Temperament and character properties of primary focal hyperhidrosis patients

Ak, Mehmet; Dinçer, Didem; Haciomeroglu, Bikem; Akarsu, Süleyman; Cinar, Alper; Lapsekili, Nergis

doi:10.1186/1477-7525-11-5

Cited by 15 publications

(7 citation statements)

References 17 publications

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“…Signs PH may affect a patient’s personality traits and interpersonal relations are found in increased association with alexithymia [22], fatigability and asthenia, self-forgetfulness and self-transcendence, as well as decreased association with purposefulness, resourcefulness, self-directedness. [23]. Prevalence of anxiety and depression among hyperhidrosis patients is nearly triple that of the population, proportional to disease severity.…”

Section: Introductionmentioning

confidence: 99%

Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

et al. 2019

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BackgroundHyperhidrosis is a pathological condition defined by excessive sweating beyond thermoregulatory physiological needs, which can cause substantial psychological impact and impairment of daily activities. Studies regarding its prevalence, however, are scarce and vary widely in their findings. The population of medical students is a particularly interesting subset for its recurring demand of physical contact during patient examination or procedures, and the potential for professional adversity. We aimed at furthering the comprehension of this disease prevalence and characteristics among medical students.MethodsQuestionnaires inquiring about the presence and characteristics of Primary Hyperhidrosis (PH) were applied through either written or digital means to all eligible medical students enrolled in three Medical Schools in the State of Rio de Janeiro who agreed to take part in the study. Demographic data regarding gender, ethnicity, current age, weight and height was collected in addition to clinical data (sweat site, age of onset, familial history, severity and previous treatments). Severity was evaluated through the Hyperhidrosis Disease Severity Scale (HDSS) and a symptoms survey.FindingsOur response rate was roughly 1/3 of all eligible students (900/2700). PH prevalence was 20.56% (185/900). It was similar between men and women (23.08% and 19.41%, respectively) and strongly associated with family history of the disease (Prevalence Ratio of 4.27). Regarding ethnicity, of the total sample 73.78% (664/900) self-declared white, among which 19.28% (128/664) had PH. Mixed-race and other ethnicities encompassed 26.22% (236/900) of the sample, among which 24.15% (57/236) had PH. Most positive subjects (64.32%) presented associated forms of PH. Overall involvement of each site (both associated and isolated) was: 63.78% axillary, 50.81% palmar, 43.24% plantar, 20.54% craniofacial, 18.38% facial flushing and 2.16% gustatory sweating. Mean current age was 23.11(±4.04) years for PH patients, and age of onset was ≤18 years in 93.94% of cases. Regarding body mass index (BMI), 71.09% of PH patients had BMI<25kg/m2 and only 4.69% presented BMI≥30kg/m2, none ≥35kg/m2. Some degree of life quality impairment was reported by 89.20% of PH patients, and 23.89% had HDSS 3 or 4 (moderate to severe).ConclusionsPH prevalence among Rio de Janeiro medical students was 20.56%, similar between men and women, predominating associated presentations, axillary, palmar and plantar sites, strong familial history, age of onset before 18 years, and some degree of life impairment.

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Section: Introductionmentioning

confidence: 99%

Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

et al. 2019

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“…While emotional stress itself can trigger HH, HH may also cause emotional stress, and thus increase oxidative stress. 37 In a study conducted on the etiology of patients with HH, we detected vit D deficiency in patients and observed decrease in sweating in patients supplemented with vit D. 38 In another study, it was reported that thiol-disulfide balance was affected by vit D deficiency. 39 In this study, vit D deficiency was found in 69.7% of patients with PHH and in 60% of patients with SHH (64.4% in total).…”

Section: Discussionmentioning

confidence: 96%

Can thiol‐disulfide balance be an indicator of oxidative stress for hyperhidrosis?

Akbaş

Kılınç

2021

J of Cosmetic Dermatology

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Hyperhidrosis is a skin disease characterized by excessive sweating in order to regulate the normal body temperature. [1][2][3][4][5][6] Its incidence is not fully known, however, is estimated between 1-2.8%. 3,[7][8][9][10] It is more prevalent between the ages of 20-60 (with an average age of 25). 4,10 In the literature, there are many studies that are directed to study the treatment of the disease, but there are only a few studies that are directed to investigate the causes of the disease. 7,9,11 In our country, Karaca et al. have carried out several studies in this respect. 12,13 Hyperhidrosis can be either primary or secondary depending on the presence of an underlying disease. 1,2,4,7 Primary hyperhidrosis (PHH) is the sweating in the palmoplantar, axillary, craniofacial,

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“…Although some authors concluded that the relationship between sweating pattern and emotional pattern, specific disorders, or family relationship history is absent (Karaca et al, 2007 ; Ruchinskas, 2002 ; Won et al, 1998 ), Ak ( 2013 ) found that individuals with hyperhidrosis were characterized by specific personality traits, temperament, and character features compared to controls, associated to lower purposefulness, resourcefulness, self-directedness and higher self-forgetfulness and self-transcendence. Moreover, Johnson and Mostaghimi ( 1995 ) reported the hyperhidrosis as the most frequent dermatological disorder in psychiatric subjects.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, Johnson and Mostaghimi ( 1995 ) reported the hyperhidrosis as the most frequent dermatological disorder in psychiatric subjects. Most importantly, we can note that some studies investigated the possibility of personality traits as an etiological factor for primary hyperhidrosis (Ak, 2013 ), while others either refuted etiological conclusions (Karaca et al, 2007 ; Won et al, 1998 ), or considered the psychological differences to be the result of hyperhidrosis and not its cause (Ruchinskas et al, 2002 ). The idea of this study arose from our thought that the impact of this illness on psychological well-being might depend on the personality functioning.…”

Section: Introductionmentioning

confidence: 99%

Personality features and vulnerability to stress: a case study on hyperhidrosis

Ando

Girolamo

Pignolo

et al. 2019

ResPsy

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By using the Rorschach test, self-reports, and psychophysiological measures, we investigated thoroughly the psychological functioning in a hyperhidrotic case. Erica, a young female with hyperhidrosis, was assessed in three times at one-week distance. First, specific tools assessing potential psychological and affective distress, and the Rorschach test were administered. About one week later, Electrodermal Activity was recorded during the exposure to a mild laboratory stress-inducing task. Finally, a magnetic resonance imaging exam was performed in order to exclude medical conditions/neurological alterations for potential physiological anomalies. Erica tends to avoid living in the moment and prefers to experience close relationships in her inner world where she can rehearse the future and imagine different contexts and social situations without risks and embarrassment. She reports high capacities to perform goaldirected behaviors and clarity of emotions only in absence of stressful situations. The study has the merit to be the first to combine Rorschach data with physiological data in order to investigate the psychological functioning in a hyperhidrotic case.

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Temperament and character properties of primary focal hyperhidrosis patients

Cited by 15 publications

References 17 publications

Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

Can thiol‐disulfide balance be an indicator of oxidative stress for hyperhidrosis?

Personality features and vulnerability to stress: a case study on hyperhidrosis

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