Core beliefs and psychological distress in patients with psoriasis and atopic eczema attending secondary care: the role of schemas in chronic skin disease
Summary Background The role of ingrained cognitive and emotional patterns (schemas) in patients with psoriasis and eczema has not previously been investigated. High levels of psychiatric morbidity and psychological distress observed in these populations suggest the presence of maladaptive schemas a...
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| Veröffentlicht in: | British journal of dermatology (1951) 2012-05, Vol.166 (5), p.986-993 |
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| container_title | British journal of dermatology (1951) |
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| creator | Mizara, A. Papadopoulos, L. McBride, S.R. |
| description | Summary
Background The role of ingrained cognitive and emotional patterns (schemas) in patients with psoriasis and eczema has not previously been investigated. High levels of psychiatric morbidity and psychological distress observed in these populations suggest the presence of maladaptive schemas and therefore a possible target for future successful psychological intervention.
Objectives To investigate the presence of early maladaptive schemas (EMS) in patients with psoriasis and eczema and to explore their links with psychological distress.
Methods A sample of 185 adults (psoriasis n = 55, atopic eczema n = 54, chronic disease control n = 23, normal control n = 53) completed validated, self‐administered questionnaires.
Results Differences were found between dermatology patients and control groups. Patients with psoriasis differed on seven EMS from the normal control group: emotional deprivation (P = 0·011), social isolation (P |
| doi_str_mv | 10.1111/j.1365-2133.2011.10799.x |
| format | Article |
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Background The role of ingrained cognitive and emotional patterns (schemas) in patients with psoriasis and eczema has not previously been investigated. High levels of psychiatric morbidity and psychological distress observed in these populations suggest the presence of maladaptive schemas and therefore a possible target for future successful psychological intervention.
Objectives To investigate the presence of early maladaptive schemas (EMS) in patients with psoriasis and eczema and to explore their links with psychological distress.
Methods A sample of 185 adults (psoriasis n = 55, atopic eczema n = 54, chronic disease control n = 23, normal control n = 53) completed validated, self‐administered questionnaires.
Results Differences were found between dermatology patients and control groups. Patients with psoriasis differed on seven EMS from the normal control group: emotional deprivation (P = 0·011), social isolation (P < 0·001), defectiveness (P < 0·001), failure (P < 0·001), vulnerability to harm (P < 0·001), subjugation (P = 0·009) and emotional inhibition (P = 0·002). They differed from the chronic disease group on vulnerability to harm (P = 0·002) only. Patients with eczema differed from the normal control group on eight EMS: emotional deprivation (P < 0·001), social isolation (P < 0·001), defectiveness (P < 0·001), failure (P < 0·001), dependence (P = 0·010), vulnerability to harm (P = 0·002), subjugation (P = 0·006) and insufficient self‐control (P = 0·010). EMS were strongly positively related to psychological distress experienced by dermatology patients. Hierarchical regressions demonstrated two schemas, vulnerability to harm (P < 0·001) and defectiveness (P = 0·029), to be predictive of anxiety, and social isolation (P = 0·012) and vulnerability to harm (P = 0·018) to be predictive of depression, irrespective of age and years of coping for dermatology patients.
Conclusions The findings have important theoretical and clinical implications for psychological management of patients with psoriasis and eczema. Treatment protocols may benefit by targeting schemas. Further studies are needed to investigate the benefits of schema‐focused therapy in patients with skin disease.
See also the Commentary by Kirby]]></description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2011.10799.x</identifier><identifier>PMID: 22211355</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Age ; Aged ; Allergic diseases ; Anxiety ; Anxiety - etiology ; Atopy ; Attitude to Health ; Biological and medical sciences ; Case-Control Studies ; Chronic Disease ; Chronic illnesses ; Cognitive ability ; Cross-Sectional Studies ; Depression ; Depression - etiology ; Dermatitis, Atopic - psychology ; Dermatology ; Disease control ; Eczema ; Emotions ; Female ; Humans ; Immunopathology ; Inventories ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Morbidity ; Patients ; Psoriasis ; Psoriasis - psychology ; Psoriasis. Parapsoriasis. Lichen ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Skin allergic diseases. Stinging insect allergies ; Skin diseases ; Social interactions ; Social isolation ; Stress, Psychological - etiology ; Surveys and Questionnaires ; Young Adult</subject><ispartof>British journal of dermatology (1951), 2012-05, Vol.166 (5), p.986-993</ispartof><rights>2012 The Authors. BJD © 2012 British Association of Dermatologists</rights><rights>2015 INIST-CNRS</rights><rights>2012 The Authors. BJD © 2012 British Association of Dermatologists.</rights><rights>Copyright Blackwell Publishing Ltd. May 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4999-48642e51fe3f3504477dfbbde736020db8d34a3b6a52c48908ed6cdce98863553</citedby><cites>FETCH-LOGICAL-c4999-48642e51fe3f3504477dfbbde736020db8d34a3b6a52c48908ed6cdce98863553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2133.2011.10799.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2133.2011.10799.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25927925$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22211355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mizara, A.</creatorcontrib><creatorcontrib>Papadopoulos, L.</creatorcontrib><creatorcontrib>McBride, S.R.</creatorcontrib><title>Core beliefs and psychological distress in patients with psoriasis and atopic eczema attending secondary care: the role of schemas in chronic skin disease</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description><![CDATA[Summary
Background The role of ingrained cognitive and emotional patterns (schemas) in patients with psoriasis and eczema has not previously been investigated. High levels of psychiatric morbidity and psychological distress observed in these populations suggest the presence of maladaptive schemas and therefore a possible target for future successful psychological intervention.
Objectives To investigate the presence of early maladaptive schemas (EMS) in patients with psoriasis and eczema and to explore their links with psychological distress.
Methods A sample of 185 adults (psoriasis n = 55, atopic eczema n = 54, chronic disease control n = 23, normal control n = 53) completed validated, self‐administered questionnaires.
Results Differences were found between dermatology patients and control groups. Patients with psoriasis differed on seven EMS from the normal control group: emotional deprivation (P = 0·011), social isolation (P < 0·001), defectiveness (P < 0·001), failure (P < 0·001), vulnerability to harm (P < 0·001), subjugation (P = 0·009) and emotional inhibition (P = 0·002). They differed from the chronic disease group on vulnerability to harm (P = 0·002) only. Patients with eczema differed from the normal control group on eight EMS: emotional deprivation (P < 0·001), social isolation (P < 0·001), defectiveness (P < 0·001), failure (P < 0·001), dependence (P = 0·010), vulnerability to harm (P = 0·002), subjugation (P = 0·006) and insufficient self‐control (P = 0·010). EMS were strongly positively related to psychological distress experienced by dermatology patients. Hierarchical regressions demonstrated two schemas, vulnerability to harm (P < 0·001) and defectiveness (P = 0·029), to be predictive of anxiety, and social isolation (P = 0·012) and vulnerability to harm (P = 0·018) to be predictive of depression, irrespective of age and years of coping for dermatology patients.
Conclusions The findings have important theoretical and clinical implications for psychological management of patients with psoriasis and eczema. Treatment protocols may benefit by targeting schemas. Further studies are needed to investigate the benefits of schema‐focused therapy in patients with skin disease.
See also the Commentary by Kirby]]></description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Age</subject><subject>Aged</subject><subject>Allergic diseases</subject><subject>Anxiety</subject><subject>Anxiety - etiology</subject><subject>Atopy</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Depression - etiology</subject><subject>Dermatitis, Atopic - psychology</subject><subject>Dermatology</subject><subject>Disease control</subject><subject>Eczema</subject><subject>Emotions</subject><subject>Female</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Inventories</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Morbidity</subject><subject>Patients</subject><subject>Psoriasis</subject><subject>Psoriasis - psychology</subject><subject>Psoriasis. Parapsoriasis. Lichen</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Skin allergic diseases. Stinging insect allergies</subject><subject>Skin diseases</subject><subject>Social interactions</subject><subject>Social isolation</subject><subject>Stress, Psychological - etiology</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks2O0zAUhSMEYsrAKyBLCIlNgn_iJGaBNC1MYTSCzQBLy7Fvpu6kcbBTTcuj8LQ4TSkSq_HGtvydc-17nCSI4IzE8XadEVbwlBLGMooJyQguhch2j5LZ6eBxMsMYlykWBTtLnoWwxpgwzPHT5IxSSgjjfJb8XjgPqIbWQhOQ6gzqw16vXOturVYtMjYMHkJAtkO9Gix0Q0D3dlhFznmrgp1UanC91Qj0L9iouBugM7a7RQG064zye6SVh3doWAHyrgXkGhT0KsIHa73yrov6cBc3sSaoAM-TJ41qA7w4zufJt8uPN4tP6fXX5efFxXWqcyFEmldFToGTBljDOM7zsjRNXRsoWYEpNnVlWK5YXShOdV4JXIEptNEgqqqIPWDnyZvJt_fu5xbCIDc2aGhb1YHbBkkwKWMPMREPQLHgjNNiRF_9h67d1nfxIZKymGFOMWORqiZKexeCh0b23m5iu6KVHKOWazkmKsdE5Ri1PEQtd1H68lhgW2_AnIR_s43A6yOgQoyy8arTNvzjuKCloCP3fuLubQv7B19Azq8-HJbRIJ0M4l-B3clA-TtZlKzk8seXpby5upwv598rmbM_dNTUgw</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Mizara, A.</creator><creator>Papadopoulos, L.</creator><creator>McBride, S.R.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Core beliefs and psychological distress in patients with psoriasis and atopic eczema attending secondary care: the role of schemas in chronic skin disease</title><author>Mizara, A. ; Papadopoulos, L. ; McBride, S.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4999-48642e51fe3f3504477dfbbde736020db8d34a3b6a52c48908ed6cdce98863553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Age</topic><topic>Aged</topic><topic>Allergic diseases</topic><topic>Anxiety</topic><topic>Anxiety - etiology</topic><topic>Atopy</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Chronic Disease</topic><topic>Chronic illnesses</topic><topic>Cognitive ability</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Depression - etiology</topic><topic>Dermatitis, Atopic - psychology</topic><topic>Dermatology</topic><topic>Disease control</topic><topic>Eczema</topic><topic>Emotions</topic><topic>Female</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Inventories</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Morbidity</topic><topic>Patients</topic><topic>Psoriasis</topic><topic>Psoriasis - psychology</topic><topic>Psoriasis. Parapsoriasis. Lichen</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Skin allergic diseases. Stinging insect allergies</topic><topic>Skin diseases</topic><topic>Social interactions</topic><topic>Social isolation</topic><topic>Stress, Psychological - etiology</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mizara, A.</creatorcontrib><creatorcontrib>Papadopoulos, L.</creatorcontrib><creatorcontrib>McBride, S.R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mizara, A.</au><au>Papadopoulos, L.</au><au>McBride, S.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Core beliefs and psychological distress in patients with psoriasis and atopic eczema attending secondary care: the role of schemas in chronic skin disease</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2012-05</date><risdate>2012</risdate><volume>166</volume><issue>5</issue><spage>986</spage><epage>993</epage><pages>986-993</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract><![CDATA[Summary
Background The role of ingrained cognitive and emotional patterns (schemas) in patients with psoriasis and eczema has not previously been investigated. High levels of psychiatric morbidity and psychological distress observed in these populations suggest the presence of maladaptive schemas and therefore a possible target for future successful psychological intervention.
Objectives To investigate the presence of early maladaptive schemas (EMS) in patients with psoriasis and eczema and to explore their links with psychological distress.
Methods A sample of 185 adults (psoriasis n = 55, atopic eczema n = 54, chronic disease control n = 23, normal control n = 53) completed validated, self‐administered questionnaires.
Results Differences were found between dermatology patients and control groups. Patients with psoriasis differed on seven EMS from the normal control group: emotional deprivation (P = 0·011), social isolation (P < 0·001), defectiveness (P < 0·001), failure (P < 0·001), vulnerability to harm (P < 0·001), subjugation (P = 0·009) and emotional inhibition (P = 0·002). They differed from the chronic disease group on vulnerability to harm (P = 0·002) only. Patients with eczema differed from the normal control group on eight EMS: emotional deprivation (P < 0·001), social isolation (P < 0·001), defectiveness (P < 0·001), failure (P < 0·001), dependence (P = 0·010), vulnerability to harm (P = 0·002), subjugation (P = 0·006) and insufficient self‐control (P = 0·010). EMS were strongly positively related to psychological distress experienced by dermatology patients. Hierarchical regressions demonstrated two schemas, vulnerability to harm (P < 0·001) and defectiveness (P = 0·029), to be predictive of anxiety, and social isolation (P = 0·012) and vulnerability to harm (P = 0·018) to be predictive of depression, irrespective of age and years of coping for dermatology patients.
Conclusions The findings have important theoretical and clinical implications for psychological management of patients with psoriasis and eczema. Treatment protocols may benefit by targeting schemas. Further studies are needed to investigate the benefits of schema‐focused therapy in patients with skin disease.
See also the Commentary by Kirby]]></abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22211355</pmid><doi>10.1111/j.1365-2133.2011.10799.x</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult Adult and adolescent clinical studies Age Aged Allergic diseases Anxiety Anxiety - etiology Atopy Attitude to Health Biological and medical sciences Case-Control Studies Chronic Disease Chronic illnesses Cognitive ability Cross-Sectional Studies Depression Depression - etiology Dermatitis, Atopic - psychology Dermatology Disease control Eczema Emotions Female Humans Immunopathology Inventories Male Medical sciences Middle Aged Miscellaneous Morbidity Patients Psoriasis Psoriasis - psychology Psoriasis. Parapsoriasis. Lichen Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Skin allergic diseases. Stinging insect allergies Skin diseases Social interactions Social isolation Stress, Psychological - etiology Surveys and Questionnaires Young Adult |
| title | Core beliefs and psychological distress in patients with psoriasis and atopic eczema attending secondary care: the role of schemas in chronic skin disease |
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