Department of Dermatovenerology, Medical Faculty of Rijeka, Clinical Hospital Center Rijeka, Croatia.
J Dermatol. 2010 Sep;37(9):793-800. doi: 10.1111/j.1346-8138.2010.00870.x.
It is well known that several psychiatric disorders may be related to childhood psychological trauma. Recent studies have associated childhood exposure to trauma to some skin diseases. Our study aimed at exploring whether psoriasis is related to the reported positive and negative traumatic life events in different age intervals beginning from early childhood to adulthood. Furthermore, we investigated differences between psoriatics with early and late onset according to traumatic experiences in different age intervals. Also, we investigated the possible correlation of traumatic experiences with the disease severity. One hundred patients with psoriasis and 101 controls (patients with skin conditions considered to be "non-psychosomatic") were enrolled in the study. All participants completed a specific questionnaire measuring traumatic life experiences (Traumatic Antecedents Questionnaire, TAQ). The TAQ assesses positive personal experiences (competence and safety) and negative personal experiences (neglect, separation, secrets, emotional, physical and sexual abuse, trauma witnessing, other traumas and exposure to alcohol/drugs) from early childhood to adulthood. The severity of psoriasis was estimated according to the Psoriasis Area and Severity Index (PASI), a standardized measuring instrument. The amount of positive experiences did not differ significantly among groups, except for safety scores that were higher in controls compared with both psoriatic groups (early and late onset). On the other side, negative traumatic experiences appeared more frequently in patients with psoriasis during all developmental periods. We found no correlation between severity of psoriasis and traumatic experiences. The present study demonstrates an increased history of childhood and adulthood negative traumatic experiences in patients with psoriasis compared to the control group. Our findings suggest a relationship between retrospectively reported negative traumatic experiences and psoriasis.
众所周知，几种精神疾病可能与儿童期心理创伤有关。最近的研究将儿童时期暴露于创伤与某些皮肤病联系起来。我们的研究旨在探讨银屑病是否与从儿童早期到成年期不同年龄间隔报告的积极和消极创伤性生活事件有关。此外，我们根据不同年龄间隔的创伤经历，调查了早发性和晚发性银屑病患者之间的差异。我们还研究了创伤经历与疾病严重程度之间的可能相关性。这项研究纳入了 100 名银屑病患者和 101 名对照者（患有被认为是“非心身疾病”的皮肤疾病）。所有参与者都完成了一项专门的问卷，测量创伤性生活经历（创伤前因问卷，TAQ）。TAQ 评估了从儿童早期到成年期的积极个人经历（能力和安全感）和消极个人经历（忽视、分离、秘密、情感、身体和性虐待、创伤目击、其他创伤和接触酒精/毒品）。银屑病的严重程度根据银屑病面积和严重程度指数（PASI）进行评估，这是一种标准化的测量工具。除了对照组的安全评分高于早发性和晚发性银屑病患者外，各组之间的积极体验量没有显著差异。另一方面，在所有发育阶段，银屑病患者的负面创伤经历更为常见。我们没有发现银屑病严重程度与创伤经历之间存在相关性。本研究表明，与对照组相比，银屑病患者在儿童期和成年期经历的负面创伤经历更多。我们的研究结果表明，回顾性报告的负面创伤经历与银屑病之间存在关系。
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