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Alexithymia in chronic urticaria patients
Filipe Barbosa1, João Freitas, Antonio Barbosa
1Psychiatric Department, Hospital Santa Maria/Faculty of Medicine of Lisbon, Portugal. filipebarb@gmail.com
Alexithymia, difficulty identifying emotions, is prevalent in chronic urticaria (CU) patients, impacting their quality of life. This suggests a psychosomatic link in CU, highlighting the need for emotional support in treatment.
Area of Science:
- Psychiatry
- Dermatology
- Psychosomatic Medicine
Background:
- Alexithymia is linked to various medical and psychiatric conditions.
- Chronic urticaria (CU) presents treatment challenges.
- Understanding alexithymia's role in CU is crucial for patient well-being.
Purpose of the Study:
- To determine the prevalence of alexithymia traits in CU patients.
- To explore the relationship between alexithymia, psychological factors, and quality of life in CU.
- To investigate potential psychosomatic aspects of CU.
Main Methods:
- Compared 55 CU patients with 31 healthy controls.
- Utilized validated scales: TAS-20 (alexithymia), AAS-R (attachment), BSI (psychopathology), NEO-FFI (personality), SF-36 (quality of life).
- CU diagnosis confirmed via history, examination, labs, and histopathology.
Main Results:
- 56.9% of CU patients exhibited high alexithymia traits and anxiety symptoms.
- Alexithymia correlated positively with insecure attachment and psychopathology.
- Alexithymia negatively impacted quality of life dimensions.
Conclusions:
- CU patients struggle with emotional processing, indicating alexithymic traits.
- Findings support a psychosomatic component in CU.
- Alexithymia is significantly associated with psychological distress and reduced quality of life in CU.
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