A network analysis of psychological flexibility, coping, and stigma in dermatology patients

Frontiers in Medicine

Medicine

Sarah Cockayne¹  Hellen Russell²  Gabriel Lins de Holanda Coelho³  Andrew R. Thompson⁴  Vasilis S. Vasiliou⁵ 

[1] Department of Dermatology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom;Department of Psychology, University of Sheffield, Sheffield, United Kingdom;School of Applied Psychology, University College Cork, Cork, Ireland;School of Psychology, South Wales Clinical Psychology Doctorate, Cardiff and Vale University Health Board, Cardiff University, Cardiff, United Kingdom;Department of Psychology, University of Sheffield, Sheffield, United Kingdom;School of Psychology, South Wales Clinical Psychology Doctorate, Cardiff and Vale University Health Board, Cardiff University, Cardiff, United Kingdom;Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, United Kingdom;

关键词: stigma;    psychodermatology;    process-based therapy;    psychological flexibility;    coping;   

DOI  :  10.3389/fmed.2023.1075672

 received in 2022-10-20, accepted in 2023-04-25,  发布年份 2023

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

Unknown   
Copyright © 2023 Vasiliou, Russell, Cockayne, Coelho and Thompson.