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痤疮与躯体感觉放大、健康焦虑及抑郁水平的关系。

The Relationship of Acne With Somatosensory Amplification, Health Anxiety, and Depression Levels.

作者信息

Öncü Işın, Gürel Gülhan, Akkoyun Ayşe

机构信息

Department of Dermatology, Kadirli State Hospital, Osmaniye, TUR.

Department of Dermatology, Afyonkarahisar Health Sciences University, Afyonkarahisar, TUR.

出版信息

Cureus. 2022 Dec 8;14(12):e32314. doi: 10.7759/cureus.32314. eCollection 2022 Dec.

Abstract

Objective The objective of this study is to evaluate the somatosensory amplification, as well as anxiety and depression levels in acne vulgaris (AV) patients, and to examine their relationship with disease severity. Methods Sociodemographic form, Global Acne Grading System (GAGS), Somatosensory Amplification Scale (SSAS), Health Anxiety Inventory (HAI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were applied to the patient group. All scales, except GAGS, were also applied to the healthy controls. Results All psychiatric scale scores of acne patients were higher than those of the control group. Moreover, the patient group had significantly higher SSAS, BDI scores, HAI total scores, and subscales of hypersensitivity to somatic symptoms and anxiety compared to the healthy controls. A positive but weak correlation was found between all scale scores. In patients with AV, no correlation was found between acne severity, age, disease duration, and all scale scores. Conclusion A significant relationship was found between somatosensory amplification, depression, and health anxiety in acne patients, independent of global acne severity, age, and disease duration. More successful acne treatment and patient management will be possible with an interdisciplinary approach that includes both psychiatry and dermatology.

摘要

目的 本研究旨在评估寻常痤疮(AV)患者的躯体感觉放大以及焦虑和抑郁水平,并探讨它们与疾病严重程度的关系。方法 对患者组应用社会人口学表格、全球痤疮分级系统(GAGS)、躯体感觉放大量表(SSAS)、健康焦虑量表(HAI)、贝克焦虑量表(BAI)和贝克抑郁量表(BDI)。除GAGS外,所有量表也应用于健康对照组。结果 痤疮患者的所有精神量表得分均高于对照组。此外,与健康对照组相比,患者组的SSAS、BDI得分、HAI总分以及对躯体症状和焦虑的超敏反应子量表得分显著更高。所有量表得分之间存在正相关但较弱。在AV患者中,痤疮严重程度、年龄、病程与所有量表得分之间均未发现相关性。结论 在痤疮患者中,发现躯体感觉放大、抑郁和健康焦虑之间存在显著关系,与全球痤疮严重程度、年龄和病程无关。采用包括精神病学和皮肤病学的跨学科方法将有可能实现更成功的痤疮治疗和患者管理。

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