Correlation between self-disclosure and social alienation, psychosocial adjustment in patients with psoriasis and its influencing factors analysis
ZHANG Lianyun ZHU Beibei LIU Hongxia▲
Department of Dermatology, Xinjiang Medical University Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Uygur Autonomous Region, Urumqi 830000, China
Abstract：Objective To analyze the correlation of self-disclosure and social alienation, psychosocial adjustment in patients with psoriasis and influencing factors. Methods A total of 316 patients with psoriasis who visited the Department of Dermatology, Xinjiang Medical University Affiliated Hospital of Traditional Chinese Medicine from January 2019 to August 2021 were collected as research subjects. The levels of self-disclosure, social alienation, and psychosocial adaptation were assessed using the distress disclosure index (DDI), general alienation scale (GAS), and self-report psychosocial adjustment to illness scale (PAIS-SR). Pearson correlation was used to analyze the correlation between DDI total score and GAS total score and PAIS-SR total score, and the influencing factors of the level of self-disclosure in patients with psoriasis were analyzed. Results A total of 336 questionnaires were distributed in this survey, and 316 valid questionnaires were recovered, with an effective recovery rate of 94.05%. The total score of DDI in patients with psoriasis was (28.58±7.96) points, the total scores of GAS and PAIS-SR were (34.23±9.64) points and (31.90±9.55) points, respectively. There were significant differences in the total DDI scores of patients with different age, marital status, recurrent psoriasis, combined anxiety, and social support level (P ＜ 0.05). Pearson correlation analysis showed that the total score of DDI was negatively correlated with the total scores of GAS and PAIS-SR (r = -0.437, -0.505, P ＜ 0.01). Multiple linear regression analysis showed that age, marital status, recurrent psoriasis, combined anxiety, and social support were the influencing factors of self-disclosure level in patients with psoriasis (P ＜ 0.05). Conclusion The self-disclosure in patients with psoriasis is at a low level, and the lower the level of self-disclosure, the higher the level of social alienation, and the worse the level of psychosocial adaptation. Age, marital status, recurrent psoriasis, combined anxiety, and social support are the influencing factors of self-disclosure level in patients with psoriasis, and targeted intervention should be carried out to improve their self-disclosure level.
张连云 朱蓓蓓 刘红霞▲. 银屑病患者自我表露与社会疏离感和心理社会适应的相关性及其影响因素分析[J]. 中国医药导报, 2022, 19(19): 94-97.
ZHANG Lianyun ZHU Beibei LIU Hongxia▲. Correlation between self-disclosure and social alienation, psychosocial adjustment in patients with psoriasis and its influencing factors analysis. 中国医药导报, 2022, 19(19): 94-97.
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