to do so by examining individual differences in psoriasis patients’ wellbeing, anxiety and depression using a clinically modified Buddhist psychological model (CBPM). Psoriasis patients (N = 285) and (N = 209) completed measures of each CBPM component at time 1 and 2. SEM analyses found that a direct and mediated effect of CBPM model was a good fit to the participant’s data. This study suggests that non-attachment, aversion, acceptance and self-compassion could have a direct effect on the wellbeing, anxiety and depression of psoriasis patients and an indirect effect through reduced worry and rumination. This study provided preliminary evidence for the CBPM as being a useful explanatory framework of psoriasis patients’ anxiety, depression and wellbeing.


Psoriasis Mindfulness Depression Anxiety Wellbeing 



This research was funded by the Irish Health Research Board SPHeRE/2013/1.

Compliance with Ethical Standards

Conflict of interest

Alan Maddock, David Hevey, Paul D'Alton, and Brian Kirby declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals

This study involved human participants and not animals. Ethical approval for the study was provided by St. Vincent’s Healthcare Group Ethics and Medical Research Committee. All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the Declaration of Helsinki (World Medical Association, 2013) or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of PsychologyTrinity CollegeDublin 2Ireland
  2. 2.St.Vincent’s University HospitalDublin 4Ireland

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