Talaei Ali, Nahidi Yalda, Kardan Golsan, Jarahi Lida, Aminzadeh Behzad, Jahed Taherani Hasan, Nahidi Mahsa, Ziaee Maliheh
a Psychiatry and Behavioral Sciences Research Center , Mashhad University of Medical Sciences , Mashhad , Iran.
b Cutaneous Leishmaniasis Research Center , Imam Reza Hospital, Mashhad University of Medical Sciences , Mashhad , Iran.
J Gen Psychol. 2017 Jul-Sep;144(3):206-217. doi: 10.1080/00221309.2017.1304889. Epub 2017 Apr 27.
The aim of this study is to investigate psychopathologies and the temperament-character profile of Alopecia Areata patients and to compare them with healthy controls. Patients and controls who presented at a dermatology clinic were selected by convenience sampling to respond to Temperament and Character Inventory (TCI), SCL-90-R, and a checklist about the demographic data and their dermatologic and psychiatric history. Patients reported higher harm avoidance and reward dependence than controls (Cohen's d = .93 and = .94). A significant correlation between Harm Avoidance (r = -0.33, p = .02) and Reward Dependence (r = -0.28, p = 0.05) with sex was found (females scored higher). Lifetime history of AA relapse was significantly associated with higher psychiatric symptoms; the effect sizes were large for Obsessive-Compulsive (d = .81) and Paranoia Ideation (d = .89). The higher psychological symptoms in AA patients with the history of relapses in this study have a practical message for clinicians.
本研究的目的是调查斑秃患者的精神病理学及气质-性格特征，并将其与健康对照者进行比较。通过便利抽样选择在皮肤科诊所就诊的患者和对照者，以回应气质与性格量表（TCI）、症状自评量表（SCL-90-R）以及一份关于人口统计学数据及其皮肤科和精神病史的清单。患者报告的回避伤害和奖赏依赖得分高于对照者（科恩d值分别为0.93和0.94）。发现回避伤害（r = -0.33，p = 0.02）和奖赏依赖（r = -0.28，p = 0.05）与性别之间存在显著相关性（女性得分更高）。斑秃复发的终生史与更高的精神症状显著相关；强迫观念（d = 0.81）和偏执观念（d = 0.89）的效应量较大。本研究中复发史的斑秃患者较高的心理症状对临床医生具有实际意义。
