Indicators of severity and accentuated personality traits in men with various forms of eczema

Abstract

Annotation. The purpose of this work is to determine the features of indicators of severity and features of accentuated personality traits in men with various forms of eczema. On the basis of the Military Medical Clinical Center of the Central Region and the Department of Dermatology and Venereal Diseases with a postgraduate course in National Pirogov Memorial Medical University, Vinnytsya, a survey of men of the first adult age (22-35 years) with true (n=34, including 16 with mild and 18 with severe course) and microbial (n=38, including 28 with mild and 10 with severe course) eczema was conducted. The diagnosis of eczema was performed according to the nomenclature of ICD-10. All men with the help of personality questionnaires were assessed by the severity and features of accentuated personality traits by Shmishek. Statistical data processing was performed in the license package “Statistica 5.5” using non-parametric methods of evaluation of the obtained results. The control group of subjects revealed the following percentage distribution of types of accentuation: hyperthymic – in 37.80 %; stuck – in 1.22 %; emotional – in 1.22 %; pedantic – in 3.66 %; anxious – in 1.22 %; cyclothymic – in 10.98 %; demonstrative – in 3.66 %; excitable – in 7.32 %; dysthymic – in 0 %; exalted type – in 14.63 %. In patients with true eczema of mild course: hyperthymic – in 43.75 %; stuck – in 0 %; emotional – in 0 %; meticulous – in 0 %; anxious – in 0 %; cyclothymic – in 0 %; demonstrative – in 6.25 %; excitable – in 0 %; dysthymic – in 6.25 %; exalted type – 6.25 %. In patients with true eczema of severe course: hyperthymic – in 83.33 %; stuck – in 0 %; emotional – in 0 %; meticulous – 5.56 %; anxious – in 0 %; cyclothymic – in 0 %; demonstrative – in 5.56 %; excitable – in 0 %; dysthymic – in 0 %; exalted type – in 11.11 %. In patients with mild microbial eczema: hyperthymic – in 53.57 %; stuck – in 0 %; emotional – in 0 %; meticulous – in 7.14 %; anxious – in 0 %; cyclothymic – in 3.57 %; demonstrative – in 0 %; excitable – in 7.14 %; dysthymic – in 0 %; exalted type – in 7.14 %. In patients with severe microbial eczema: hyperthymic – in 40.00 %; stuck – in 0 %; emotional – in 0 %; meticulous – 10.00 %; anxious – in 0 %; cyclothymic – in 0 %; demonstrative – in 0 %; excitable – in 0 %; dysthymic – in 0 %; exalted type – 10.00 %. Thus, the active use in everyday practice of interviewing and psychological testing of character accentuation are the most important components of adequate assessment of psycho-emotional status of patients with various forms and severity of eczema, which opens prospects for psychoprophylaxis and finding the right ways of correction. Thus, in patients with different forms and severity of eczema, the predominance of accentuation of the nature of the hyperthymic type was established. This allows us to consider this type of accentuation as one of the important criteria for assessing the patient's motivation to see a dermatologist and adherence to treatment, to identify weaknesses in his character, to predict factors that can cause decompensation or psychogenic reactions accompanied by maladaptation.