a School of Letters, Arts and Sciences, Waseda University , Tokyo , Japan .
Psychol Health Med. 2013;18(6):725-34. doi: 10.1080/13548506.2013.766353. Epub 2013 Feb 11.
The prevalence of atopic disease (AD) in adults has significantly increased in industrialized countries. Psychological traits and lack of skills to cope with stress could be maintaining factors of AD. The first aim of the present study was to compare sense of coherence (SOC), depression, and anger among adult patients with AD, adults with remission from AD, and adults without AD. The second aim was to explore whether depression and anger have significant impacts on SOC. A cross-sectional survey was carried out from May to September of 2007. In total, 43 adult patients with AD, 32 adults with remission from AD, and 63 adults without AD participated. A one-way analysis of variance showed that adult patients with AD have significantly higher levels of depression than adults with remission from AD and adults without AD. Furthermore, structural equation modeling indicated a significant impact of depression on SOC across the three groups, along with a significant impact of anger suppression on depression, particularly in adult patients with AD. The findings of this study suggest that psychological traits have a negative impact on skills for coping with stress, and that this relationship might be a contributory factor for maintenance of AD.
在工业化国家，成人特应性疾病（AD）的患病率显著增加。心理特征和缺乏应对压力的技能可能是 AD 的维持因素。本研究的首要目的是比较 AD 成年患者、AD 缓解成年患者和无 AD 成年患者的综合感、抑郁和愤怒。第二个目的是探讨抑郁和愤怒是否对综合感有显著影响。2007 年 5 月至 9 月进行了横断面调查。共有 43 名 AD 成年患者、32 名 AD 缓解成年患者和 63 名无 AD 成年患者参加。单因素方差分析表明，AD 成年患者的抑郁水平显著高于 AD 缓解成年患者和无 AD 成年患者。此外，结构方程模型表明，抑郁对三组患者的综合感都有显著影响，愤怒抑制对抑郁也有显著影响，特别是在 AD 成年患者中。本研究结果表明，心理特征对压力应对技能有负面影响，这种关系可能是 AD 维持的一个促成因素。
