Dehghani Fahimeh, Dehghani Farideh, Kafaie Parichehr, Taghizadeh Mohammad Reza
Department of Psychology and Educational Science, Yazd University, Yazd, Iran.
Department of Dermatology, Yazd University of Medical Sciences, Yazd, Iran.
Asian J Psychiatr. 2017 Feb;25:42-45. doi: 10.1016/j.ajp.2016.10.011. Epub 2016 Oct 12.
Alexithymia is a personality trait characterized by difficulties in differentiating and describing feelings. Research indicates that alexithymia can be considered as a possible risk factor for a variety of medical conditions. The purpose of our study was to compare and assess the prevalence of alexithymia in patients with psoriasis, alopecia areata, vitiligo and acne vulgaris. 120 consecutive subjects referred to dermatologic clinic with psoriasis, alopecia areata, vitiligo and acne vulgaris and 30 subjects selected from hospital staff and relatives of patients were enrolled in patient and control groups of our study respectively. Toronto Alexithymia Scale (TAS-20) was used to assess the prevalence of alexithymia. Statistical analysis showed significant differences between the vitiligo, alopecia areata, psoriasis patients and the control group in terms of alexithymia score (p≤0.05), but did not find any significant difference between acne patients and control group (p=0.06). This study has demonstrated high score of alexithymia in patients with psoriasis, alopecia areata and vitiligo compared with control group; however, such association was not found in individuals with acne vulgaris. Hence it is proposed that the evaluation and management of alexithymia would better the treatment of skin disorders and improve the quality of life in patients.
述情障碍是一种人格特质，其特征是在区分和描述情感方面存在困难。研究表明，述情障碍可被视为多种疾病的一个潜在风险因素。我们研究的目的是比较和评估银屑病、斑秃、白癜风和寻常痤疮患者中述情障碍的患病率。120名连续被转诊至皮肤科诊所的银屑病、斑秃、白癜风和寻常痤疮患者以及30名从医院工作人员和患者亲属中挑选出的受试者分别纳入我们研究的患者组和对照组。使用多伦多述情障碍量表（TAS-20）来评估述情障碍的患病率。统计分析显示，白癜风、斑秃、银屑病患者与对照组在述情障碍得分方面存在显著差异（p≤0.05），但痤疮患者与对照组之间未发现任何显著差异（p = 0.06）。本研究表明，与对照组相比，银屑病、斑秃和白癜风患者的述情障碍得分较高；然而，寻常痤疮患者中未发现这种关联。因此，建议对述情障碍进行评估和管理将改善皮肤病的治疗并提高患者的生活质量。
