The relationship of psychopathology and hyperhidrosis

Ruchinskas, Robert A.; Narayan, Raj K.; Meagher, Richard J.; Furukawa, Shoko

doi:10.1046/j.1365-2133.2002.04857.x

Cited by 47 publications

(34 citation statements)

References 12 publications

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“…Still, the preponderance of individuals with COPD does not have significant problems with anxiety [13] . Similarly, we [14] utilized highly sensitive psychometric instruments and found that the majority of individuals in our sample who were diagnosed as having primary hyperhidrosis were similar to the general population in terms of their levels of depression, anxiety and psychopathology. The few with clinically diagnosable anxiety appeared to have developed such in response to their hyperhidrosis.…”

mentioning

confidence: 66%

Hyperhidrosis and Anxiety: Chicken or Egg?

Ruchinskas

2007

Dermatology

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confidence: 66%

Hyperhidrosis and Anxiety: Chicken or Egg?

Ruchinskas

2007

Dermatology

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“…The higher rate of comorbid SAD observed here contrasts with a handful of other studies in which psychopathology was not reported as being more common in patients with HYH relative to published norms. 12,13 For example, in one study that included 28 patients with secondJournal of Psychiatric Practice Vol. 20, No.…”

Section: Discussionmentioning

confidence: 99%

“…We can only offer tentative suggestions about these differences. First, unlike other studies, we employed a clinician administered structured interview (i.e., the MINI), which may perhaps have been able to identify SAD more accurately than other frequently used self-report instruments such as the SPIN, the Minnesota Multiphasic Personality Inventory-2, 12 the State-Trait Anxiety Inventory, 12,14 the Eysenck Personality Inventory, 37 the Social Phobia Scale, 13 the Derogatis Symptom Checklist, 13 and the Hospital Anxiety and Depression Scale. 13 Second, because of their lower educational levels, our control subjects (i.e., non-HYH patients) may have over-reported the severity of their SAD symptoms, thus minimizing differences in relation to HYH patients.…”

Section: Discussionmentioning

confidence: 99%

“…10 Patients with SAD with an early onset, substantial severity of illness, comorbidity with other anxiety disorders, and unrealistically high expectations about the curative power of the therapist are less likely to respond to treatment. 11 Although some have suggested that HYH patients do not exhibit higher rates of or more severe anxiety or other psychopathologies than the general population, 12,13 one study found that anxiety, particularly symptoms of SAD, was common among individuals with treatment-resistant HYH (i.e. botulinum toxin candidates).…”

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confidence: 99%

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The Psychiatric Facet of Hyperhidrosis

Lessa

Luz

Rezende

et al. 2014

Journal of Psychiatric Practice

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We compared the sociodemographic and psychiatric features of treatment-seeking patients with (n=17) and without (n=29) primary hyperhidrosis (HYH) attending an outpatient dermatological clinic. Subjects were assessed with a structured clinical questionnaire, the Mini International Neuropsychiatric Interview, as well as the Screening for Abnormal Olfactory Experiences (to assess for symptoms of olfactory reference syndrome), the Obsessive-Compulsive Inventory-Revised, the Social Phobia Inventory, the Beck Depression and Anxiety Inventories, the Skindex-16 (a quality of life measure for patients with skin diseases), and the Sheehan Disability Scale. Patients with HYH were more frequently younger (p=0.003), unmarried (p=0.004), employed (p=0.019), more educated (p<0.0001), and better paid (p=0.001) than non-HYH patients. However, they also reported greater disabilities and impairments in work/school (p=0.05) and social life (p=0.014) domains, worse quality of life in emotional (p=0.003) and functioning (p>0.001) dimensions, and they had a greater frequency of comorbid social anxiety disorder (p=0.019). Conversely, non-HYH patients had greater severity of obsessive-compulsive neutralization symptoms (repeating compulsions, counting, and having lucky/unlucky numbers) (p=0.034). In conclusion, patients with HYH are characterized by differential sociodemographic and psychopathological characteristics, with major disability, marked impairment in quality of life, and increased rates of social anxiety disorder.

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“…Diseases such as depression and anxiety are not more prevalent in this group of patients [9, 10]. The described symptoms vary in difficulty depending on the body parts affected.…”

Section: Introductionmentioning

confidence: 99%

Hyperhidrosis – Sweating Sites Matter: Quality of Life in Primary Hyperhidrosis according to the Sweating Sites Measured by SF-36

Shayesteh¹,

Janlert²,

Nylander³

2017

Dermatology

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Background: Primary hyperhidrosis has negative impacts on quality of life. The aim of this study was to investigate whether the impacts of primary hyperhidrosis on quality of life are different depending on the localisation of the sweating. Method: We compiled background data, Hyperhidrosis Disease Severity Scale (HDSS), and Short-Form Health Survey (SF-36) post hoc results from 2 previous studies. Cases who described only 1 site as their most problematic area of sweating were included (n = 160/188) while individuals with multifocal primary sites of hyperhidrosis were excluded (n = 28/188). Results: Individuals included were 11–62 years old with a mean age of 30.2 ± 10.4 years, and axillary hyperhidrosis (65.6%) was the most common type of hyperhidrosis. Comorbidities were more common when hyperhidrosis was reported in other than the axillary, palmar, and plantar regions. Excluding comorbidities showed the lowest SF-36 mental component summary scores for axillary (41.6 ± 11.6), palmar (40.0 ± 9.4), and plantar hyperhidrosis (41.1 ± 13.7). The HDSS showed the highest proportion of severe cases in axillary (60.6%) and palmar (51.5%) hyperhidrosis (p < 0.01) while mild cases were more often observed in plantar (60%), facial (83.3%), and other sites (85.7%) in primary hyperhidrosis (p < 0.01). Conclusion: Our results indicate that impairments in quality of life can be different depending on the manifestation of primary hyperhidrosis on the body. This can have an influence on how patients with hyperhidrosis could be prioritised in health care. Subgroup samples affected by facial hyperhidrosis and other sites of primary hyperhidrosis were however small, and more research is required to verify our findings.

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The relationship of psychopathology and hyperhidrosis

Cited by 47 publications

References 12 publications

Hyperhidrosis and Anxiety: Chicken or Egg?

Hyperhidrosis and Anxiety: Chicken or Egg?

The Psychiatric Facet of Hyperhidrosis

Hyperhidrosis – Sweating Sites Matter: Quality of Life in Primary Hyperhidrosis according to the Sweating Sites Measured by SF-36

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