Influence of disease phase on embitterment and emotional dysregulation in psoriatic patients

V. Almeida*, D. Constante, A. Leite, I. F. Almeida, J. C. Rocha, R. Sá, M. Teixeira, A. Teixeira

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


This study aimed to evaluate the psychosocial differences between patients with psoriasis in different phases of the disease. Seventy-one patients in exacerbation and 83 in remission were evaluated regarding sociodemographic, clinical and psychological variables, on the premise that the visibility of lesions (exacerbation phase) may impact the emotional regulation and embitterment. A regression analysis was performed to identify the variables that contribute to explain embitterment: a diagnosis of anxiety and/or depression and psoriasis severity are the identified ones. The results point to higher values of emotional dysregulation and embitterment, as well as more critical clinical variables in patients with active disease, namely, alcohol and coffee consumption, smoking and less satisfaction with current treatment, more diagnoses and more family history of anxiety and depression, more psychology/psychiatry consultations and more use of anxiolytics and antidepressants. However, only the results referring to alcohol consumption and embitterment are significantly higher in subjects in the exacerbation phase of the disease. Particular clinical attention should be provided to patients in exacerbation phase regarding psychotherapeutic approach.
Original languageEnglish
Pages (from-to)242-259
Number of pages18
JournalPsychology, Health and Medicine
Issue number2
Publication statusPublished - 2021
Externally publishedYes


  • Alcohol consumption
  • Embitterment
  • Emotional regulation
  • Exacerbation
  • Psoriasis
  • Remission


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