The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Sample
2.2. Measures
2.3. Statistical Analysis
3. Results
3.1. Sample Characteristics
3.2. Differences between Alexithymic and Non-Alexithymic Patients
3.3. Correlations between Variables
3.4. Serial Mediation Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable, M (SD) | No | Borderline/High | Total | t or χ2 | p | |
---|---|---|---|---|---|---|
Alexithymia | Alexithymia | Sample | ||||
(N = 84) | (N = 66) | (N = 150) | ||||
Age | 45.94 (13.83) | 49.80 (15.79) | 47.64 (14.80) | t(129.9) = −1.57 | 0.119 | |
Sex, N (%) | 0.566 | |||||
Male | 47 (54.0) | 40 (46.0) | 87 (58.0) | |||
Female | 37 (58.7) | 26 (41.3) | 63 (42.0) | |||
Marital status, N (%) | χ2(1, N = 150) = 0.15 | 0.928 | ||||
Not married | 26 (55.3) | 21 (44.7) | 47 (31.3) | |||
Married | 46 (55.4) | 37 (44.6) | 83 (55.4) | |||
Divorced/widowed | 12 (60.0) | 8 (40.0) | 20 (13.3) | |||
Years of education | 13.44 (3.12) | 11.23 (3.53) | 12.47 (3.47) | t(130.7) = 4.01 | <0.001 | |
Job status, N (%) | χ2 (1, N = 150) = 1.74 | 0.627 | ||||
Not employed | 13 (59.1) | 9 (40.9) | 22 (14.7) | |||
Employed | 59 (57.8) | 43 (42.2) | 102 (68.0) | |||
Retired | 7 (41.2) | 10 (58.8) | 17 (11.3) | |||
Student | 5 (55.6) | 4 (44.4) | 9 (6.0) | |||
Disease duration | 17.10 (14.08) | 19.36 (12.84) | 18.10 (13.55) | t(140.0) = −1.00 | 0.315 | |
PASI | 4.31 (2.89) | 4.11 (2.67) | 4.22 (2.79) | t(144.2) = 0.45 | 0.653 | |
Family history of psoriasis, N (%) | 38 (45.2) | 38 (58.5) | χ2 (1, N = 150) = 2.56 | 0.109 | ||
BMI | χ2 (1, N = 150) = 2.63 | 0.268 | ||||
BMI ≤ 25 | 35 (59.3) | 24 (40.7) | 59 (39.3) | |||
BMI 25.1–29.9 | 32 (60.4) | 21 (39.6) | 53 (35.4) | |||
BMI ≥ 30 | 17 (44.7) | 21 (55.3) | 38 (25.3) | |||
Anxiety | 5.46 (3.05) | 7.65 (4.10) | 6.43 (3.70) | t(116.5) = −3.62 | <0.001 | |
Depression | 4.69 (3.29) | 7.20 (3.90) | 5.79 (3.77) | t(126.9) = −4.18 | <0.001 | |
PCS | 50.22 (6.84) | 46.61 (8.63) | 48.62 (7.87) | t(122.1) = 2.77 | 0.006 | |
MCS | 43.26 (9.69) | 40.06 (8.97) | 41.84 (9.48) | t(143.6) = 2.08 | 0.039 |
1 | 2 | 3 | 4 | 5 | 6 | 7 | |
---|---|---|---|---|---|---|---|
1 Disease duration | 1 | ||||||
2 PASI | 0.13 | ||||||
3 BMI | 0.28 ** | 0.17 * | |||||
4 Anxiety | 0.05 | 0.04 | 0.04 | ||||
5 Depression | 0.05 | 0.05 | 0.09 | 0.65 *** | |||
6 PCS | −0.17 * | −0.18 * | −0.28 ** | −0.24 ** | −0.32 *** | ||
7 MCS | 0.06 | −0.12 | -0.01 | −0.57 *** | −0.51 *** | −0.10 | |
8 TAS-Tot | 0.16 | 0.03 | 0.11 | 0.36 *** | 0.38 *** | −0.23 ** | −0.17 * |
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Quinto, R.M.; De Vincenzo, F.; Graceffa, D.; Bonifati, C.; Innamorati, M.; Iani, L. The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis. Int. J. Environ. Res. Public Health 2022, 19, 3649. https://doi.org/10.3390/ijerph19063649
Quinto RM, De Vincenzo F, Graceffa D, Bonifati C, Innamorati M, Iani L. The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis. International Journal of Environmental Research and Public Health. 2022; 19(6):3649. https://doi.org/10.3390/ijerph19063649
Chicago/Turabian StyleQuinto, Rossella Mattea, Francesco De Vincenzo, Dario Graceffa, Claudio Bonifati, Marco Innamorati, and Luca Iani. 2022. "The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis" International Journal of Environmental Research and Public Health 19, no. 6: 3649. https://doi.org/10.3390/ijerph19063649