Alopesi Areata Hastalarında Psikiyatrik Belirtiler

Abstract

ÖzetAmaç: Alopesi areata ani saç kayıpları ile seyreden kronik inflamatuvar bir hastalıktır. Emosyonel stresle ilişkili psikopatolojilerin ve strese duyarlılığı arttıran kişilik özelliklerinin alopesi areata ile ilişkisi olabileceğini düşündüren kanıtlar mevcuttur. Bu çalışmada, alopesi areata hastalarında ve sağlıklı kontrollerde anksiyete ve depresyon belirtilerinin şiddeti ile aleksitimik özelliklerin düzeyinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Elli alopesi areata hastası ile 30 sağlıklı gönüllüden oluşan katılımcılar Beck depresyon ölçeği, Beck anksiyete ölçeği ve Toronto aleksitimi ölçeği skorları ile karşılaştırılmıştır. Bulgular: Hasta ve kontrol grupları arasında anksiyete belirtilerinin şiddeti ve aleksitimik özelliklerin düzeyi bakımından istatistiksel olarak anlamlı farklılık bulunmadığı gözlenmiştir (sırasıyla p=0,053 ve p=0,120). Hastaların sergilediği depresif belirtilerin şiddeti sağlıklı kontrollere göre istatistiksel olarak anlamlı yüksek bulunmuştur (p=0,010) ve depresif belirtilerin şiddeti ile mevcut alopesi areata atağının süresi arasında istatistiksel olarak anlamlı bir ilişki bulunmadığı gözlenmiştir (p=0,873). Sum maryBackground and Design: Alopecia areata is a chronic inflammatory disease characterized by sudden hair loss. Existing evidence suggests that alopecia areata may be associated with personality traits altering the susceptibility to stress and psychiatric conditions associated with stress. The aim of this study was to compare the intensity of depressive and anxiety symptoms and the level of alexithymia in patients with alopecia areata and healthy control subjects. Materials and methods: Fifty patients with the diagnosis of alopecia areata and 30 healthy volunteers were compared in terms of scores of Beck depression inventory, Beck anxiety inventory, and Toronto alexithymia scale. Results: There were no statistically significant differences between alopecia areata cases and healthy controls regarding intensity of anxiety and level of alexythimia (p=0.053 and p=0.120, respectively). The intensity of depressive symptoms exhibited by alopecia areata patients was found to be significantly higher than that in healthy controls (p=0.010) and there was no statistically significant relationship between intensity of depressive symptoms and duration of the current alopecia areata episode (p=0.873). Conclusion: It is suggested that psychiatric evaluation should also be performed in all alopecia areata cases during the clinical follow-up period. (Turk derm 2011; 45: 203-5)

Evaluation of Alexithymia in Patients Admitted to the Dermatology Clinic

“…The study by Ari et al [32] has observed no statistically significant differences in the severity of anxiety symptoms and the level of alexithymia properties between patients with alopecia areata and the control group. The severity of the patient's depressive symptoms has been found to be statistically significantly high compared with healthy controls.…”

The Relationship Between Alopecia Areata and Depression

“…Areata and mental symptoms have indicated that the Beck Depression Inventory scores of individuals diagnosed with Alopecia Areata are significantly higher when compared to the control groups, but the evidence is lacking about the direction of the cause-effect relationship between the two (Arı et al, 2011;Arpağ et al, 1999;Şahin et al, 2008;Sellami et al, 2014;Yaylı et al, 2012). The aim of the present study was to examine the relationship between Alopecia Areata and depression, as well as the quality of the early object relations of Alopecia Areata patients.…”