Kiliç A, Güleç M Y, Gül U, Güleç H
Ankara Numune Education and Research Hospital, 2nd Dermatology Clinic, Ankara, Turkey.
J Eur Acad Dermatol Venereol. 2008 May;22(5):537-42. doi: 10.1111/j.1468-3083.2007.02460.x. Epub 2008 Mar 7.
Psychosocial factors have been implicated as being important in the onset and/or exacerbation of psoriasis.(1) The aim of this study is to examine both the personality factors of patients with psoriasis and the correlations between temperament and character dimensions.
A total number of 105 psoriasis patients and 109 healthy individuals were enrolled in the study. Questionnaires including Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Temperament and Character Inventory (TCI) were administered individually. Both groups were evaluated in terms of depression, anxiety and characteristic features by using these psychological tests and compared statistically. The relationship between psoriasis area and severity index (PASI) score and the BDI, BAI and TCI scales were also evaluated.
The mean BDI score of the psoriasis group were significantly higher than the control group. The psoriasis group had significantly higher scores of harm avoidance and lower scores of being self-directedness than the control group. The duration of psoriasis and the PASI scores were not correlated with BDI and BAI scores.
The current study shows that psoriasis patients have distinctive temperament and character dimensions when compared with the control group. We suggest that evaluation and treatment of psoriasis should also include psychosomatic approaches in clinical practice.
心理社会因素被认为在银屑病的发病和/或病情加重中起重要作用。（1）本研究的目的是研究银屑病患者的人格因素以及气质和性格维度之间的相关性。
本研究共纳入105例银屑病患者和109例健康个体。分别发放包括贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和气质性格量表（TCI）在内的问卷。通过这些心理测试对两组在抑郁、焦虑和性格特征方面进行评估，并进行统计学比较。还评估了银屑病面积和严重程度指数（PASI）评分与BDI、BAI和TCI量表之间的关系。
银屑病组的平均BDI评分显著高于对照组。与对照组相比，银屑病组的回避伤害得分显著更高，而自我导向得分更低。银屑病病程和PASI评分与BDI和BAI评分无关。
本研究表明，与对照组相比，银屑病患者具有独特的气质和性格维度。我们建议在临床实践中，银屑病的评估和治疗也应包括身心治疗方法。
