女性银屑病患者负面身体自我评价发展轨迹及其对社交外表焦虑的影响OA
Trajectories of Negative Physical Self-Evaluation and Their Impacts on Social Appearance Anxiety in Female Patients with Psoriasis
目的 探讨女性银屑病患者负面身体自我评价发展轨迹分类及其对社交外表焦虑的影响.方法 采用便利抽样法选取2022年1月至2024年6月在景德镇市皮肤病医院接受治疗的女性银屑病患者200例.采用负面身体自我量表(NPSS)评估患者就诊时、就诊后1个月、3个月、6个月的负面身体自我评价得分,通过增长混合模型分析轨迹类别最优数量并命名;采用社交外表焦虑量表(SAAS)评估患者的社交外表焦虑水平;通过外表完美主义量表(PPAS)评估患者对自己外表完美满意程度;通过社会支持评定量表(SSRS)评估患者的社会支持现状;使用一般资料调查表及医院电子病例系统收集患者的临床资料;通过相关性分析、单因素分析及多元线性回归分患者社交外表焦虑的独立影响因素.结果 200例患者中,55.50%患者患病体表面积(BSA)>10%、38.50%患者银屑病面积和严重程度指数(PASI)>10,部分皮损随治疗波动.负面身体自我评价发展轨迹可分为 3个潜在类别:持续恶化型 35例(17.50%)、逐渐适应型73例(36.50%)、周期波动型92例(46.00%).多元线性回归分析结果显示,PPAS得分高、BSA大、负面身体自我评价轨迹类别为持续恶化型是影响女性银屑病患者社交外表焦虑的独立危险因素,较高的SSRS评分和负面身体自我评价轨迹类别为逐渐适应型则是其保护因素(均P<0.05).结论 女性银屑病患者负面身体自我评价存在3种不同的发展轨迹,具有群体异质性;负面身体自我评价发展轨迹显著影响其社交外表焦虑,需针对高风险群体实施个性化干预.
Objective To explore the classification of negative physical self-evaluation trajectories and their impact on social appearance anxiety in female patients with psoriasis.Methods A total of 200 female patients with psoriasis who were treated at Jingdezhen Dermatology Hospital from January 2022 to June 2024 were selected by convenience sampling.The Negative Physical Self Scale(NPSS)was used to assess patients'negative physical self-evaluation scores at baseline,1 month,3 months,and 6 months after the initial visit.A growth mixture model was used to identify the optimal number of trajectory classes and name the resulting classes.The Social Appearance Anxiety Scale(SAAS)was used to assess patients'social appearance anxiety levels.The Physical Appearance Perfectionism Scale(PPAS)was used to assess patients'satisfaction with their appearance perfection.The Social Support Rating Scale(SSRS)was used to assess patients'social support status.The General Information Questionnaire and the hospital's electronic medical record system were used to collect patients'clinical data.Correlation analysis,univariate analysis,and multivariate linear regression analysis were conducted to identify independent influencing factors of social appearance anxiety.Results Among the 200 patients,55.50%of the patients had a body surface area(BSA)>10%,and 38.50%had a psoriasis area and severity index(PASI)>10,with some lesions fluctuating with treatment.Negative physical self-evaluation trajectories could be classified into three latent classes:persistently worsening(35 patients,17.50%),gradually adapting(73 patients,36.50%),and periodically fluctuating(92 patients,46.00%).Multivariate linear regression analysis showed that a high PPAS score,large BSA,and persistently worsening negative physical self-evaluation trajectory were independent risk factors for social appearance anxiety in female patients with psoriasis,while a higher SSRS score and gradually adapting negative physical self-evaluation trajectory were protective factors(P<0.05 for all).Conclusion There are three distinct trajectories of negative physical self-evaluation in female patients with psoriasis,exhibiting population heterogeneity.These trajectories significantly affect their social appearance anxiety,necessitating personalized interventions for high-risk populations.
吴琦;刘芸
景德镇市皮肤病医院,江西 景德镇 333000景德镇市皮肤病医院,江西 景德镇 333000
医药卫生
女性银屑病负面身体自我评价社交外表焦虑轨迹分类
FemalePsoriasisNegative physical self-evaluationSocial appearance anxietyTrajectory clas-sification
《上海护理》 2026 (4)
50-55,6
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