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Kalaki, Elli and Mizara, Alexandra (2025) Adjustment to atopic dermatitis: a cross-sectional study investigating the role of maladaptive self-schemas in a community sample of people with atopic dermatitis. Clinical and Experimental Dermatology. ISSN 1365-2230
Background:
Studies have demonstrated variability in adjustment to atopic dermatitis (AD).
Objectives:
The present study investigated whether adjustment to AD is mediated by psychological (maladaptive schemas/personality) or condition-only factors (age at onset) in a community sample.
Methods:
A cross-sectional design was employed with two groups: a) early onset of AD (n = 74) and b) late onset (n = 76). All groups completed the Young Schema Questionnaire (Short Form 3) and the Adjustment to Chronic Skin Disease Questionnaire.
Results:
There were no significant differences in adjustment levels between the two groups. Both groups presented with poor adjustment levels specifically on the itch-scratch, helplessness and anxious-depressive mood factors. Poor adjustment levels were predicted by maladaptive schemas and not by age of onset of AD.
Conclusions:
Findings highlight and support that adjustment and coping with AD is strongly linked and predicted by core psychological factors such as maladaptive schemas. Understanding schema-level cognitions and offering interventions that can address them might prevent further life impairment and improve overall adjustment to AD.
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