Department of Adult Psychiatry and Medical Psychology, Clermont-Ferrand University Hospital, Clermont Auvergne University, FR-63000 Clermont-Ferrand, France.
Acta Derm Venereol. 2019 May 1;99(6):564-570. doi: 10.2340/00015555-3161.
Impaired emotional abilities (higher scores of alexithymia and lower levels of emotional awareness) were found in patients with skin-restricted lupus, warranting examination of the relationship between these abilities and the evolution of skin-restricted lupus, using longitudinal data. A total of 75 consecutive outpatients with skin-restricted lupus were recruited and assessed by a dermatologist and a psychiatrist every 6 months over a period of 2.5 years. Alexithymia and emotional awareness were evaluated with the French versions of the Toronto Alexithymia Scale (TAS-20) and the Levels of Emotional Awareness Scale (LEAS). During follow-up, good stability of the LEAS scores was observed, whereas TAS-20 scores varied; those variations were positively associated both with lupus duration and current psychiatric and personality disorders, but not with lupus remission. Such findings regarding 2 complementary aspects of emotional functioning are of direct interest for the management of patients with skin-restricted lupus.
研究发现，局限性皮肤狼疮患者的情绪能力受损（表现为更高的述情障碍分数和更低的情绪觉察水平），这提示我们需要使用纵向数据来进一步探究这些情绪能力与局限性皮肤狼疮演变之间的关系。本研究共纳入了 75 例连续的局限性皮肤狼疮门诊患者，在 2.5 年的时间里，由皮肤科医生和精神科医生每 6 个月评估一次。采用法语版多伦多述情障碍量表（TAS-20）和情绪觉察水平量表（LEAS）评估述情障碍和情绪觉察。在随访过程中，LEAS 评分具有很好的稳定性，而 TAS-20 评分则存在变化；这些变化与狼疮病程以及当前的精神和人格障碍均呈正相关，但与狼疮缓解无关。这些发现涉及情绪功能的两个互补方面，对于局限性皮肤狼疮患者的管理具有直接意义。
