Psychiatric comorbidity and temperament‐character traits of the patients with lichen simplex chronicus: The relation with the symptom severity of the disease
The aim of this study is to evaluate psychiatric comorbidity, temperament and character traits, depression and anxiety levels, and their relation with symptom severity in patients with lichen simplex chronicus (LSC). About 50 patients with LSC were enrolled in the study along with 49 controls. The S...
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Published in | Dermatologic therapy Vol. 33; no. 6; pp. e14389 - n/a |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Hoboken, USA
John Wiley & Sons, Inc
01.11.2020
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Subjects | |
Online Access | Get full text |
ISSN | 1396-0296 1529-8019 1529-8019 |
DOI | 10.1111/dth.14389 |
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Abstract | The aim of this study is to evaluate psychiatric comorbidity, temperament and character traits, depression and anxiety levels, and their relation with symptom severity in patients with lichen simplex chronicus (LSC). About 50 patients with LSC were enrolled in the study along with 49 controls. The Structured Clinical Interview for DSM‐5 (SCID‐5), Temperament and Character Inventory (TCI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were administered to all subjects for psychiatric assessment. Skindex‐16 symptom scale was performed for assessing the symptom severity of LSC. LSC group were showing an incidence of 62% in terms of psychiatric comorbidity and 14% of them had two psychiatric diagnoses. The most common psychiatric disorders were major depressive disorder (32%), dysthymia (18%), and generalized anxiety disorder (12%). LSC group had significantly higher mean BDI (18.60 ± 11.77 vs 7.40 ± 4.90) and BAI scores (18.56 ± 13.75 vs 5.18 ± 5.34) than the control group. Patients with LSC displayed higher scores in Harm Avoidance Dimension (19.74 ± 5.18 vs 15.00 ± 5.13) of temperament and regarding character dimensions, they had lower scores in self‐directedness (25.52 ± 6.69 vs 29.51 ± 5.54). When analysis of covariance (ANCOVA) was performed while BDI and BAI scores were taken as covariates cooperativeness became significantly higher in the LSC group. Patients with LSC had a high incidence of psychiatric comorbidity, significantly higher depression and anxiety levels, and differed from control group in terms of TCI profile and these conditions were related to symptom severity of the LSC. Comorbid psychiatric conditions and personality traits should be considered as crucial factors for the effective treatment of LSC. |
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AbstractList | The aim of this study is to evaluate psychiatric comorbidity, temperament and character traits, depression and anxiety levels, and their relation with symptom severity in patients with lichen simplex chronicus (LSC). About 50 patients with LSC were enrolled in the study along with 49 controls. The Structured Clinical Interview for DSM-5 (SCID-5), Temperament and Character Inventory (TCI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were administered to all subjects for psychiatric assessment. Skindex-16 symptom scale was performed for assessing the symptom severity of LSC. LSC group were showing an incidence of 62% in terms of psychiatric comorbidity and 14% of them had two psychiatric diagnoses. The most common psychiatric disorders were major depressive disorder (32%), dysthymia (18%), and generalized anxiety disorder (12%). LSC group had significantly higher mean BDI (18.60 ± 11.77 vs 7.40 ± 4.90) and BAI scores (18.56 ± 13.75 vs 5.18 ± 5.34) than the control group. Patients with LSC displayed higher scores in Harm Avoidance Dimension (19.74 ± 5.18 vs 15.00 ± 5.13) of temperament and regarding character dimensions, they had lower scores in self-directedness (25.52 ± 6.69 vs 29.51 ± 5.54). When analysis of covariance (ANCOVA) was performed while BDI and BAI scores were taken as covariates cooperativeness became significantly higher in the LSC group. Patients with LSC had a high incidence of psychiatric comorbidity, significantly higher depression and anxiety levels, and differed from control group in terms of TCI profile and these conditions were related to symptom severity of the LSC. Comorbid psychiatric conditions and personality traits should be considered as crucial factors for the effective treatment of LSC.The aim of this study is to evaluate psychiatric comorbidity, temperament and character traits, depression and anxiety levels, and their relation with symptom severity in patients with lichen simplex chronicus (LSC). About 50 patients with LSC were enrolled in the study along with 49 controls. The Structured Clinical Interview for DSM-5 (SCID-5), Temperament and Character Inventory (TCI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were administered to all subjects for psychiatric assessment. Skindex-16 symptom scale was performed for assessing the symptom severity of LSC. LSC group were showing an incidence of 62% in terms of psychiatric comorbidity and 14% of them had two psychiatric diagnoses. The most common psychiatric disorders were major depressive disorder (32%), dysthymia (18%), and generalized anxiety disorder (12%). LSC group had significantly higher mean BDI (18.60 ± 11.77 vs 7.40 ± 4.90) and BAI scores (18.56 ± 13.75 vs 5.18 ± 5.34) than the control group. Patients with LSC displayed higher scores in Harm Avoidance Dimension (19.74 ± 5.18 vs 15.00 ± 5.13) of temperament and regarding character dimensions, they had lower scores in self-directedness (25.52 ± 6.69 vs 29.51 ± 5.54). When analysis of covariance (ANCOVA) was performed while BDI and BAI scores were taken as covariates cooperativeness became significantly higher in the LSC group. Patients with LSC had a high incidence of psychiatric comorbidity, significantly higher depression and anxiety levels, and differed from control group in terms of TCI profile and these conditions were related to symptom severity of the LSC. Comorbid psychiatric conditions and personality traits should be considered as crucial factors for the effective treatment of LSC. The aim of this study is to evaluate psychiatric comorbidity, temperament and character traits, depression and anxiety levels, and their relation with symptom severity in patients with lichen simplex chronicus (LSC). About 50 patients with LSC were enrolled in the study along with 49 controls. The Structured Clinical Interview for DSM-5 (SCID-5), Temperament and Character Inventory (TCI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were administered to all subjects for psychiatric assessment. Skindex-16 symptom scale was performed for assessing the symptom severity of LSC. LSC group were showing an incidence of 62% in terms of psychiatric comorbidity and 14% of them had two psychiatric diagnoses. The most common psychiatric disorders were major depressive disorder (32%), dysthymia (18%), and generalized anxiety disorder (12%). LSC group had significantly higher mean BDI (18.60 ± 11.77 vs 7.40 ± 4.90) and BAI scores (18.56 ± 13.75 vs 5.18 ± 5.34) than the control group. Patients with LSC displayed higher scores in Harm Avoidance Dimension (19.74 ± 5.18 vs 15.00 ± 5.13) of temperament and regarding character dimensions, they had lower scores in self-directedness (25.52 ± 6.69 vs 29.51 ± 5.54). When analysis of covariance (ANCOVA) was performed while BDI and BAI scores were taken as covariates cooperativeness became significantly higher in the LSC group. Patients with LSC had a high incidence of psychiatric comorbidity, significantly higher depression and anxiety levels, and differed from control group in terms of TCI profile and these conditions were related to symptom severity of the LSC. Comorbid psychiatric conditions and personality traits should be considered as crucial factors for the effective treatment of LSC. |
Author | Yalçın, Murat Baş, Alper Ergelen, Mine Usta Sağlam, Nazife Gamze Öcek Baş, Tuba Gıynaş, Fikret Ferzan Gökçe, Elif |
Author_xml | – sequence: 1 givenname: Murat orcidid: 0000-0002-1129-8960 surname: Yalçın fullname: Yalçın, Murat email: muratyalcin@gmail.com organization: Erenköy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry – sequence: 2 givenname: Alper surname: Baş fullname: Baş, Alper organization: Erenköy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry – sequence: 3 givenname: Mine surname: Ergelen fullname: Ergelen, Mine organization: Erenköy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry – sequence: 4 givenname: Elif surname: Gökçe fullname: Gökçe, Elif organization: Istanbul Kartal Lutfi Kirdar Training and Research Hospital, Dermatology – sequence: 5 givenname: Nazife Gamze surname: Usta Sağlam fullname: Usta Sağlam, Nazife Gamze organization: Erenköy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry – sequence: 6 givenname: Tuba surname: Öcek Baş fullname: Öcek Baş, Tuba organization: Erenköy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry – sequence: 7 givenname: Fikret Ferzan surname: Gıynaş fullname: Gıynaş, Fikret Ferzan organization: Erenköy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33034929$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1002_ski2_211 crossref_primary_10_1111_dth_14752 crossref_primary_10_1111_jdv_20618 crossref_primary_10_1016_j_abd_2021_04_011 crossref_primary_10_1016_j_piel_2023_08_004 |
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Keywords | lichen simplex chronicus neurodermatitis temperament-character psychocutaneous disorders psychiatric comorbidity |
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SubjectTerms | Character Comorbidity Depressive Disorder, Major Humans lichen simplex chronicus neurodermatitis Neurodermatitis - diagnosis Neurodermatitis - epidemiology psychiatric comorbidity psychocutaneous disorders Temperament temperament‐character |
Title | Psychiatric comorbidity and temperament‐character traits of the patients with lichen simplex chronicus: The relation with the symptom severity of the disease |
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