女性银屑病患者负面身体自我、负面评价恐惧、外表完美主义与社交外表焦虑的关系研究

The study on the relationship among negative physical self,fear of negative evaluation, physical appearance perfectionism and social appearance anxiety in female patients with psoriasis

目的分析女性银屑病患者外表完美主义、负面身体自我、负面评价恐惧与社交外表焦虑之间的关系。方法选取上海交通大学医学院附属新华医院于2019年6月至2020年6月收治的女性银屑病患者251例作为受访对象,采用外表完美主义量表(PPAS)、社交外表焦虑量表(SAAS)、简版负面评价恐惧量表(BFNES)和负面身体自我量表(NPSS)进行调查,分析负面身体自我、负面评价恐惧在女性银屑病患者外表完美主义与社交外表焦虑之间相关性。结果女性银屑病患者外表完美主义得分为(49.42±5.32)分,社交外表焦虑得分为(58.72±6.24)分,负面评价恐惧得分为(30.59±7.21)分,负面身体自我得分为(29.21±6.24)分。Pearson相关性分析可得,外表完美主义、社交外表焦虑、负面身体自我、负面评价恐惧之间互相呈显著正相关性(r值为0.402~0.488,P<0.01)。负面评价恐惧在外表完美主义与社交外表焦虑之间中介效应为0.164(95%CI 0.082~0.227);负面身体自我在外表完美主义与社交外表焦虑之间中介效应为0.152(95%CI 0.079~0.214);负面评价恐惧与负面身体自我的链式中介效应为0.067(95%CI 0.025~0.108)。结论女性银屑病患者具有较高外表完美主义水平,其能直接影响其社交焦虑,而负面评价恐惧、负面身体自我能间接影响其外表完美主义与社交外表焦虑相关性,应采取心理干预手段降低其对自身外表缺陷的心理负担,减轻社交的焦虑和恐惧。

Objective To analyze the relationship between physical appearance perfectionism,negative body self,fear of negative evaluation and social appearance anxiety in female patients with psoriasis.Methods A total of 251 female patients with psoriasis in Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University from June 2019 to June 2020 were selected as the subjects.Physical Appearance Perfectionism Scale(PPAS),Social Appearance Anxiety Scale(SAAS),Brief Fear of Negative Evaluation Scale(BFNES)and Negetive Physical Self Scale(Npss)were used in the survey.The correlation of negative body self and negative evaluation fear between the appearance perfectionism and social appearance anxiety of female psoriasis patients was analyzed.Results The score of physical appearance perfectionism was 49.42±5.32,the score of social appearance anxiety was 58.72±6.24,the score of fear of negative evaluation was 30.59±7.21 and the score of negative physical self was 29.21±6.24.Pearson correlation analysis showed that there was a significant positive correlation among physical appearance perfectionism,social appearance anxiety,fear of negative evaluation and negative physical self(r value was 0.402-0.488,P<0.01).The mediating effect of negative physical self between physical appearance perfectionism and social appearance anxiety was 0.164(95%CI 0.082-0.227),the mediating effect of negative body self between physical appearance perfectionism and social appearance anxiety was 0.152(95%CI 0.079-0.214)and the chain mediating effect of fear of negative evaluation and negative physical self was 0.067(95%CI 0.025-0.108).Conclusions Female patients with psoriasis have a high level of physical appearance perfectionism,which can directly affect their social anxiety,while fear of negative evaluation and negative physical self indirectly affect the correlation between appearance perfectionism and social appearance anxiety.Psychological intervention measures should be taken to reduce their psychological burden on their own appearance defects and carry out social anxiety and fear.