Cargando…

Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits

BACKGROUND: Stress or psychological distress is often described as a causative or maintaining factor in psoriasis. Psychological traits may influence the appraisal, interpretation and coping ability regarding stressful situations. Detailed investigations of psychological traits in relation to stress...

Descripción completa

Detalles Bibliográficos
Autores principales: Remröd, Charlotta, Sjöström, Karin, Svensson, Åke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423403/
https://www.ncbi.nlm.nih.gov/pubmed/25934133
http://dx.doi.org/10.1186/s12895-015-0026-x
_version_ 1782370205228335104
author Remröd, Charlotta
Sjöström, Karin
Svensson, Åke
author_facet Remröd, Charlotta
Sjöström, Karin
Svensson, Åke
author_sort Remröd, Charlotta
collection PubMed
description BACKGROUND: Stress or psychological distress is often described as a causative or maintaining factor in psoriasis. Psychological traits may influence the appraisal, interpretation and coping ability regarding stressful situations. Detailed investigations of psychological traits in relation to stress reactivity in psoriasis are rare. The aim of this study was to examine whether patients with psoriasis who report an association between psychological distress and exacerbation, “stress reactors” (SRs), differ psychologically from those with no stress reactivity “non-stress reactors” (NSRs). METHODS: This cross-sectional study was conducted among 101 consecutively recruited outpatients with plaque psoriasis. A psychosocial interview was performed including questions concerning stress reactivity in relation to onset and exacerbation. Three validated self-rating scales were used: Spielberger State-Trait Anxiety Inventory (STAI, Form-Y), Beck Depression Inventory (BDI-II) and Swedish Universities Scales of Personality (SSP). Independent samples t-tests, Chi-square tests and one-way ANOVA analyses were used for group comparisons when appropriate. A logistic regression model was designed with SR as the dependent variable. RESULTS: Sixty-four patients (63%) reported a subjective association between disease exacerbation and stress (SRs). Patients defined as SRs reported significantly higher mean scores regarding state and trait anxiety, depression, and also five SSP scale personality traits, i.e. somatic trait anxiety, psychic trait anxiety, stress susceptibility, lack of assertiveness and mistrust, compared with NSRs. In multivariate analysis, SSP-stress susceptibility was the strongest explanatory variable for SR, i.e. OR (95% CI) = 1.13 (1.02 – 1.24), p = 0.018. CONCLUSION: According to our results, patients who perceive stress as a causal factor in their psoriasis might have a more vulnerable psychological constitution. This finding suggests important opportunities for clinicians to identify patients who may benefit from additional psychological exploration and support.
format Online
Article
Text
id pubmed-4423403
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-44234032015-05-08 Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits Remröd, Charlotta Sjöström, Karin Svensson, Åke BMC Dermatol Research Article BACKGROUND: Stress or psychological distress is often described as a causative or maintaining factor in psoriasis. Psychological traits may influence the appraisal, interpretation and coping ability regarding stressful situations. Detailed investigations of psychological traits in relation to stress reactivity in psoriasis are rare. The aim of this study was to examine whether patients with psoriasis who report an association between psychological distress and exacerbation, “stress reactors” (SRs), differ psychologically from those with no stress reactivity “non-stress reactors” (NSRs). METHODS: This cross-sectional study was conducted among 101 consecutively recruited outpatients with plaque psoriasis. A psychosocial interview was performed including questions concerning stress reactivity in relation to onset and exacerbation. Three validated self-rating scales were used: Spielberger State-Trait Anxiety Inventory (STAI, Form-Y), Beck Depression Inventory (BDI-II) and Swedish Universities Scales of Personality (SSP). Independent samples t-tests, Chi-square tests and one-way ANOVA analyses were used for group comparisons when appropriate. A logistic regression model was designed with SR as the dependent variable. RESULTS: Sixty-four patients (63%) reported a subjective association between disease exacerbation and stress (SRs). Patients defined as SRs reported significantly higher mean scores regarding state and trait anxiety, depression, and also five SSP scale personality traits, i.e. somatic trait anxiety, psychic trait anxiety, stress susceptibility, lack of assertiveness and mistrust, compared with NSRs. In multivariate analysis, SSP-stress susceptibility was the strongest explanatory variable for SR, i.e. OR (95% CI) = 1.13 (1.02 – 1.24), p = 0.018. CONCLUSION: According to our results, patients who perceive stress as a causal factor in their psoriasis might have a more vulnerable psychological constitution. This finding suggests important opportunities for clinicians to identify patients who may benefit from additional psychological exploration and support. BioMed Central 2015-05-02 /pmc/articles/PMC4423403/ /pubmed/25934133 http://dx.doi.org/10.1186/s12895-015-0026-x Text en © Remröd et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Remröd, Charlotta
Sjöström, Karin
Svensson, Åke
Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
title Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
title_full Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
title_fullStr Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
title_full_unstemmed Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
title_short Subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
title_sort subjective stress reactivity in psoriasis – a cross sectional study of associated psychological traits
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423403/
https://www.ncbi.nlm.nih.gov/pubmed/25934133
http://dx.doi.org/10.1186/s12895-015-0026-x
work_keys_str_mv AT remrodcharlotta subjectivestressreactivityinpsoriasisacrosssectionalstudyofassociatedpsychologicaltraits
AT sjostromkarin subjectivestressreactivityinpsoriasisacrosssectionalstudyofassociatedpsychologicaltraits
AT svenssonake subjectivestressreactivityinpsoriasisacrosssectionalstudyofassociatedpsychologicaltraits