Alexithymie et psoriasis : étude cas–témoin à propos de 53 patients

Masmoudi, J.; Maalej, I.; Masmoudi, A.; Rached, Henry Abi; Rebai, Ahmed; Turki, H.; Jaoua, A.

doi:10.1016/j.encep.2007.11.009

Cited by 26 publications

(16 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many patients are distressed by the disfigurement of the skin by the psoriatic lesions. Alexithymia with dissociative somatization can aggravate psoriasis and has a higher risk of associated alcoholism 38. Body image issues and stress and may be improved with cognitive-behavioral methods,39 biofeedback, meditation,40 relaxation training, or self-hypnosis 41…”

Section: Skin Disorders With Psychophysiologic Aspectsmentioning

confidence: 99%

Psychological interventions in the management of common skin conditions

Shenefelt¹

2010

PRBM

View full text Add to dashboard Cite

The nervous system and the skin develop next to each other in the embryo and remain intimately interconnected and interactive throughout life. The nervous system can influence skin conditions through psychoneuroimmunoendocrine mechanisms and through behaviors. Understanding the pathophysiology aids in selection of treatment plans for correcting the negative effects of the psyche on specific skin conditions. Medication options include standard psychotropic medications and alternative herbs and supplements. Other options include biofeedback, cognitive-behavioral methods, hypnosis, meditation, progressive relaxation, the placebo effect, and suggestion. When simple measures fail, combining medications with other therapeutic options may produce better results. Skin conditions that have strong psychophysiologic aspects may respond well to techniques such as biofeedback, cognitive-behavioral methods, hypnosis, meditation, or progressive relaxation that help to counteract stress. Treatment of primary psychiatric disorders that negatively influence skin conditions often results in improvement of those skin conditions. Abnormal conditions of the skin, hair, and nails can also influence the psyche negatively. Treatment of secondary psychiatric disorders such as anxiety or depression that are triggered or exacerbated by the appearance of these skin conditions or the associated discomfort may also be required.

show abstract

Section: Skin Disorders With Psychophysiologic Aspectsmentioning

confidence: 99%

Psychological interventions in the management of common skin conditions

Shenefelt¹

2010

PRBM

View full text Add to dashboard Cite

show abstract

“…5 Although not all patients with psoriasis are alexithymic, the majority of studies have found a significant difference in the levels of alexithymia between patients with psoriasis and healthy individuals. 6-8 Moreover, many studies have shown that depression and anxiety are associated with alexithymia. 6,9-11 Nevertheless, the assessment of psychopathology in previous studies was based mainly on questionnaires evaluating anxiety and depression symptoms, apart from a study that used the Symptom Checklist-90-Revised (SCL-90-R) to investigate emotional distress regarding pruritus perception in patients with psoriasis.…”

Section: Introductionmentioning

confidence: 99%

Psychopathology and alexithymia in patients with psoriasis

Κορκολιάκου

Efstathiou

Giannopoulou

et al. 2017

An. Bras. Dermatol.

View full text Add to dashboard Cite

BackgroundPsoriasis is a chronic, inflammatory, relapsing skin disease that has a psychosocial impact on the patients' life.ObjectiveThis study aimed to investigate psychopathology in patients with psoriasis based on a valid psychometric instrument, as well as on the relationship between psychopathology and alexithymia.Methods108 patients with psoriasis were included in the study. Psychopathology was evaluated with the Symptom Checklist-90-Revised (SCL-90-R) and alexithymia with the Toronto Alexithymia Scale (TAS-20). Disease severity was clinically assessed using the Psoriasis Area and Severity Index.ResultsAs regards the psychopathological dimensions, female patients presented with statistically significant higher somatization, depression, anxiety, phobic anxiety, and psychoticism than males. Patients with alexithymia presented with statistically significant higher somatization, interpersonal sensitivity, anxiety, and phobic anxiety than non-alexithymic patients. Alexithymia positively correlated with somatization (r = 0.26, p < 0.01), interpersonal sensitivity (r = 0.24, p < 0.05), depression (r = 0.27, p < 0.01), anxiety (r = 0.26, p < 0.01), and phobic anxiety (r = 0.26, p < 0.01). In addition, alexithymia also contributed to the prediction of these conditions.Study LimitationsA larger study sample could yield safer generalized results. Nevertheless, to the best of our knowledge, this was the first study to investigate various psychopathological dimensions in patients with psoriasis.ConclusionsOur study results indicate that alexithymia and female sex were associated with several psychopathological dimensions in patients with psoriasis. It may be suggested that alexithymia constitutes an important factor in the development of mental disorders among patients with psoriasis.

show abstract

“…La fréquence de l'alexithymie est associée au sexe masculin, aux âges avancés, au faible niveau d'éducation ou de revenus, aux statuts peu valorisants, à l'isolement social, aux conditions défavorisées dans l'enfance (Kauhanen, 1993 ;Salminen, 1999 ;Mattila, 2006), à la condition de chômeur (Kauhanen, 1993) ou d'ouvrier (Honkalampi, 2004). (Badura, 2003 ;Wang, 2011), dépression (Honkalampi, 2000 ;Kojima, 2003 ;Honkalampi, 2004 ;Lipsanen, 2004 ;Wang, 2011), burnout (Mattilla, 2007, troubles somatoformes (Sayar, 2001 ;De Gucht, 2003 ;Waller, 2004 ;Mattila, 2008), hypertension artérielle (Todarello, 1995), psoriasis (Richards, 2005 ;Willemsen, 2008 ;Masmoudi, 2009), alopécie, dermite atopique, vitiligo et urticaire chronique (Willemsen, 2008), douleurs non spécifiques de l'épaule, sans signes objectifs à l'examen (Miranda, 2005), plaintes somatiques (Halpern, 2012).…”

Section: Fréquence Et Populations Concernéesunclassified

Suffering at work, emotional repression and musculoskeletal disorders

Davezies¹

2013

pistes

View full text Add to dashboard Cite

Alexithymie et psoriasis : étude cas–témoin à propos de 53 patients

Cited by 26 publications

References 23 publications

Psychological interventions in the management of common skin conditions

Psychological interventions in the management of common skin conditions

Psychopathology and alexithymia in patients with psoriasis

Suffering at work, emotional repression and musculoskeletal disorders

Contact Info

Product

Resources

About