The prevalence of alexithymia in psoriasis: A systematic review and meta-analysis

Tang, Fu-You; Xiong, Qin; Gan, Ting; Liu, Yuan; Qian, Lei; Yu, Yu-Feng

doi:10.1016/j.jpsychores.2022.111017

Cited by 6 publications

(4 citation statements)

References 67 publications

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“…Furthermore, a study from 8 countries found that 28% of patients with psoriasis experience alexithymia [ 8 ]. Notably, the prevalence of alexithymia in patients with fibromyalgia ranges from 15% to 52% [ 13 ]. A case-control study conducted on 240 women with infertility (120 with PCOS and 120 without PCOS) in Iran using depression and TAS-20 scales showed that the mean total scores of alexithymia symptoms in women with PCOS were significantly higher than of those without PCOS [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and Quality of Life in Saudi Women with Polycystic Ovary Syndrome: A Community-Based Study

Alturki,

Alofisan,

Alsaif

et al. 2024

Med Sci Monit

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Background The endocrine metabolic disorder polycystic ovary syndrome (PCOS) is quite common among women. Women with PCOS show a compromised health-related quality of life (HRQoL), impaired emotional well-being, and alexithymia, a neuropsychological phenomenon conceptualized as difficulty in recognizing and expressing one’s emotions. However, the relationship between alexithymia and HRQoL in women with PCOS is unclear. This study aimed to investigate the impact of alexithymia on HRQoL in women with PCOS in Saudi Arabia. Material/Methods This descriptive cross-sectional, community-based study enrolled 518 female patients with a diagnosis of PCOS from all age groups. The patients were surveyed via a self-administered questionnaire from December 2022 to January 2023. The survey encompassed sociodemographic data, the 20-item Toronto Alexithymia Scale (TAS-20), and HRQoL 15-dimensional scale (15D). Results This study included 320 participants (61.8%) with alexithymia. A significant association was found between alexithymia and low HRQoL 15D scores in patients with PCOS. Specifically, scores on the TAS-20 subscales related to difficulty in identifying feelings and describing feelings were positively correlated with HRQoL ( P =0.000). However, externally oriented thinking subscale scores were not positively correlated with HRQoL ( P =0.44). Conclusions The presence of alexithymia is associated with poor HRQoL in women with PCOS, which is more pronounced among those who received a diagnosis ≥4 years ago. Alexithymia must be considered when assessing the HRQoL of patients with PCOS, considering the relatively high prevalence of alexithymia in these patients.

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Section: Discussionmentioning

confidence: 99%

Alexithymia and Quality of Life in Saudi Women with Polycystic Ovary Syndrome: A Community-Based Study

Alturki,

Alofisan,

Alsaif

et al. 2024

Med Sci Monit

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“…The term alexithymia has been translated from Greek to mean “wordlessness for emotions” ( López-Muñoz and Pérez-Fernández, 2020 ). Since its introduction, this complex phenomenon has been investigated in chronic conditions ( Martino et al, 2020a , b ; Tang et al, 2022 ), psychosomatic disorders ( Nakao and Takeuchi, 2018 ), and psychopathology ( De Berardis et al, 2008 ; Sagar et al, 2021 ). Research has widely demonstrated that alexithymia may contribute to the impairment of biological, psychological, and social domains in individuals, increasing the risk of comorbidity and mortality among subjects affected by chronic diseases ( Kojima et al, 2010 ; Kojima, 2012 ; Vadini et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and asthma: a systematic review

Silvestro,

Ricciardi,

Catalano

et al. 2023

Front. Psychol.

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Growing evidence from scientific research elucidates the important role of alexithymia in chronic immune diseases. This Review aims to explore the presence of alexithymia in patients affected by asthma and clarify its associations with other involved psychological and physical factors. In January 2023, according to PRISMA guidelines, a systematic search using PubMed and Scopus was conducted. Twenty-six studies were eligible based on inclusion criteria. Alexithymia was significantly present in asthma patients, with most studies reporting a higher prevalence (from 9 to 62.8%) than in control groups (approximately 10%). The coexistence of asthma and alexithymia was associated with a worse quality of life, psychiatric comorbidity, poor symptom control, and difficulty in recognizing exacerbations of the disease. These results suggest that alexithymia can negatively impact the management of asthma. For this reason, we recommend an accuracy assessment in clinical settings and the implementation of psychological interventions to promote the emotional and physical wellbeing of asthmatic patients.

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“…COVID-19 period was marked not only with increased numbers of depression but also with anxiety disorders ( 46 , 47 ) accompanied with certain cognitive difficulties attributed to the COVID-19 infection ( 48 ) or, such as inflexible thinking style, to personality features ( 49 ). Several other characteristics, such as stigmatization ( 50 , 51 ) and alexithymia ( 52 – 57 ) have been shown to predict psoriasis symptom worsening as well as impaired OoL. Unfortunately, due to the brevity of our survey, we have not included these factors which might have also contributed to the prediction of symptom worsening and impaired QoL in our study design.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with worsened clinical symptoms of psoriasis and disease-related quality of life during the COVID-19 lockdown: A cross-sectional study

et al. 2023

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ObjectiveIn this cross-sectional study, we aimed to evaluate the factors associated with psoriasis symptom worsening and impaired quality of life (QoL) in individuals with psoriasis during the COVID-19 pandemic lockdown.MethodsDuring the second COVID-19 national lockdown (January–April 2021) in Lithuania, individuals diagnosed with psoriasis were invited to fill in an anonymous online survey including sociodemographic and life-style factors, psoriasis-related clinical symptoms, the Dermatology Life Quality Index (DLQI) and the Patients' Health Questionnaire (PHQ).ResultsA total of 297 respondents completed the survey. The majority of them (52.5%) reported worsened clinical symptoms of psoriasis during the COVID-19 lockdown period. In total, 43.1% of responders reported significant depressive symptoms (PHQ-9 ≥ 10) and 23.6% reported impaired disease-related QoL (DLQI > 10). The strongest predictor of psoriasis symptoms worsening was the need for changes in psoriasis treatment, with an odds ratio (OR) of 2.73 (95% CI 1.37–5.44, p = 0.004) and decreased income (OR = 2.33, 95% CI 1.30–4.17, p = 0.004). The strongest predictor of impaired QoL was male sex (OR = 3.35, 95% CI 1.70–6.59, p < 0.001). Contribution of specific depressive symptoms was evident for both models.ConclusionWorsening of psoriasis symptoms during the COVID-19 lockdown was associated with decreased income, psoriasis treatment changes and depression symptoms. Impaired QoL was associated with male sex, symptom worsening and depression. Specific depression symptoms may have contributed to more symptom worsening and impaired QoL than the depressive symptomatology as a whole.

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The prevalence of alexithymia in psoriasis: A systematic review and meta-analysis

Cited by 6 publications

References 67 publications

Alexithymia and Quality of Life in Saudi Women with Polycystic Ovary Syndrome: A Community-Based Study

Alexithymia and Quality of Life in Saudi Women with Polycystic Ovary Syndrome: A Community-Based Study

Alexithymia and asthma: a systematic review

Factors associated with worsened clinical symptoms of psoriasis and disease-related quality of life during the COVID-19 lockdown: A cross-sectional study

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