UV Light Abuse as a Substance-Related Disorder

Keen, Stephen B. W.; Yelverton, Christopher B.; Rapp, Stéphen R.; Feldman, Steven R.

doi:10.1001/archderm.144.8.1047

Cited by 11 publications

(6 citation statements)

References 6 publications

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“…The majority of beachgoers reported behaviors consistent with those of an addictive disorder like continuation of tanning despite attempts to stop, persistent tanning in the presence of adverse reactions and the neglect of other responsibilities in order to maintain a tan (Keen et al, 2008). Psychological dependence is suggested by tanners’ reports of relaxation and positive mood effects as a result of UV exposure.…”

Section: Cutaneous Opioid Systemmentioning

confidence: 99%

Introduction

Słomiński

Żmijewski

Skobowiat

et al. 2012

Sensing the Environment: Regulation of Local and Global Homeostasis by the Skin's Neuroendocrine System

418

136

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Section: Cutaneous Opioid Systemmentioning

confidence: 99%

Introduction

Słomiński

Żmijewski

Skobowiat

et al. 2012

Sensing the Environment: Regulation of Local and Global Homeostasis by the Skin's Neuroendocrine System

418

136

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“…Although the desire to improve appearance remains the most common reason young people cite for intentional tanning, [24][25][26][27] recent investigations have begun to point to motivations related to depression 28 and dependence/addiction factors [29][30][31][32][33][34][35] as also being potentially important. In a double-blind controlled study, Feldman and associates 36 have shown that UV light can function as a reinforcing stimulus, possibly through UV lightinduced cutaneous endorphin production, for frequent indoor tanners.…”

mentioning

confidence: 99%

Effect of Seasonal Affective Disorder and Pathological Tanning Motives on Efficacy of an Appearance-Focused Intervention to Prevent Skin Cancer

et al. 2010

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To evaluate the robustness of an appearancefocused intervention to prevent skin cancer in individuals reporting seasonal affective disorder (SAD) symptoms and pathological tanning motives. Design: Randomized, controlled clinical trial. Setting: College campus. Participants: Four hundred thirty adult female indoor tanners (200 in the intervention group and 230 control participants). Intervention: A booklet discussing the history of tanning, current tanning norms, UV radiation's effects on skin, recommendations for indoor tanning use focusing on abstinence and harm reduction recommendations, and information on healthier, appearance-enhancing alternatives to tanning. Main Outcome Measures: Self-reported attitudes, intentions, and tanning behaviors; pathological tanning motives assessed by a questionnaire developed for this study; and SAD symptoms assessed by the Seasonal Pattern Assessment Questionnaire. Results: Two of the 4 pathological tanning scales, opiatelike reactions to tanning and dissatisfaction with natural skin tone, were significant moderators demonstrating stronger treatment effects for individuals scoring higher on these scales. Treatment effects were equivalently positive (ie, no significant moderator effects) for all levels of SAD symptoms and all levels of the other 2 pathological tanning motive scales (ie, perceiving tanning as a problem and tolerance to the effects of tanning). Conclusions: The appearance-focused skin cancer prevention intervention is robust enough to reduce indoor tanning among tanners who exhibit SAD symptoms or pathological tanning motives. Tailored interventions may address individuals' motivations for tanning and their relation to maladaptive behavior, such as dissatisfaction with appearance or the need for relaxation because of anxiety.

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“…1 In addition, the elevation that we observed was not associated with sex. We agree, but this elevation is much lower than what we reported in our patients with venous malformations.…”

Section: In Replymentioning

confidence: 42%

“…1 A number of participants in the study were women of reproductive age. 1 A number of participants in the study were women of reproductive age.…”

mentioning

confidence: 99%