Emotion Regulation in Patients with Psoriasis: Correlates of Disability, Clinical Dimensions, and Psychopathology Symptoms
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There are known connections between emotions and psoriasis; however, we have not established a clear pathway for this association. This study aimed to explore correlates of difficulties in emotional regulation in patients with psoriasis and predict the influence of emotional regulation in psoriasis disability.
Two hundred and twenty eight participants completed the Difficulties in Emotion Regulation Scale, Self-administered Psoriasis Area and Severity Index, Psoriasis Disability Index, and Brief Symptom Inventory. Spearman’s correlation and a hierarchical stepwise multiple regression were carried out to analyse associations.
Results indicated that patients with the most recent diagnoses experienced greater difficulty in acting in accordance with goals (r = .16, p < .05) but lesser difficulty in engaging in goal-directed behaviour (r = −.15, p < .05). Those with greater satisfaction with treatment exhibited fewer difficulties in emotional regulation (r = −.23, p < .01). The patients who experienced greater difficulty in emotional regulation perceived greater psoriasis severity (r = .15, p < .05) and disability (r = .36, p < .05), reported more psychopathological symptoms (correlations between .46 and .56), and missed work/school more frequently (r = .24, p < .05). Impulse control proved to be the strongest predictor to psoriasis disability (β = .34).
The results highlighted the relationship between emotional regulation difficulty, disease characteristics, and psychological variables in psoriasis disability emphasizing the importance of including a broader approach in clinical management of psoriatic patients.
KeywordsPsoriasis Emotional regulation Psychopathological symptoms Psoriasis disability
The authors would like to thank CESPU [project 04-GCQF-CICS-2011N] for their financial support, all patients who participated in the study, and the Portuguese Association of Psoriasis (PSOPortugal) for assistance with data collection.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
- 2.Branco M, Nogueira P, Conteiras T. Uma observação sobre a prevalência de algumas doenças crónicas em Portugal Continental. In: Saúde Md, editor. Lisboa: Observatório Nacional de Saúde. 2005Google Scholar
- 6.Madhulika A, Gupta M. Psychodermatology. Psychiatric Times. 2006;23:78–89.Google Scholar
- 8.Mazzetti M, Mozzetta A, Soavi GC, et al. Psoriasis, stress and psychiatry: psychodynamic characteristics of stressors. Acta Derm Venereol Suppl. 1994;186:62–4.Google Scholar
- 12.Hrehorów E, Salomon J, Matusiak L, Reich A, Szepietowski C. Patients with psoriasis feel stigmatized. Acta Dermato Venereologica. 2011;91:1–6.Google Scholar
- 15.Fernandes BC. Qualidade de vida nos doentes com psoríase—Criação da versão Portuguesa do Psoriasis Disability Index. Coimbra: University of Coimbra; 2010.Google Scholar
- 26.Fry L. An atlas of psoriasis. 2nd ed. London: Taylor & Francis Group; 2004.Google Scholar
- 31.Allegranti I, Gon T, Magatonrizzi G, Aguglia E. Prevalence of alexithymic characteristics in psoriatic patients. Acta Derm Venereol. 1994;74:146–7.Google Scholar
- 32.Mingnorance R, Loureiro S, Okino L, Foss N. Pacientes com psoríase: adaptação psicossocial e características de personalidade. Medicina. 2001;34:315–24.Google Scholar
- 37.Simões M, Machado C, Gonçalves M, Almeida L. Avaliação psicológica: Instrumentos validados para a população portuguesa. Coimbra: Quarteto; 2007.Google Scholar
- 42.Aghaei S, Ardekani GS. Impact of psoriasis on quality of life in Iran. J Eur Acad Dermatol Venereol. 2007;21:32–3.Google Scholar