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 OJPsych  Vol.3 No.1 A , February 2013
Depression profiles in skin disorders
Abstract: Introduction: Dermatological problems often present mood disorders, depression, anxiety disorders and psychological conditions relevant to psychosomatic conditions. Seborrheic dermatitis and psoriasis, both characterized by chronic inflammation of skin, have been linked to emotional states. The aim of our study was to compare the two emotional profiles of patients with seborrheic dermatitis and psoriasis, in order to evaluate, quantitatively and qualitatively, the emotional picture in the two groups of disease. Methods: The study group included 33 patients affected by seborrheic dermatitis (21 males and 12 females, age range 18 - 67 years, mean age 39.85 ± 15.45 years) and 36 other patients affected by psoriasis (22 males and 14 females, age range 18 - 67 years, mean age 41.11 ± 13.72 years). The protocol included clinical assessment of the skin disorder and psychological assessment of emotional profile using the test Profile of Mood States (POMS) and the Toronto Alexithymia Scale TAS-20. An exploratory factorial analysis was carried out for the POMS factor D (depression) to evaluate the composition of the items found in the two types of skin disorders. Results: The comparison between patients with psoriasis and patients with seborrheic dermatitis in relation to the TAS score and the different aspects of mood and showed a significant difference concerning factor D (depression) of the POMS. Conclusions: This study shows the correlation between depression and two skin disorders, seborrhoeic dermatitis and psoriasis. In both cases, the clinical picture falls under the definition of “depression due to a general medical condition”. However, qualitative differences make the psychologic frame of psoriatic patients close to that of “major depression”, while in patients affected by seborrheic dermatitis the psychologic frame is more similar to that of “minor depression” (DSM IV).
Cite this paper: Settineri, S. , Guarneri, F. , Saitta, A. , Mento, C. and Cannavò, S. (2013) Depression profiles in skin disorders. Open Journal of Psychiatry, 3, 186-190. doi: 10.4236/ojpsych.2013.31A014.
References

[1]   Consoli, S.G. (1995) La dermatologie psychosomatique. Revue Francaise d’Allergologie et d’Immunologie Clinique, 35, 621-624.

[2]   Picardi, A., Pasquini, P., Abeni, D., Fassone, G., Mazzotti, E. and Fava, G.A. (2005) Psychosomaticassessment of skin diseases in clinical practice. Psychotherapy and Psychosomatics, 74, 315-322. doi:10.1159/000086323

[3]   Picardi, A., Mazzotti, E., Gaetano, P., Cattaruzza, M.S.,. Baliva, G., Melchi, C.F., Biondi, M. and Pasquini, P. (2005) Stress, social support, emotional regulation, and exacerbation of diffuse plaque psoriasis. Psychosomatics, 46, 556-564. doi:10.1176/appi.psy.46.6.556

[4]   Filakovic, P., Petek, A., Koic, O., Radanovic-Grguric, L. and Degmecic, D. (2009) Comorbidity of depressive and dermatologic disorders: Therapeutic aspects. Psychiabtria Danubina, 21, 401-410.

[5]   Akay, A., Pekcanlar, A., Bozdag, K.E., Altintas, L. and Karaman, A. (2002) Assessment of depression in subject with psoriasis vulgaris and lichen planus. Journal of the European Academy of Dermatology and Venereology, 16, 347-352. doi:10.1046/j.1468-3083.2002.00467.x

[6]   Consoli, S.M., Rolhion, S., Martin, C., Ruel, K., Cambazard, F., Pellet, J. and Misery, L. (2006) Low levels of emotional awareness predict a better response to dermatological treatment in patients with psoriasis. Dermatology, 212, 128-136. doi:10.1159/000090653

[7]   Geiselmann, B. and Bauer, M. (2000) Subthreshold depression in the elderly: Qualitative or quantitative distinction? Comprensive Psychiatry, 41, 32-38. doi:10.1016/S0010-440X(00)80006-1

[8]   Gupta, A.K. and Bluhm, R. (2004) Seborrheic dermatitis. Journal of the European Academy of Dermatology and Venereology, 18, 13-26. doi:10.1111/j.1468-3083.2004.00693.x

[9]   Fortune, D.G., Main, C.J., O’ Sullivan, M.O. and Griffiths, C.E. (1997) Assessing illness-related stress in psoriasis: The psychometric properties of the psoriasis life stress inventory. Journal of Psychosomatic Research, 42, 467-475. doi:10.1016/S0022-3999(97)00036-6

[10]   Peyrì, J., Lleonart, M., Grupoespanol del Estudio SEBDERM. (2007) Clinical and therapeutic profile and quality of life of patients with seborrheic dermatitis. Actas Dermo-Sifiliográficas, 98, 476-482.

[11]   Schwartz, R.A., Janusz, C.A. and Janniger, C.K. (2006) Seborrheic dermatitis: An overview. American Family Physician, 74, 125-130.

[12]   Maietta, G., Fornaro, P., Rongioletti, F. and Rebora, A. (1990) Patients with mood depression have a high prevalence of seborrhoeic dermatitis. Acta Dermato Venereologica, 70, 432-434.

[13]   Oztas, P., Calikoglu, E. and Cetin, I. (2005) Psychiatric tests in seborrhoeic dermatitis. Acta Dermatologica Venereologica, 85, 68-69.

[14]   O’Leary, C.J., Creamer, D., Higgins, E. and Weinman, J. (2004) Perceived stress, stress attributions and psychological distress in psoriasis. Journal of Psychosomatic Research, 57, 465-471. doi:10.1016/j.jpsychores.2004.03.012

[15]   Vargas Laguna, E., Pena Payero, M.L. and Vargas Màrquez, A. (2006) Influence of anxiety in diverse cutaneous diseases. Actas Dermosifiliogr, 97, 637-643.

[16]   Gupta, M.A., Schork, N.J., Gupta, A.K., Kirkby, S. and Ellis, C.N. (1993) Suicidal ideation in psoriasis. International Journal of Dermatology, 32, 188-190.

[17]   Pacan, P., Szepietowski, J.C. and Kiejna, A. (2003) Stressful life events and depression in patients suffering from psoriasis vulgaris. Dermatology and Psychosomatics, 4, 142-145. doi:10.1159/000073990

[18]   Richards, H.L., Fortune, D.G., Griffiths, C.E. and Main, C.J. (2005) Alexithymia in patients with psoriasis: Clinical correlates and psychometric properties of the Toronto Alexithymia Scale-20. Journal of Psychosomatic Research, 58, 89-96. doi:10.1016/j.jpsychores.2004.03.009

[19]   Fortune, D.G., Richards, H.L. and Griffiths, C.E. (2005) Psychologic factors in psoriasis: Consequences, mechanisms and interventions. Dermatologic Clinics, 24, 681-694. doi:10.1016/j.det.2005.05.022

[20]   McNair, D.M., Lorr, M. and Droppleman, L.F. (1981) Manual for the profile of mood states. EdITS Educational and Industrial Testing Service, San Diego.

[21]   Bagby, R.M., Parker, J.D. and Taylor, G.J. (1994) The twenty-item Toronto Alexithymia Scale-I: Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23-32. doi:10.1016/0022-3999(94)90005-1

[22]   Bressi, C., Taylor, G.J., Parker, J.D., Bressi, S., Brambilla G., Aguglia, E., Bucca, M., Todarello, O., Callegari C., Vender, S., Gala C. and Invernizzi, G. (1996) Cross validation of the factor structure of the 20-item Toronto Alexithymia Scale: An Italian multicenter study. Journal of Psychosomatic Research, 41, 551-559. doi:10.1016/S0022-3999(96)00228-0

[23]   Benazzi, F. (2001) Factor analysis of the Montgomery Asberg depression rating scale in 251 bipolar II and 306 unipolar depressed outpatients. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 25, 1369-1376. doi:10.1016/S0278-5846(01)00190-7

[24]   AA.VV. Diagnostic and statistical manual (DSM) version IV TR. (1994) American Psychiatric Association.

 
 
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