The chain mediating role of family care and psychosocial adaptation between stigma and social aliena-tion in patients with psoriasis
10.3969/j.issn.1671-332X.2025.08.035
- VernacularTitle:家庭关怀度和社会心理适应在银屑病患者病耻感与社会疏离间的链式中介作用探讨
- Author:
Fei XIONG
1
;
Kun ZHU
1
Author Information
1. 九江学院附属医院 江西 九江 332000
- Publication Type:Journal Article
- Keywords:
Psoriasis;
Stigma;
Family care;
Psychosocial adaptation;
Social alienation
- From:
Modern Hospital
2025;25(8):1277-1280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the chain mediating effects of family care and psychosocial adaptation between stigma and social alienation in patients with psoriasis.Methods A convenience sample of 465 psoriasis patients treated from January 2022 to March 2024 was enrolled in this study.Data were collected using a general information questionnaire,Social Impact Scale(SIS),Family Care Index Questionnaire(FCIQ),Ostomy Psychosocial Adaptation Scale(OPAS),and General Alienation Scale(GAS).A pilot study with 30 participants was conducted to assess the feasibility of the questionnaires.Dual data entry and logical checks were performed by trained investigators.Results Demographic analysis showed significant differences in stigma scores among patients with different disease durations(F=4.32,P=0.013)and severity levels(F=6.87,P=0.001).The total scores for stigma,family care,psychosocial adaptation,and social alienation were 65.12±12.34,5.25±2.48,33.21±12.14,and 37.36±7.19,respectively.Stigma was positively correlated with social alienation(r=0.612)and negatively corre-lated with family care(r=-0.411)and psychosocial adaptation(r=-0.536)(all P<0.05).Family care and psychosocial adaptation had a chain mediating effect between stigma and social alienation,with a mediating effect value of 0.327,accounting for 45.21％ of the total effect.Conclusion Stigma directly impacts social alienation in psoriasis patients and indirectly affects it through family care and psychosocial adaptation.Healthcare professionals can reduce social alienation by enhancing family care and psychosocial adaptation through intervention support networks.
