Szepietowska Marta, Dąbrowska Alicja, Nowak Bernadetta, Skinderowicz Katarzyna, Wilczyński Bartosz, Krajewski Piotr K, Jankowska-Konsur Alina
Student Research Group of Experimental Dermatology, Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, 50-368 Wroclaw, Poland.
Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, 50-368 Wroclaw, Poland.
J Clin Med. 2022 Jan 29;11(3):732. doi: 10.3390/jcm11030732.
Alexithymia seems to be more common among patients with skin diseases. However, studies on acne patients are very limited. We conducted this study to evaluate alexithymia in adolescents with acne. In our cross-sectional study, 730 high school students (mean age: 17.05 ± 1.18 years) were recruited. The Toronto Alexithymia Scale (TAS-20) was used to measure alexithymia, the Dermatology Life Quality Index (DLQI) was employed to study quality of life (QoL), and the 6-item Stigmatization Scale (6ISS) was used to evaluate the level of stigmatization in acne subjects. Alexithymia was found in 31% of adolescents, with similar prevalence among those with and without acne (31.3% and 30.1%, respectively). The mean scoring on the TAS-20 in patients with acne (53.1 ± 12.8 points) was not significantly different from that of the non-acne group (53.5 ± 11.9 points). However, significant correlations between TAS-20 scores and QoL assessments (r = 0.332, < 0.001) as well as stigmatization level (r = 0.284, < 0.001) were found. These correlations were also significant for the domains of alexithymia described as difficulty in identifying feelings (DIF) and difficulty in describing feelings (DDF), but not for externally oriented thinking (EOT). The findings clearly showed that acne does not predispose to alexithymia; however, alexithymia in acne subjects is related to impaired QoL and stigmatization.
述情障碍在皮肤病患者中似乎更为常见。然而，针对痤疮患者的研究非常有限。我们开展这项研究以评估痤疮青少年的述情障碍。在我们的横断面研究中，招募了730名高中生（平均年龄：17.05±1.18岁）。使用多伦多述情障碍量表（TAS-20）来测量述情障碍，采用皮肤病生活质量指数（DLQI）来研究生活质量（QoL），并使用6项污名化量表（6ISS）来评估痤疮患者的污名化程度。在31%的青少年中发现了述情障碍，痤疮患者和非痤疮患者中的患病率相似（分别为31.3%和30.1%）。痤疮患者的TAS-20平均得分（53.1±12.8分）与非痤疮组（53.5±11.9分）无显著差异。然而，发现TAS-20得分与生活质量评估（r = 0.332，<0.001）以及污名化程度（r = 0.284，<0.001）之间存在显著相关性。这些相关性在述情障碍中被描述为识别情感困难（DIF）和描述情感困难（DDF）的领域中也很显著，但在外部导向思维（EOT）方面不显著。研究结果清楚地表明，痤疮不会诱发述情障碍；然而，痤疮患者的述情障碍与生活质量受损和污名化有关。
