Anger, Emotional Fragility, Self-esteem, and Psychiatric Comorbidity in Patients with Hidradenitis Suppurativa/Acne Inve
- PDF / 891,940 Bytes
- 14 Pages / 595.276 x 790.866 pts Page_size
- 78 Downloads / 175 Views
Anger, Emotional Fragility, Self‑esteem, and Psychiatric Comorbidity in Patients with Hidradenitis Suppurativa/Acne Inversa Stefano Tugnoli1 · Chiara Agnoli1 · Ambra Silvestri1 · Silvia Giari2 · Vincenzo Bettoli2 · Stefano Caracciolo1
© Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract Hidradenitis suppurativa/acne inversa (HS) is one of the most debilitating inflammatory chronic skin diseases and it heavily impairs the emotional and relational life of the patients. Despite its clinical and epidemiological relevance, its psychological correlates are still largely unexplored. The aim of the present study was to investigate the psychological and emotional impact of HS, with a specific focus on psychiatric symptoms, particularly depression, suicidal ideation, self-esteem, anger, and some personality traits. Thirty eight patients diagnosed with HS (HS Group) were compared with a control group of 28 outpatients diagnosed with nevi (N Group) and assessed with psychometric questionnaires (GHQ-28, STAXI-2, BDI-II, BHS, RSES, EF Questionnaire, and I–R Questionnaire). Results showed significant differences between the two groups, with more psychiatric symptoms, lower self-esteem, and higher levels of state anger and of emotional fragility in HS patients. These findings suggest the evidence of a significant psychiatric comorbidity in HS and of a strong emotional impact of the disease. Keywords Hidradenitis suppurativa/acne inversa · Psychiatric comorbidity · Self-esteem · Anger · Emotional fragility
Introduction Chronic dermatological disease exposes the individual to protracted levels of suffering. This includes the involvement of the affective and relational spheres, with negative effects on self-image and self-esteem and a significant impact on social life. Depression, lack in self-confidence, fears of stigmatization, relationship anxiety, and avoidance of interpersonal situations may contribute to a significant generalized sense of reduced quality of life (Papadopoulos, Bor & Legg, 1999; Balieva et al., 2017; Jafferany & Pastolero, 2018). Several studies report the presence of high levels of psychosocial distress in dermatological patients (Ramussen, 1990; Root, Kent & Al’Abadie, 1994), and a greater prevalence of psychological and psychiatric comorbidity compared * Stefano Tugnoli [email protected] 1
Neurological Psychiatric and Psychological Sciences Section, Department of Biomedical and Specialty Surgical Sciences, School of Medicine, University of Ferrara, Via Fossato di Mortara, 47, 44121 Ferrara, Italy
Operative Unit of Dermatology, Azienda Ospedaliero-Universitaria, University of Ferrara, Via Aldo Moro, 8, 44124 Cona (Ferrara), Italy
2
to the general population or to other medical pathologies (Hughes, Barraclough, Hamblin & White, 1983; Dalgard et al., 2015; Balieva et al., 2016). Psychiatric comorbidities are observed in 25–30% of dermatological patients (Gupta & Gupta, 1996; Gupta & Levenson, 2017; Picardi, Abeni, Melchi, Puddu, & Pasquini, 2000), and psychosocial
Data Loading...
