Stručni rad
Influence of Stressful Life Events on Coping in Psoriasis
Hrvoje Cvitanović
orcid.org/0000-0001-5599-9905
; Department of dermatovenereology, General hospital Karlovac, Croatia
Ervin Jančić
; Department of neurology General hospital Karlovac, Croatia
Sažetak
Outbreaks of psoriasis usually can be linked with traumatic life stress events. Stressful life events in response to psychosocial
trigger have been reported to negatively affect the course of psoriasis and are regarded as preventable causes of
morbidity. Aims of this study were to determine which coping strategies are mostly used in psoriatic patients and to determine
if there is a difference in coping according genders, clinical stages and stress level. The result shows that denial,
active coping, seeking emotional support, positive reframing and acceptance are most frequently used among psoriatic
patients. In adaptive coping psoriatic patients Psoriasis Area and Severity Index (PASI) score was 16.24, in maladaptive
coping psoriatic patients PASI score was 19.6. Difference between adaptive and maladaptive coping strategies in psoriatic
patients according clinical stage measured by PASI score was not statistically signifi cant. Psoriatic patients who had
higher score of life stress events (461.57) measured by Life change units (LCU) used maladaptive coping statistically signifi
cant more then patients with lower life stress events score (284.71). The results point to the need of psoriatic patients
to learn how to cope with stress, enabling them to change ways of coping. There is need for integrating psychological intervention
into standard care protocol of chronic dermatologic disease as psoriasis.
Ključne riječi
psoriasis; life stress; coping; maladaptive coping; adaptive coping
Hrčak ID:
147445
URI
Datum izdavanja:
26.12.2014.
Posjeta: 949 *