The authors wanted to assess the psychological part in the etiology of different skin diseases in adult outpatients in a dermatological university clinic. The other aim of this study was to explore the dermatologist’s perception of a psychological involvement in the etiology of some skin diseases. This was compared with the patients’ perception of it and with objective data obtained by self-rating questionnaires. 554 outpatients consulting for psoriasis, alopecia areata, eczema, and benign tumors were studied with multiple comparison statistics about family functioning, depression, tendency to complain, perceived stress, life events, and coping skills. When based on the dermatologist’s impression of a psychosomatic involvement, significant mean differences do exist about tendency to complain, depression, life events before the onset of the disease, and coping with the treatment. When comparing psoriasis, alopecia areata and eczema patients with patients consulting for benign tumor, significant differences are quite the same. According to the patients, life events with an impact on the onset of the disease happened during the last year for psoriasis and during the years before for alopecia areata. Only about 35% of patients with difficulties in family relationships and 48% of patients with depression are correctly recognized by dermatologists. They seem to be influenced by the patients’ assumptions and by the dermatological diagnosis. This suggests that patients who are not aware of a psychological influence in the etiology of their disease could not be recognized by the dermatologist and could thus not be treated optimally. The authors point out the necessity of better tools in order to recognize the psychological part in the etiology of skin diseases.
BÉLGICA RESUMEN -Objetivos: Examinar los cambios en la escala Multidimensional de Asignación del Control de la Salud (MHLC) durante la adolescencia una muestra de estudiantes de edades comprendidas entre los 13 y los 25 años.Método: 814 estudiantes cumplimentaron el cuestionario MHLC de Wallston.Resultados: Aunque no se observaron cambios en función de la edad en la sub-escala de Asignación Interna del Control de la Salud (IHLC), sí se produjo, sin embargo, una disminución en la Asignación del Control de la Salud al Poder de terceros (PHLC) con un aumento en conjunto de la proporción "interno" frente a "externo". El sexo de los sujetos no mostró efectos significativos sobre estos cambios.Conclusiones : La adolescencia no parece estar marcada por un incremento en el sentimiento de autocontrol sino más bien por una "desresponsabilización" (retirada de la responsabilidad) de los padres.
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