Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.29021/spdv.74.2.552 |
Resumo: | Background: Rosacea, a prevalent chronic facial skin condition, is classically referred to as a “psychodermatosis”, in that psychological factors are relevant both in its initiation and course. Rosacea patients have been described as immature, anxious, with diminished self-esteem and with feelings of guilt and shame, or as psychoneurotic, with hysterical or obsessive compulsive configurations.Objective: In this study we investigated the psychopathological distress experienced by rosacea patients, as compared to a group of dermatological patients suffering from acute, non-conspicuous, accidental dermatoses. One additional purpose was to assess the influence that demographic features and clinical factors had on final results.Patients/Methods: A total of 243 patients with rosacea, aged from 18 to 72 years’ old were enrolled from an outpatient dermatology clinic in a hospital setting. Rosacea was objectively rated and disease duration recorded. The SCL-90 (R) was used to assess participants psychological distress and to record emotional and psycho vegetative complaints.Results: Statistical analysis revealed a definite independent influence of the variables rosacea, gender, school level, and also of the interaction rosacea/gender on the psychometrical variables. Rosacea patients scored higher than controls with respect to interpersonal sensitivity (F[1,241]=3.57, p<0.01). Concerning gender differences, female patients scored always higher than controls in anxiety, depression, interpersonal sensitivity, obsession-compulsion, paranoid ideation and somatization, whereas male patients did so only for interpersonal sensitivity. As to the effects of disease duration, rosacea patients’ for more than one year revealed significantly higher scores of paranoid ideation than patients’ with less than one year duration (F[2,52]=3.79, p<0.05).Conclusions: Patients suffering from rosacea – as opposed to other dermatoses – do experience significant psychosocial distress, which was nevertheless found to be unrelated to disease clinical sub-type. |
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Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - RevisedAvaliação Psicológica em Doentes com Rosácea: Um Estudo de Caso-Controlo com Symptom Checklist -90 - RevisedPsychometricsRosacea/psychologyStressPsychologicalPsicometriaRosácea/psicologiaStress PsicológicoBackground: Rosacea, a prevalent chronic facial skin condition, is classically referred to as a “psychodermatosis”, in that psychological factors are relevant both in its initiation and course. Rosacea patients have been described as immature, anxious, with diminished self-esteem and with feelings of guilt and shame, or as psychoneurotic, with hysterical or obsessive compulsive configurations.Objective: In this study we investigated the psychopathological distress experienced by rosacea patients, as compared to a group of dermatological patients suffering from acute, non-conspicuous, accidental dermatoses. One additional purpose was to assess the influence that demographic features and clinical factors had on final results.Patients/Methods: A total of 243 patients with rosacea, aged from 18 to 72 years’ old were enrolled from an outpatient dermatology clinic in a hospital setting. Rosacea was objectively rated and disease duration recorded. The SCL-90 (R) was used to assess participants psychological distress and to record emotional and psycho vegetative complaints.Results: Statistical analysis revealed a definite independent influence of the variables rosacea, gender, school level, and also of the interaction rosacea/gender on the psychometrical variables. Rosacea patients scored higher than controls with respect to interpersonal sensitivity (F[1,241]=3.57, p<0.01). Concerning gender differences, female patients scored always higher than controls in anxiety, depression, interpersonal sensitivity, obsession-compulsion, paranoid ideation and somatization, whereas male patients did so only for interpersonal sensitivity. As to the effects of disease duration, rosacea patients’ for more than one year revealed significantly higher scores of paranoid ideation than patients’ with less than one year duration (F[2,52]=3.79, p<0.05).Conclusions: Patients suffering from rosacea – as opposed to other dermatoses – do experience significant psychosocial distress, which was nevertheless found to be unrelated to disease clinical sub-type.Introdução: A rosácea, uma prevalente dermatose facial crónica, é classicamente considerada uma “psicodermatose” já que factores psicológicos são determinantes no seu desencadeamento ou evolução. Os doentes padecendo de rosácea foram descritos como imaturos, ansiosos, com reduzida auto-estima, com sentimentos de vergonha ou culpa, ou como “psiconeuróticos”, com configurações histéricas ou obsessivo-compulsivas.Objectivo: Neste estudo foi investigado o distress psicopatológico de doentes com rosácea, comparados com um grupo de dermopatas sofrendo de dermatoses agudas, acidentais, não conspícuas. Um objectivo adicional foi o de avaliar a influência determinada pelos dados demográficos e características clínicas sobre os resultados finais.Material e Métodos: Os participantes foram 53 doentes com rosácea e 190 outros dermopatas, com idades compreendidas entre os 18 e os 72 anos foram recrutados duma consulta externa hospitalar de Dermatologia. A rosácea foi clinicamente avaliada e classificada bem como registada a duração da doença. Foi aplicado a todos os doentes o questionário de auto-resposta SCL-90-R para avaliar o distress psicológico e registar as queixas emocionais e psico-vegetativas.Resultados: As análises estatísticas revelaram uma efectiva influência independente das variáveis rosácea, género, nível escolar/educacional e da Interacção rosácea/género nas variáveis psicométricas. Os doentes com Rosácea revelaram valores superiores aos da população do grupo controlo nas dimensões sensibilidade interpessoal (F[1,241]=3,57, p<0,01). No que concerne às diferenças entre géneros, as doentes com rosácea registaram valores superiores aos dos da população controlo nas dimensões ansiedade, depressão, sensibilidade interpessoal, obsessões e compulsões, ideação paranóide e somatização, ao contrário dos doentes do género masculino em que tal apenas se verificou na sensibilidade interpessoal. No que se refere aos efeitos da duração da doença, os doentes com rosácea com mais de 1 ano de duração registaram scores significativamente mais elevados de ideação paranóide do que os doentes com durações de doença inferiores a um ano (F[2,52]=3,79, p<0,05).Conclusões: Os doentes sofrendo de rosácea – em contraste com outros doentes com outras dermatoses – revelam um distress psicossocial significativo, o qual não se correlaciona no entanto com o sub-tipo clínico da dermatose.Sociedade Portuguesa de Dermatologia e Venereologia2016-08-03T00:00:00Zjournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.74.2.552oai:ojs.revista.spdv.com.pt:article/552Journal of the Portuguese Society of Dermatology and Venereology; Vol 74 No 2 (2016): Abril / Junho; 161-168Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 74 n. 2 (2016): Abril / Junho; 161-1682182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spdv.com.pt/index.php/spdv/article/view/552https://doi.org/10.29021/spdv.74.2.552https://revista.spdv.com.pt/index.php/spdv/article/view/552/404Tavares-Bello, RuiTorres, Nunoinfo:eu-repo/semantics/openAccess2022-10-06T12:34:57Zoai:ojs.revista.spdv.com.pt:article/552Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:10:56.680335Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised Avaliação Psicológica em Doentes com Rosácea: Um Estudo de Caso-Controlo com Symptom Checklist -90 - Revised |
title |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised |
spellingShingle |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised Tavares-Bello, Rui Psychometrics Rosacea/psychology Stress Psychological Psicometria Rosácea/psicologia Stress Psicológico |
title_short |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised |
title_full |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised |
title_fullStr |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised |
title_full_unstemmed |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised |
title_sort |
Psychological Evaluation in Rosacea Patients: A Case- Control Study using Symptom Checklist -90 - Revised |
author |
Tavares-Bello, Rui |
author_facet |
Tavares-Bello, Rui Torres, Nuno |
author_role |
author |
author2 |
Torres, Nuno |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Tavares-Bello, Rui Torres, Nuno |
dc.subject.por.fl_str_mv |
Psychometrics Rosacea/psychology Stress Psychological Psicometria Rosácea/psicologia Stress Psicológico |
topic |
Psychometrics Rosacea/psychology Stress Psychological Psicometria Rosácea/psicologia Stress Psicológico |
description |
Background: Rosacea, a prevalent chronic facial skin condition, is classically referred to as a “psychodermatosis”, in that psychological factors are relevant both in its initiation and course. Rosacea patients have been described as immature, anxious, with diminished self-esteem and with feelings of guilt and shame, or as psychoneurotic, with hysterical or obsessive compulsive configurations.Objective: In this study we investigated the psychopathological distress experienced by rosacea patients, as compared to a group of dermatological patients suffering from acute, non-conspicuous, accidental dermatoses. One additional purpose was to assess the influence that demographic features and clinical factors had on final results.Patients/Methods: A total of 243 patients with rosacea, aged from 18 to 72 years’ old were enrolled from an outpatient dermatology clinic in a hospital setting. Rosacea was objectively rated and disease duration recorded. The SCL-90 (R) was used to assess participants psychological distress and to record emotional and psycho vegetative complaints.Results: Statistical analysis revealed a definite independent influence of the variables rosacea, gender, school level, and also of the interaction rosacea/gender on the psychometrical variables. Rosacea patients scored higher than controls with respect to interpersonal sensitivity (F[1,241]=3.57, p<0.01). Concerning gender differences, female patients scored always higher than controls in anxiety, depression, interpersonal sensitivity, obsession-compulsion, paranoid ideation and somatization, whereas male patients did so only for interpersonal sensitivity. As to the effects of disease duration, rosacea patients’ for more than one year revealed significantly higher scores of paranoid ideation than patients’ with less than one year duration (F[2,52]=3.79, p<0.05).Conclusions: Patients suffering from rosacea – as opposed to other dermatoses – do experience significant psychosocial distress, which was nevertheless found to be unrelated to disease clinical sub-type. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-03T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.29021/spdv.74.2.552 oai:ojs.revista.spdv.com.pt:article/552 |
url |
https://doi.org/10.29021/spdv.74.2.552 |
identifier_str_mv |
oai:ojs.revista.spdv.com.pt:article/552 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spdv.com.pt/index.php/spdv/article/view/552 https://doi.org/10.29021/spdv.74.2.552 https://revista.spdv.com.pt/index.php/spdv/article/view/552/404 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
dc.source.none.fl_str_mv |
Journal of the Portuguese Society of Dermatology and Venereology; Vol 74 No 2 (2016): Abril / Junho; 161-168 Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 74 n. 2 (2016): Abril / Junho; 161-168 2182-2409 2182-2395 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130565825265664 |