3 years ago

Stress and Skin Disease Quality of Life: The Moderating Role of Anxiety Sensitivity Social Concerns

L. J. Dixon, S. M. Witcraft, N. K. McCowan, R. T. Brodell
Background Stress is an important factor in the onset, exacerbation, and reoccurrence of many skin diseases. Little is known about psychological risk factors that impact the association between stress and dermatologic conditions. One relevant factor that may modulate this link is anxiety sensitivity (AS) social concerns – the propensity to respond fearfully to anxiety-related sensations (e.g., sweating, flushing) due to perceived social consequences (e.g., rejection or humiliation). Objective To gain insight into psychological factors affecting skin disease, we examined the moderating role of AS social concerns in the relation between stress and skin disease quality of life (QOL). Methods Participants (N = 237; 161 female; Mage = 34.18, SDage = 9.57) with active skin disease symptoms were recruited online and completed questionnaires assessing stress, AS social concerns, skin disease QOL, and global skin disease symptom severity. Results AS social concerns moderated the association between stress and skin-related emotional and social functioning in adults with skin disease. Stress was a significant predictor of the impairment associated with skin disease. Conclusions Stress was linked to skin disease-related emotional and functional impairment associated with skin disease among individuals with high AS social concerns. These results highlight the potential for AS reduction interventions to break the vicious cycle of stress and skin disease symptoms and to improve psychosocial well-being in dermatology patients. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/bjd.16082

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