The relationship between psoriasis and depression: A multiple mediation model.
This study examined the relationship between psoriasis and depression, proposing a multiple mediation model to analyse the relationship. A total of 193 patients with psoriasis aged 20-67 years completed the Beck Depression Inventory, the Stigmatization Scale, the Appearance Schemas Inventory-Revised, and the Body Emotions Scale. The Body Surface Area index was used to assess severity of psoriasis. Serial multiple mediation analysis revealed that experiences of stigmatization, maladaptive beliefs about appearance and its salience to one's self-evaluation, and negative emotional attitudes towards the body, jointly, sequentially mediated the relationship between the presence of skin lesions of psoriasis and depressive symptoms. These results highlight the importance of the associations between stigmatization and cognitive and affective aspects of body image in relation to depression in patients with psoriasis. We suggest that prevention and intervention programs for psoriasis patients that target body image enhancement would be worthy of further research.
SWPS University of Social Sciences and Humanities, 19/31 Chodakowska, 03-815 Warsaw, Poland; Institute of Psychology, University of Silesia, 53 Grażyńskiego, 40-126 Katowice, Poland. Electronic address: patryk.lakuta@gmail.com.
Patryk
P
Łakuta
Institute of Cardiology, 42 Alpejska, 04-628 Warsaw, Poland.
Kamil
K
Marcinkiewicz
Department of Dermatology, Medical University of Silesia, 20/24 Francuska, 40-027 Katowice, Poland.
Beata
B
Bergler-Czop
Department of Dermatology, Medical University of Silesia, 20/24 Francuska, 40-027 Katowice, Poland.
Ligia
L
Brzezińska-Wcisło
D000328:Adult; D000368:Aged; D001828:Body Image / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D011565:Psoriasis / Q000523:psychology*; D057545:Social Stigma; D055815:Young Adult
Body image; Depression; Psoriasis; Stigma