Abstract

ABSTRACTObjective: Psoriasis is one of the most common chronic skin diseases, which has a negative impact on the interpersonal relationship and psychosocial well-being. Therefore, psoriasis may lead to a decrease in the self-esteem of the patients. Increased level of anger often accompanies patients with psoriasis. Our aim is to investigate the relationship of anger, anger expression style and level of self-esteem in patients with psoriasis and to determine whether duration and severity of disease affects anger, anger expression style and level of self-esteem. In addition, we aimed to compare the level of self-esteem in patients with early and late onset of psoriasis.Methods: Eighty-five patients with psoriasis and 86 healthy controls were included in the study. Severity of disease was calculated with Psoriasis Area and Severity Index (PASI). The patients were classified as early-onset (age < 20 years) and late-onset psoriasis (age ≥ 20 years). Duration of disease and socio-demographic characteristics wer...

Highlights

  • Psoriasis is a chronic, autoimmune, systemic disease having an approximate prevalence of 1–3% in different populations [1]

  • All data pointed out that psoriasis plays an important role in consultation-liaison psychiatry (CLP) consult requests

  • When the two groups were compared in terms of selfesteem, the Roserberg Self-esteem Scale (RSES) scores were statistically significantly higher in psoriasis patients compared to the control group; so level of self-esteem is statistically significantly lower in patients with psoriasis (t = 2.138; p < .05) (Table 2)

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Summary

Introduction

Autoimmune, systemic disease having an approximate prevalence of 1–3% in different populations [1]. Many studies have demonstrated the relationship between psychological factors and severity of disease [4,5]. These studies suggested that detecting of psychological factors and treatment of underlying psychiatric disorder are important factors for improving psoriasis [2,3,6]. Increased anger levels frequently accompanying psychiatric disorders has been studied in patients with psoriasis and increasing level of anger was noted in several studies [13,14]. The correlation of anger and anger expression styles with self-esteem in psoriasis which is a psychosomatic disease has not been studied before. We aimed to investigate the relationship of anger and anger expression style with level of self-esteem in patients with psoriasis and to find out whether the duration and severity of the disease have an effect on the anger and anger expression style and self-esteem as well as to compare the levels of self-esteem in patients with early-onset and late-onset psoriasis

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