Yıl: 2022 Cilt: 23 Sayı: 5 Sayfa Aralığı: 243 - 252 Metin Dili: İngilizce DOI: 10.5152/alphapsychiatry.2022.21699 İndeks Tarihi: 04-10-2022

Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus

Öz:
Background: This study aimed to investigate the personality traits, anxiety sensitivity (AS), anxiety, and depression levels in patients diagnosed with psychogenic pruritus (PP). Certain personality traits may come to the fore in psychosomatic disorders; these traits are thought to make the person vulnerable to psychosomatic diseases. This study aimed to investigate the personality traits, anxiety sensitivity (AS), anxiety, and depression levels in patients diagnosed with psychogenic pruritus (PP). Methods: Thirty-seven patients diagnosed with PP (patient group) and 21 healthy con- trols were included in the study. Sociodemographic Data Form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Anxiety Sensitivity Index-3 (ASI-3), and Eysenck Personality Questionnaire (EPQ) were administered to all participants. Results: Patients’ EPQ scores for the extraversion, neuroticism, psychoticism, and lie subdi- mensions and EPQ-total scores were significantly higher than those of the control group (P = .001; P < .001; P < .001; P = .008; P < .001, respectively). The total score of ASI-3 scale and the scores of all subdimensions (physical, cognitive, and social) were significantly higher in patients than in controls (P < .001). The BAI (26.8 ± 9.3) and BDI (24.2 ± 8.6) total scores of the patients were significantly higher than those of the control group (P < .001). Conclusions: According to EPQ, patients diagnosed with PP are extroverted, but also cold, distrustful, and aloof; show impulsive behavior; are anxious, depressed, and nervous; overly emotional; and prone to lying. Patients suffer more from anxiety, depressive symp- toms, and AS in physical, cognitive, and social subdimensions than healthy people. Our findings highlight the importance of psychiatric assessment in PP patients. In this context, we believe that PP deserves to be studied in a broad spectrum with its cognitive, behav- ioral, and social aspects.
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  • 1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed (DSM-5). Washington, DC: American Psychiatric Association; 2013.
  • 2. Koo JY, Lee CS. General approach to evaluating psychodermatological disorders. In: Psychocutaneous Medicine. CRC Press; Boca Raton; 2003: 17-28.
  • 3. Schneider G, Driesch G, Heuft G, Evers S, Luger TA, Ständer S. Psychoso- matic factors and psychiatric comorbidity in patients with chronic itch. Clin Exp Dermatol. 2006;31(6):762-767. [CrossRef]
  • 4. Altunay IK, Köşlü A. Psikojenik pruritus. Turk J Dermatol. 2008;2: 116-120.
  • 5. Misery L. Functional itch disorder or psychogenic pruritus. Dermatology. 2008;3(1):49-53. [CrossRef]
  • 6. Misery L. Pruriplastic itch—A novel pathogenic concept in chronic pru- ritus. Front Med. 2020;7:615118.
  • 7. Kini S, Chen KH, Chen SC. Personality traits and styles may affect the reporting of chronic pruritus: a cross-sectional study. Itch. 2018;3(4):e20. [CrossRef]
  • 8. Verhoeven EWM, De Klerk S, Kraaimaat FW, Van De Kerkhof PC, De Jong EM, Evers AW. Biopsychosocial mechanisms of chronic itch in patients with skin diseases: a review. Acta Derm Venereol. 2008;88(3): 211-218. [CrossRef]
  • 9. De Gucht V, Fischler B. Somatization: a critical review of conceptual and methodological issues. Psychosomatics. 2002;43(1):1-9. [CrossRef]
  • 10. Gupta MA, Gupta AK. Medically unexplained cutaneous sensory symp- toms may represent somatoform dissociation: an empirical study. J Psy- chosom Res. 2006;60(2):131-136. [CrossRef]
  • 11. Kim TS, Pae CU, Jeong JT, Kım SD, Chung KI, Lee C. Temperament and character dimensions in patients with atopic dermatititis. J Dermatol. 2006;33(1):10-15. [CrossRef]
  • 12. Ak M, Haciomeroglu B, Turan Y, et al. Temperament and character prop- erties of male psoriasis patients. J Health Psychol. 2012;17(5):774-781. [CrossRef]
  • 13. Mantar A, Yemez B, Alkın T. Anxiety sensitivity and its importance in psychiatric disorders. Turk Psikiyatri Derg. 2011;22(3):187-193.
  • 14. Tey HL, Wallengren J, Yosipovitch G. Psychosomatic factors in pruritus. Clin Dermatol. 2013;31(1):31-40. [CrossRef]
  • 15. Yalçın M. Evaluation of Childhood Trauma and Temperament and Charac- teristics in Dermatoses Caused by Self-Injury Due to Psychogenic Itching [Dissertation]. İstanbul: İstanbul University; 2013.
  • 16. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. Beck Depression Inventory (BDI). Arch Gen Psychiatry. 1961;4:561-571. [CrossRef]
  • 17. Hisli N. A reliability and validity study of Beck Depression Inventory in a university student sample. J Psychol. 1989;7:3-13.
  • 18. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clini- cal anxiety: psychometric properties. J Consul Clin Psychol. 1988;56(6): 893-897. [CrossRef]
  • 19. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inven- tory: psychometric Properties. J Cogn Psychother Int Q. 1998;12:163-172.
  • 20. Taylor S, Zvolensky MJ, Cox BJ, et al. Robust dimensions of anxiety sen- sitivity: development and initial validation of the Anxiety Sensitivity Index–3. Psychol Assess. 2007;19(2):176-188. [CrossRef]
  • 21. Mantar A, Yemez B, Alkın T. Anksiyete duyarlılık İndeksi-3 Türkçe geçer- lilik çalışması. Türk Psikiyatr Derg. 2010;21.
  • 22. Francis LJ, Brown LB, Philipchalk R. The development of an abbreviated form of the revised Eysenck Personality Questionnaire (EPQR-A): its use among students in England, Canada, the USA and Australia. Pers Individ Dif. 1992;13(4):443-449. [CrossRef]
  • 23. Karanci AN, Dirik G, Yorulmaz O. Reliability and validity studies of Turkish translation of Eysenck Personality Questionnaire revised-Abbreviated. Turk Psikiyatri Derg. 2007;18(3):254-261.
  • 24. Willemsen R, Roseeuw D, Vanderlinden J. Alexithymia and dermatology: the state of the art. Int J Dermatol. 2008;47(9):903-910. [CrossRef]
  • 25. Kiliç A, Güleç MY, Gül U, Güleç H. Temperament and character profile of patients with psoriasis. J Eur Acad Dermatol Venereol. 2008;22(5):537-542. [CrossRef]
  • 26. Remröd C, Sjöström K, Svensson Å. Pruritus in psoriasis: a study of per- sonality traits, depression and anxiety. Acta Derm Venereol. 2015;95(4): 439-443. [CrossRef]
  • 27. Bahmer JA, Kuhl J, Bahmer FA. How do personality systems interact in patients With psoriasis, atopic dermatitis and urticaria? Acta Derm Venereol. 2007;87(4):317-324. [CrossRef]
  • 28. Eysenck HJ, Eysenck SB. Manual of the Eysenck Personality Questionnaire (Adult and Junior). Hodder and Stoughton, London; 1975.
  • 29. Psouni EE. On psychological factors affecting reports of itch perception. In: Yosipovitch G, Greaves M, Fleischer A, McGlone F, eds. Itch: Basic Mechanisms and Therapy. New York, NY: Marcel Dekker; 2004:200-222.
  • 30. Verhoeven EWM, Kraaimaat FW, Duller P, van der Kerkhof PCM, Evers AWM. Cognitive, behavioral and physiological reactivity to itching: analogies to chronic pain. Int J Behav Med. 2006;13:237-243.
  • 31. Holle H, Warne K, Seth AK, Critchley HD, Ward J. Neural basis of conta- gious itch and why some people are more prone to it. Proc Natl Acad Sci U S A. 2012;109(48):19816-19821. [CrossRef]
  • 32. Strumila R, Lengvenytė A, Vainutienė V, Lesinskas E. The role of ques- tioning environment, personality traits, depressive and anxiety symp- toms in tinnitus severity perception. Psychiatr Q. 2017;88(4):865-877. [CrossRef]
  • 33. Schut C, Bosbach S, Gieler U, Kupfer J. Personality traits, depression and itch in patients with atopic dermatitis in an experimental setting: a regression analysis. Acta Derm Venereol. 2014;94(1):20-25. [CrossRef]
  • 34. Yosipovitch G, Mochizuki H. Neuroimaging of itch as a tool of assessment of chronic itch and its management. Handb Exp Pharmacol. 2015;226: 57-70. [CrossRef]
  • 35. Lee HG, Stull C, Yosipovitch G. Psychiatric disorders and pruritus. Clin Dermatol. 2017;35(3):273-280. [CrossRef]
  • 36. Fortune DG, Richards HL, Corrin A, Taylor RJ, Griffiths CE, Main CJ. Atten- tional bias for psoriasis-specific and psychosocial threat in patients with psoriasis. J Behav Med. 2003;26(3):211-224. [CrossRef]
  • 37. Jorm AF, Christensen H, Henderson AS, Jacomb PA, Korten AE, Rodgers B. Using the BIS/BAS scales to measure behavioral inhibition and behavio- ral activation: factor structure, validity and norms in a large community sample. Pers Individ Dif. 1999;26:49-58.
  • 38. Smillie LD, Bhairo Y, Gray J, et al. Personality and the bipolar spectrum: normative and classification data for the Eysenck Personality Question- naire-revised. Compr Psychiatry. 2009;50(1):48-53. [CrossRef]
  • 39. Chrostowska-Plak D, Reich A, Szepietowski JC. Relation-ship between itch and psychological status of patients with atopic dermatitis. J Eur Acad Dermatol Venereol. 2013;27(2):e239-e242. [CrossRef]
  • 40. Conrad R, Geiser F, Haidl G, Hutmacher M, Liedtke R, Wermter F. Relation- ship between anger and pruritus perception in patients with chronic idiopathic urticaria and psoriasis. J Eur Acad Dermatol Venereol. 2008; 22(9):1062-1069. [CrossRef]
  • 41. Dieris-Hirche J, Gieler U, Kupfer JP, Milch WE. Suicidal ideation, anxiety and depression in adult patients with atopic dermatitis. Hautarzt. 2009; 60(8):641-646. [CrossRef]
  • 42. Gustavsson JP, Weinryb RM, Göransson S, Pedersen NL, Åsberg M. Stabil- ity and predictive ability of personality traits across 9 years. Pers Individ Dif. 1997;22(6):783 -791. [CrossRef]
APA Kazğan Kılıçaslan A, Yildiz S, kurt o, Atmaca M (2022). Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. , 243 - 252. 10.5152/alphapsychiatry.2022.21699
Chicago Kazğan Kılıçaslan Aslı,Yildiz Sevler,kurt osman,Atmaca Murad Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. (2022): 243 - 252. 10.5152/alphapsychiatry.2022.21699
MLA Kazğan Kılıçaslan Aslı,Yildiz Sevler,kurt osman,Atmaca Murad Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. , 2022, ss.243 - 252. 10.5152/alphapsychiatry.2022.21699
AMA Kazğan Kılıçaslan A,Yildiz S,kurt o,Atmaca M Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. . 2022; 243 - 252. 10.5152/alphapsychiatry.2022.21699
Vancouver Kazğan Kılıçaslan A,Yildiz S,kurt o,Atmaca M Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. . 2022; 243 - 252. 10.5152/alphapsychiatry.2022.21699
IEEE Kazğan Kılıçaslan A,Yildiz S,kurt o,Atmaca M "Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus." , ss.243 - 252, 2022. 10.5152/alphapsychiatry.2022.21699
ISNAD Kazğan Kılıçaslan, Aslı vd. "Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus". (2022), 243-252. https://doi.org/10.5152/alphapsychiatry.2022.21699
APA Kazğan Kılıçaslan A, Yildiz S, kurt o, Atmaca M (2022). Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. Alpha psychiatry (Online), 23(5), 243 - 252. 10.5152/alphapsychiatry.2022.21699
Chicago Kazğan Kılıçaslan Aslı,Yildiz Sevler,kurt osman,Atmaca Murad Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. Alpha psychiatry (Online) 23, no.5 (2022): 243 - 252. 10.5152/alphapsychiatry.2022.21699
MLA Kazğan Kılıçaslan Aslı,Yildiz Sevler,kurt osman,Atmaca Murad Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. Alpha psychiatry (Online), vol.23, no.5, 2022, ss.243 - 252. 10.5152/alphapsychiatry.2022.21699
AMA Kazğan Kılıçaslan A,Yildiz S,kurt o,Atmaca M Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. Alpha psychiatry (Online). 2022; 23(5): 243 - 252. 10.5152/alphapsychiatry.2022.21699
Vancouver Kazğan Kılıçaslan A,Yildiz S,kurt o,Atmaca M Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus. Alpha psychiatry (Online). 2022; 23(5): 243 - 252. 10.5152/alphapsychiatry.2022.21699
IEEE Kazğan Kılıçaslan A,Yildiz S,kurt o,Atmaca M "Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus." Alpha psychiatry (Online), 23, ss.243 - 252, 2022. 10.5152/alphapsychiatry.2022.21699
ISNAD Kazğan Kılıçaslan, Aslı vd. "Personality Characteristics, Anxiety Sensitivity, Anxiety, and Depression Levels on Patients Diagnosed with Psychogenic Pruritus". Alpha psychiatry (Online) 23/5 (2022), 243-252. https://doi.org/10.5152/alphapsychiatry.2022.21699