Gürel Gülhan, Öncü Işın, Güler Dilara, Durusu Türkoğlu İrem Nur, Soylu Seçil
Department of Dermatology, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, TUR.
Department of Dermatology, Kadirli State Hospital, Osmaniye, TUR.
Cureus. 2023 Jan 21;15(1):e34037. doi: 10.7759/cureus.34037. eCollection 2023 Jan.
Objective The present study investigates the relationship between psoriasis and diseases such as health anxiety, depression, and somatosensory amplification. Methods The participating patients (n=117, including 60 psoriasis patients and 57 controls) filled out the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Somatosensory Amplification Scale (SSAS), and Health Anxiety Inventory (HAI) questionnaires. Results The mean scores from SSAS, HAI, and BDI were significantly higher in the psoriasis group than in the control group (p<0.05 in all comparisons). When the group medians of BAI were evaluated, the differences were not statistically significant, although BAI medians were higher in the patient group. Furthermore, a moderate correlation was found between the involvement of specific areas (especially the scalp and face) and SSAS scores. Conclusion Patients with psoriasis score highly in depression, health anxiety, and somatosensory amplification, and there was a moderate correlation between specific body area involvement (especially the scalp and face) and SSAS score. The results of this study seem to indicate that psychiatric assessment and treatment approaches should be included in the treatment of such chronic skin diseases as psoriasis that follow a life-long remission and relapse pattern.
目的 本研究调查银屑病与健康焦虑、抑郁和躯体感觉放大等疾病之间的关系。方法 参与研究的患者（n = 117，包括60例银屑病患者和57例对照）填写了贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、躯体感觉放大量表（SSAS）和健康焦虑量表（HAI）问卷。结果 银屑病组的SSAS、HAI和BDI平均得分显著高于对照组（所有比较中p < 0.05）。评估BAI的组中位数时，差异无统计学意义，尽管患者组的BAI中位数较高。此外，发现特定部位（尤其是头皮和面部）受累与SSAS得分之间存在中度相关性。结论 银屑病患者在抑郁、健康焦虑和躯体感觉放大方面得分较高，特定身体部位受累（尤其是头皮和面部）与SSAS得分之间存在中度相关性。本研究结果似乎表明，对于遵循终身缓解和复发模式的银屑病等慢性皮肤病的治疗，应纳入精神评估和治疗方法。
