创伤经历,解离性症状和alexithymia在患有白发病的患者
Furkan Demirgil1, Nesim Kuğu2, Yavuz Yılmaz2
1Department of Psychiatry, Mersin Toros State Hospital, Mersin, Turkey.
The Journal of dermatology
|December 19, 2024
概括
儿童时期的身体和情绪疏忽可能会导致白发性脱毛 (AA) 发病. 患有AA的患者也可能出现更高的alexithymia和创伤性压力障碍症状.
科学领域:
- 心理皮肤学 心理皮肤学
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
背景情况:
- 脱发症 (AA) 的病因是多因素的,涉及遗传,环境,自身免疫和心理因素.
- 对AA的确切原因尚不清楚,这促使人们对心理相关性进行调查.
- 以前的研究表明,心理痛苦和皮肤病之间的潜在联系.
研究的目的:
- 研究AA患者和对照组之间的创伤经历,离散症状和alexithymia的差异.
- 探索童年创伤的作用,特别是身体和情感的忽视,在AA.
- 评估AA患者中alexithymia和创伤后应激障碍症状的患病率.
主要方法:
- 这项比较研究涉及58名AA患者,58名患有低精神病体性皮肤疾病的患者,58名健康对照.
- 使用了经过验证的问卷:童年创伤问卷 (CTQ-28),分离体验量表 (DES),DSM-5 (PCL-5) 的PTSD检查清单和多伦多亚历克西西米亚量表 (TAS-20).
- 针对DSM-5 (SCID-5-CV) 的结构化临床面试用于排除并发性精神病诊断.
主要成果:
- 实体疏忽 (p < 0.001) 和情绪疏忽 (p = 0.022) 在CTQ-28分数中观察到群体之间的显著差异.
- 在离散体验量表 (DES) 评分中没有发现显著差异 (p = 0.085).
- 在多伦多alexithymia尺度 (TAS-20) (p = 0.016) 和PCL-5 (p = 0.024) 评分中发现了显著差异,表明AA组的水平更高.
结论:
- 儿童时期的身体和情感疏忽与白发性脱毛有显著的关联.
- 亚历克西西米亚和创伤性压力障碍症状可能在被诊断为AA的患者中更为普遍.
- 这些发现强调了在全面了解和管理AA时考虑心理因素,特别是早期创伤的重要性.
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