A network analysis of psychological flexibility, coping, and stigma in dermatology patients
IntroductionDespite the negative effects of stigma in individuals with skin conditions, interventions to address its effects are rare. This might be in part due to a continued lack of understanding as to how individuals respond to stigma.MethodsIn this study, we employed a step-case analytic method,...
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1075672/full |
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| author | Vasilis S. Vasiliou Vasilis S. Vasiliou Hellen Russell Sarah Cockayne Gabriel Lins de Holanda Coelho Andrew R. Thompson Andrew R. Thompson |
| author_facet | Vasilis S. Vasiliou Vasilis S. Vasiliou Hellen Russell Sarah Cockayne Gabriel Lins de Holanda Coelho Andrew R. Thompson Andrew R. Thompson |
| author_sort | Vasilis S. Vasiliou |
| collection | DOAJ |
| description | IntroductionDespite the negative effects of stigma in individuals with skin conditions, interventions to address its effects are rare. This might be in part due to a continued lack of understanding as to how individuals respond to stigma.MethodsIn this study, we employed a step-case analytic method, using traditional regression, moderation, and network analyses, to examine the role of psychological flexibility (PF) with stigmatized experiences, and stigma-related outcomes. We run a cross-sectional study (n = 105 individuals with various skin conditions) and analyzed stigma-related variables. We included variables examining perceived stigmatization (PSQ), anxiety (GAD-7), depression (PHQ-9), well-being (EQ5D5L), and variables stemming from the PF model (CompACT), presented as three coping with stigma responses, namely “open,” “aware,” and “active.”.ResultsUsing network analysis, the most influential or central variables that contributed to stigma were generalized anxiety, perceived stigmatization, and valued actions. In relation to PF, being open to the experience of stigma (as opposed to avoidance), keeping a distance from stigmatized thoughts (as opposed to self-stigmatizing), and bringing attention to value-based committed actions (as opposed to passivity) were all found to contribute to less stigmatized experiences.DiscussionThe results indicate that two of the three skills of the PF model (“open” and “active”) may be important targets for interventions targeting stigma in people living with skin conditions. |
| first_indexed | 2024-03-13T11:06:26Z |
| format | Article |
| id | doaj.art-6749c706f1684447800a262da300e960 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-13T11:06:26Z |
| publishDate | 2023-05-01 |
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| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-6749c706f1684447800a262da300e9602023-05-16T05:40:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-05-011010.3389/fmed.2023.10756721075672A network analysis of psychological flexibility, coping, and stigma in dermatology patientsVasilis S. Vasiliou0Vasilis S. Vasiliou1Hellen Russell2Sarah Cockayne3Gabriel Lins de Holanda Coelho4Andrew R. Thompson5Andrew R. Thompson6School of Psychology, South Wales Clinical Psychology Doctorate, Cardiff and Vale University Health Board, Cardiff University, Cardiff, United KingdomNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, United KingdomDepartment of Psychology, University of Sheffield, Sheffield, United KingdomDepartment of Dermatology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United KingdomSchool of Applied Psychology, University College Cork, Cork, IrelandSchool of Psychology, South Wales Clinical Psychology Doctorate, Cardiff and Vale University Health Board, Cardiff University, Cardiff, United KingdomDepartment of Psychology, University of Sheffield, Sheffield, United KingdomIntroductionDespite the negative effects of stigma in individuals with skin conditions, interventions to address its effects are rare. This might be in part due to a continued lack of understanding as to how individuals respond to stigma.MethodsIn this study, we employed a step-case analytic method, using traditional regression, moderation, and network analyses, to examine the role of psychological flexibility (PF) with stigmatized experiences, and stigma-related outcomes. We run a cross-sectional study (n = 105 individuals with various skin conditions) and analyzed stigma-related variables. We included variables examining perceived stigmatization (PSQ), anxiety (GAD-7), depression (PHQ-9), well-being (EQ5D5L), and variables stemming from the PF model (CompACT), presented as three coping with stigma responses, namely “open,” “aware,” and “active.”.ResultsUsing network analysis, the most influential or central variables that contributed to stigma were generalized anxiety, perceived stigmatization, and valued actions. In relation to PF, being open to the experience of stigma (as opposed to avoidance), keeping a distance from stigmatized thoughts (as opposed to self-stigmatizing), and bringing attention to value-based committed actions (as opposed to passivity) were all found to contribute to less stigmatized experiences.DiscussionThe results indicate that two of the three skills of the PF model (“open” and “active”) may be important targets for interventions targeting stigma in people living with skin conditions.https://www.frontiersin.org/articles/10.3389/fmed.2023.1075672/fullstigmapsychodermatologyprocess-based therapypsychological flexibilitycoping |
| spellingShingle | Vasilis S. Vasiliou Vasilis S. Vasiliou Hellen Russell Sarah Cockayne Gabriel Lins de Holanda Coelho Andrew R. Thompson Andrew R. Thompson A network analysis of psychological flexibility, coping, and stigma in dermatology patients Frontiers in Medicine stigma psychodermatology process-based therapy psychological flexibility coping |
| title | A network analysis of psychological flexibility, coping, and stigma in dermatology patients |
| title_full | A network analysis of psychological flexibility, coping, and stigma in dermatology patients |
| title_fullStr | A network analysis of psychological flexibility, coping, and stigma in dermatology patients |
| title_full_unstemmed | A network analysis of psychological flexibility, coping, and stigma in dermatology patients |
| title_short | A network analysis of psychological flexibility, coping, and stigma in dermatology patients |
| title_sort | network analysis of psychological flexibility coping and stigma in dermatology patients |
| topic | stigma psychodermatology process-based therapy psychological flexibility coping |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1075672/full |
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