Evidence map›Paper›PMID 40401857›Full record

ArticleDermatology practical & conceptual2025

Psoriasis and Emotional Dysregulation: A Multicenter Analysis of Psychodermatology Outcomes.

Tonia Samela, Gaia Moretta, Alessia Provini, Gianluca Pagnanelli, Claudio Bonifati, Dario Graceffa, Viviana Lora, Diego Orsini, Arianna Zangrilli, Domenico Giordano and 10 more

Abstract read
In one paragraph

Article in Dermatology practical & conceptual, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Tonia SamelaClinical Psychology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCSS, 00167, Rome, Italy.
Gaia MorettaDermatology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCSS, 00167, Rome, Italy.
Alessia ProviniDermatology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCSS, 00167, Rome, Italy.
Gianluca PagnanelliDermatology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCSS, 00167, Rome, Italy.
Claudio BonifatiDepartment of Clinical Dermatology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Dario GraceffaDepartment of Clinical Dermatology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Viviana LoraDepartment of Clinical Dermatology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Diego OrsiniDepartment of Clinical Dermatology, San Gallicano Dermatological Institute, IRCCS, Rome, Italy.
Arianna ZangrilliDepartment of Dermatology, University of Rome Tor Vergata, Rome, Italy.
Domenico GiordanoNESMOS Department, Dermatology Unit, Sant'Andrea Hospital, University of Rome Sapienza, Rome, Italy.
Annunziata DattolaUnit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy.
Antonio RichettaUnit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy.
Nicoletta BernardiniDermatology Unit "Daniele Innocenzi," ASL Latina, Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Italy.
Giacomo CaldarolaDipartimento di Scienze Mediche e Chirurgiche, UOC di Dermatologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Eleonora De LucaDipartimento di Scienze Mediche e Chirurgiche, UOC di Dermatologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Cinzia MasiniUOC Dermatologia, Ospedale San Sebastiano, Frascati (RM), Italy.
Mauro BavettaUOC Dermatologia, Ospedale San Sebastiano, Frascati (RM), Italy.
Paola TribuziUOC Dermatologia, Ospedale Belcolle, Viterbo, Italy.
Vincenzo PanasitiUnit of Plastic and Reconstructive Surgery, Campus Bio-Medico University, Rome, Italy.
Damiano AbeniClinical Epidemiology Unit, Istituto Dermopatico dell'Immacolata, IDI-IRCSS, 00167, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPsychological symptoms associated with psoriasis include depression, anxiety, and social phobia, often exacerbated by high rates of alexithymia. Treatment decisions should consider not only clinical severity but also patient characteristics and quality of life. However, the psychosocial burden of psoriasis may not always align with clinical severity.

objectivesThis study aimed to assess emotional regulation difficulties in outpatients with psoriasis, comparing these difficulties to those of the general population and examining associations with sociodemographic factors, comorbidities, and treatment options.

methodsA cross-sectional, multicenter study enrolled 107 consecutive patients with psoriasis from dermatological centers in Lazio, Italy. For every patient the Psoriasis Area Severity Index (PASI), Investigator's Global Assessment (IGA), and Difficulties in Emotional Regulation scale (DERS) were recorded.

resultsAnalysis revealed that patients with psoriasis reported significantly higher emotional regulation difficulties compared to the general Italian population, even those with mild disease. A significant association was found between psoriasis severity and emotional regulation difficulties, particularly in patients with higher PASI scores. Biological treatments were associated with lower levels of emotional regulation difficulties.

conclusionsThis study corroborates the existing literature on the association between psoriasis severity and emotional regulation difficulties. However, it diverges from prior findings regarding the association between body mass index (BMI) and emotional dysregulation. Assessing emotional regulation difficulties may aid clinicians in identifying vulnerable patients and optimizing treatment decisions to improve overall quality of life and treatment adherence. Further research is needed to validate these findings and to explore longitudinal associations between emotional regulation and psoriasis outcomes.

Identifiers

PMID40401857
PMCPMC12090923

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.