Hashiro M, Okumura M
Department of Dermatology, Minoh City Hospital, Osaka, Japan.
J Dermatol Sci. 1994 Oct;8(2):129-35. doi: 10.1016/0923-1811(94)90007-8.
Most reports on the psychological analysis of chronic urticaria have concentrated on psychodynamic theories of causation of the disease. For the present study, we used three kinds of psychological tests as well as electrocardiography to estimate anxiety, depressiveness, psychosomatic symptoms and autonomic nervous functions in 30 outpatients with chronic urticaria and 39 normal controls. For evaluation we used the manifest anxiety scale (MAS), self-rating depression scale (SDS), Cornell medical index (CMI) and convergence of variance of R-R interval (CVR-R). Psychologically positive responses to any one of the tests were seen in 70.0% of the chronic urticaria patients, but in only 25.6% of the controls. These differences all showed statistical significance (P < 0.01). The In(CVR-R) (Y) and age (X) suggested a linear regression, but although the regression slope was steeper for the urticaria group (Y = 2.924-0.027X) than for the controls (Y = 2.702-0.023X), the difference was not statistically significant. These data indicate that patients with chronic urticaria are more anxious, depressive and psychosomatic symptom-prone than normal controls. In conclusion, we suggest that chronic urticaria patients should be diagnosed and treated both dermatologically and psychologically.
大多数关于慢性荨麻疹心理分析的报告都集中在该疾病病因的心理动力学理论上。在本研究中，我们使用了三种心理测试以及心电图来评估30例慢性荨麻疹门诊患者和39名正常对照者的焦虑、抑郁、身心症状和自主神经功能。我们使用明尼苏达多相个性调查表焦虑分量表（MAS）、自评抑郁量表（SDS）、康奈尔医学指数（CMI）和R-R间期方差收敛（CVR-R）进行评估。70.0%的慢性荨麻疹患者在任何一项测试中出现心理阳性反应，而对照组仅为25.6%。这些差异均具有统计学意义（P<0.01）。In（CVR-R）（Y）与年龄（X）呈线性回归，尽管荨麻疹组的回归斜率（Y = 2.924 - 0.027X）比对照组（Y = 2.702 - 0.023X）更陡，但差异无统计学意义。这些数据表明，慢性荨麻疹患者比正常对照者更容易出现焦虑、抑郁和身心症状。总之，我们建议对慢性荨麻疹患者应同时进行皮肤科和心理科的诊断与治疗。
