PDF(Pubmed)
Abstract：
BACKGROUND: Psoriasis is a chronic inflammatory skin disease with manifestations that go beyond the visual manifestation, and include psychological aspects. Some mental disorders or personality traits in psoriasis patients have also been highlighted, such as a negative or problematic attitude towards life, impulsive or avoidant behavior, and lower satisfaction with life. The aim of our cross-sectional study was to explore the associations between adult attachment, temperament, and quality of life of patients with psoriasis.
METHODS: A sample of 75 patients with psoriasis was evaluated with the Attachment Style Questionnaire (ASQ) to study adult attachment, the Temperament Evaluation of Memphis, Pisa, and San Diego Auto-questionnaire (TEMPS-A) to study temperament traits, and the Dermatology Life Quality Index (DLQI) to study the impact of dermatological diseases on patients\' lives.
RESULTS: Depressive, cyclothymic, and irritable temperaments were found to be significantly positively associated with a need for approval and preoccupation with relationships subscales of the ASQ. The severity of skin disease effect on the patient\'s life was higher in women than in men. Moreover, a statistically significant effect of the need for approval subscale of the ASQ was found. The positive correlation between the severity of skin disease effect on the patient\'s life with a need for approval was statistically significant and stronger in women than in men.
CONCLUSIONS: A better understanding of the impact of mental comorbidities on psoriasis and vice versa places an ever-greater responsibility on dermatologists involved in the management of psoriasis to recognize these problems and collaborate with psychologists and psychiatrists to help these patients.
METHODS: A sample of 75 patients with psoriasis was evaluated with the Attachment Style Questionnaire (ASQ) to study adult attachment, the Temperament Evaluation of Memphis, Pisa, and San Diego Auto-questionnaire (TEMPS-A) to study temperament traits, and the Dermatology Life Quality Index (DLQI) to study the impact of dermatological diseases on patients\' lives.
RESULTS: Depressive, cyclothymic, and irritable temperaments were found to be significantly positively associated with a need for approval and preoccupation with relationships subscales of the ASQ. The severity of skin disease effect on the patient\'s life was higher in women than in men. Moreover, a statistically significant effect of the need for approval subscale of the ASQ was found. The positive correlation between the severity of skin disease effect on the patient\'s life with a need for approval was statistically significant and stronger in women than in men.
CONCLUSIONS: A better understanding of the impact of mental comorbidities on psoriasis and vice versa places an ever-greater responsibility on dermatologists involved in the management of psoriasis to recognize these problems and collaborate with psychologists and psychiatrists to help these patients.
摘要：
背景：银屑病是一种慢性炎症性皮肤病，其表现超出了视觉表现，包括心理方面。牛皮癣患者的一些精神障碍或人格特质也得到了强调，比如对生活的消极或有问题的态度，冲动或回避行为，对生活的满意度较低。我们的横断面研究的目的是探索成人依恋之间的关联，气质,和银屑病患者的生活质量。
方法：使用依恋风格问卷（ASQ）评估75例银屑病患者的样本，以研究成人依恋，孟菲斯的气质评价,比萨,和圣地亚哥自动问卷(TEMPS-A)研究气质特征，和皮肤病生活质量指数（DLQI）研究皮肤病对患者生活的影响。
结果：抑郁，环胸腺，发现易怒的性情与需要批准和关注ASQ的关系子量表显着正相关。女性皮肤病对患者生活影响的严重程度高于男性。此外，发现需要ASQ的批准子量表具有统计学上的显著影响.皮肤病严重程度对患者生活的影响与需要批准之间的正相关具有统计学意义，女性比男性更强。
结论：更好地理解精神合并症对银屑病的影响，反之亦然，这将使参与银屑病治疗的皮肤科医生认识到这些问题，并与心理学家和精神科医生合作帮助这些患者承担更大的责任。
方法：使用依恋风格问卷（ASQ）评估75例银屑病患者的样本，以研究成人依恋，孟菲斯的气质评价,比萨,和圣地亚哥自动问卷(TEMPS-A)研究气质特征，和皮肤病生活质量指数（DLQI）研究皮肤病对患者生活的影响。
结果：抑郁，环胸腺，发现易怒的性情与需要批准和关注ASQ的关系子量表显着正相关。女性皮肤病对患者生活影响的严重程度高于男性。此外，发现需要ASQ的批准子量表具有统计学上的显著影响.皮肤病严重程度对患者生活的影响与需要批准之间的正相关具有统计学意义，女性比男性更强。
结论：更好地理解精神合并症对银屑病的影响，反之亦然，这将使参与银屑病治疗的皮肤科医生认识到这些问题，并与心理学家和精神科医生合作帮助这些患者承担更大的责任。
