The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability

Psoriasis is a long-term skin disorder without a cure, whose patients are particularly susceptible to mental health diseases. Using a sample of patients diagnosed with psoriasis, this study aimed to: (1) identify the clinical and positive psychological variables that contribute the most to psoriasis...

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Main Authors: Vera Almeida, Ângela Leite, Diana Constante, Rita Correia, Isabel Filipa Almeida, Maribel Teixeira, Diogo Guedes Vidal, Hélder Fernando Pedrosa e Sousa, Maria Alzira Pimenta Dinis, Ana Teixeira
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Behavioral Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-328X/10/9/142
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author Vera Almeida
Ângela Leite
Diana Constante
Rita Correia
Isabel Filipa Almeida
Maribel Teixeira
Diogo Guedes Vidal
Hélder Fernando Pedrosa e Sousa
Maria Alzira Pimenta Dinis
Ana Teixeira
author_facet Vera Almeida
Ângela Leite
Diana Constante
Rita Correia
Isabel Filipa Almeida
Maribel Teixeira
Diogo Guedes Vidal
Hélder Fernando Pedrosa e Sousa
Maria Alzira Pimenta Dinis
Ana Teixeira
author_sort Vera Almeida
collection DOAJ
description Psoriasis is a long-term skin disorder without a cure, whose patients are particularly susceptible to mental health diseases. Using a sample of patients diagnosed with psoriasis, this study aimed to: (1) identify the clinical and positive psychological variables that contribute the most to psoriasis disability and (2) assess the mediator role of body image-related cognitive fusion in the relation between disease severity perception and acceptance and self-compassion, on one hand, and psoriasis disability on the other. This is an initial cross-sectional exploratory study, with 75 patients diagnosed with psoriasis (males 52%; mean age 54.99 ± 13.72) answering a sociodemographic and a clinical questionnaire, the Psoriasis Disability Index (PDI), the Cognitive Fusion Questionnaire—Body Image (CFQ-BI), the Acceptance and Action Questionnaire—II (AAQ-II), and the Self-Compassion Scale (SCS). Descriptive and inferential statistics were used to characterize and assess the measures and the final model used. Through path analysis and a hierarchical multiple linear regression, it was found that the variables that significantly contributed to psoriasis disability were years of education, impact on social life and body image, explaining 70% of the variance. Body image-related cognitive fusion was a significant mediator in the relationship between disease severity and acceptance, and psoriasis disability. The implications of this study are considered to be extremely relevant, since it will allow additional information to be provided to psoriasis patients, appropriated to their educational level, aiming to reduce distorted perceptions of disease severity and intervene in the ability to accept this specific and important chronic health condition.
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spelling doaj.art-3db5fe5ddb164eef961048d232955c222023-11-20T14:22:08ZengMDPI AGBehavioral Sciences2076-328X2020-09-0110914210.3390/bs10090142The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis DisabilityVera Almeida0Ângela Leite1Diana Constante2Rita Correia3Isabel Filipa Almeida4Maribel Teixeira5Diogo Guedes Vidal6Hélder Fernando Pedrosa e Sousa7Maria Alzira Pimenta Dinis8Ana Teixeira9CESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Rua Central de Gandra 1317, 4585-116 Gandra PRD, PortugalCESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Rua Central de Gandra 1317, 4585-116 Gandra PRD, PortugalCESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Rua Central de Gandra 1317, 4585-116 Gandra PRD, PortugalCESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Rua Central de Gandra 1317, 4585-116 Gandra PRD, PortugalUCIBIO/REQUIMTE, MedTech-Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Rua de Jorge Viterbo Ferreira 228, 4050-313 Porto, PortugalCESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Rua Central de Gandra 1317, 4585-116 Gandra PRD, PortugalUFP Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa (UFP), Praça 9 de Abril 349, 4249-004 Porto, PortugalDepartment of Mathematics (DM. UTAD), University of Trás-os-Montes and Alto Douro, Quinta de Prados, 5001-801 Vila Real, PortugalUFP Energy, Environment and Health Research Unit (FP-ENAS), University Fernando Pessoa (UFP), Praça 9 de Abril 349, 4249-004 Porto, PortugalCESPU, Institute of Research and Advanced Training in Health Sciences and Technologies, Rua Central de Gandra 1317, 4585-116 Gandra PRD, PortugalPsoriasis is a long-term skin disorder without a cure, whose patients are particularly susceptible to mental health diseases. Using a sample of patients diagnosed with psoriasis, this study aimed to: (1) identify the clinical and positive psychological variables that contribute the most to psoriasis disability and (2) assess the mediator role of body image-related cognitive fusion in the relation between disease severity perception and acceptance and self-compassion, on one hand, and psoriasis disability on the other. This is an initial cross-sectional exploratory study, with 75 patients diagnosed with psoriasis (males 52%; mean age 54.99 ± 13.72) answering a sociodemographic and a clinical questionnaire, the Psoriasis Disability Index (PDI), the Cognitive Fusion Questionnaire—Body Image (CFQ-BI), the Acceptance and Action Questionnaire—II (AAQ-II), and the Self-Compassion Scale (SCS). Descriptive and inferential statistics were used to characterize and assess the measures and the final model used. Through path analysis and a hierarchical multiple linear regression, it was found that the variables that significantly contributed to psoriasis disability were years of education, impact on social life and body image, explaining 70% of the variance. Body image-related cognitive fusion was a significant mediator in the relationship between disease severity and acceptance, and psoriasis disability. The implications of this study are considered to be extremely relevant, since it will allow additional information to be provided to psoriasis patients, appropriated to their educational level, aiming to reduce distorted perceptions of disease severity and intervene in the ability to accept this specific and important chronic health condition.https://www.mdpi.com/2076-328X/10/9/142acceptancebody image-related cognitive fusiondisease severity perceptionpsoriasis disabilityself-compassion
spellingShingle Vera Almeida
Ângela Leite
Diana Constante
Rita Correia
Isabel Filipa Almeida
Maribel Teixeira
Diogo Guedes Vidal
Hélder Fernando Pedrosa e Sousa
Maria Alzira Pimenta Dinis
Ana Teixeira
The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability
Behavioral Sciences
acceptance
body image-related cognitive fusion
disease severity perception
psoriasis disability
self-compassion
title The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability
title_full The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability
title_fullStr The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability
title_full_unstemmed The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability
title_short The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability
title_sort mediator role of body image related cognitive fusion in the relationship between disease severity perception acceptance and psoriasis disability
topic acceptance
body image-related cognitive fusion
disease severity perception
psoriasis disability
self-compassion
url https://www.mdpi.com/2076-328X/10/9/142
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