Perceived stress level and methods of coping with stress in patients with chronic itching
Yıl: 2021 Cilt: 12 Sayı: 4 Sayfa Aralığı: 333 - 340 Metin Dili: İngilizce DOI: 10.14744/phd.2021.97752 İndeks Tarihi: 01-06-2022
Perceived stress level and methods of coping with stress in patients with chronic itching
Öz: Objectives: This study was conducted to evaluate the stress level and coping methods of patients with a chronic itching problem.
Methods: The research was carried out with patients who presented at the dermatology outpatient clinics of Yozgat Bozok University Research and Application Hospital, Yozgat State Hospital, and Sorgun State Hospital with a chronic itching complaint. The sample consisted of 125 patients. The data were collected using a patient information form, and scores of a visual analogue scale (VAS), the Perceived Stress Scale (PSS), and the Coping Style Scale (CSS).
Results: The mean duration of an itching problem was 27.11±49.74 months and the mean itching severity based on the VAS score was 6.52±2.05. The mean PSS score was 29.71±7.2 (min-max: 14-47), which was greater than the median possible score. Female patients with severe itching (VAS ≥7) had a higher mean PSS score. A passive approach was seen more often in patients who had experienced excessive itching for 4-6 years. Patients who reported itching in the
evening used the coping style of seeking social support more than other groups. A weak positive correlation was seen between the PSS score and a passive coping style, and between the PSS score and seeking social support. A weak positive correlation was also found between patient age and an optimistic approach. A weak negative correlation between the duration of itching and a self-confident approach and seeking social support was also recorded. Finally, a weak
negative correlation was found between the duration of illness and seeking social support.
Conclusion: It was observed that as the stress level of the patients increased, they more often used passive methods to cope with stress. Nursing management of patients with chronic itching and a high stress level should include appropriate methods to increase the use of active coping methods.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Kiliç Akça N, Taşci S. An ımportant problem among hemodialysis patients: Uremic pruritus and affecting factors. Turkish J Nephrol 2014;23:210–6.
- 2. Steinhoff M, Bienenstock J, Schmelz M, Maurer M, Wei E, Bíró T. Neurophysiological, neuroimmunological, and neuroendocrine basis of pruritus. J Invest Dermatol 2006;126:1705–18.
- 3. Alpsoy E. Paraneoplastic pruritus and paraneoplastic erythroderma. Turkderm 2013;47;65–8. [Turkish]
- 4. Van Os‐Medendorp H, Ros W, Kok P, Kennedy C, Thio BH, Van Der Schuur-van Der Zande A, et al. Effectiveness of the nursing programme 'Coping with itch': A randomized controlled study in adults with chronic pruritic skin disease. Br J Dermatol 2007;156:1235–44.
- 5. Matterne U, Apfelbacher C, Loerbroks A, Schwarzer T, Büttner M, Ofenloch R, et al. Prevalence, correlates and characteristics of chronic pruritus: A population-based cross-sectional study. Acta Derm Venereol 2011;91:674–9.
- 6. Callahan S, Lio P. Current therapies and approaches to the treatment of chronic itch. CML – Dermatology 2012;17:29–40.
- 7. Weisshaar E, Dalgard F. Epidemiology of itch: Adding to the burden of skin morbidity. Acta Derm Venereol 2009;89:339– 50.
- 8. Golpanian RS, Kim HS, Yosipovitch G. Effects of stress on ıtch. Clin Ther 2020;42:745–56.
- 9. Tey HL, Wallengren J, Yosipovitch G. Psychosomatic factors in pruritus. Clin Dermatol 2013;31:31–40.
- 10. Schut C, Weik U, Tews N, Gieler U, Deinzer R, Kupfer J. Psychophysiological effects of stress management in patients with atopic dermatitis: A randomized controlled trial. Acta Derm Venereol 2013;93:57–61.
- 11. Kim HS, Yosipovitch G. An aberrant parasympathetic response: A new perspective linking chronic stress and itch. Exp Dermatol 2013;22:239–44.
- 12. Grandgeorge M, Misery L. Mediators of the relationship between stress and itch. Exp Dermatol 2015;24:334–5.
- 13. Dalgard F, Svensson A, Sundby J, Dalgard OS. Self-reported skin morbidity and mental health. A population survey among adults in a Norwegian city. Br J Dermatol 2005;153:145–9.
- 14. Cowdell F. Care and management of patients with pruritus. Nurs Older People 2009;21:35–41.
- 15. Schut C, Mollanazar NK, Kupfer J, Gieler U, Yosipovitch G. Psychological interventions in the treatment of chronic itch. Acta Derm Venereol 2016;96:157–61.
- 16. Dalgard F, Stern R, Lien L, Hauser S. Itch, stress and self-efficacy among 18 year old boys and girls: A Norwegian population-based cross-sectional study. Acta Derm Venereol 2012:92:547–52.
- 17. Yaremkevich, RR. Psychological patterns for stress release in dermatological patients with chronic itch syndrome. J Educ Health Sport 2019;9:627–34.
- 18. Michelle LW, Yan L, Soon-Leong AT, Liang TH. Effectiveness of a multidisciplinary itch clinic in the management of chronic pruritus. Indian J Dermatol 2015;60:218.
- 19. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45–56.
- 20. Kiliç Akça N, Taşçi S, Karataş N. Effect of acupressure on patients in Turkey receiving hemodialysis treatment for uremic pruritus. Altern Ther Health Med 2013;19:12–8.
- 21. Narita I, Iguchi S, Omori K, Gejyo F. Uremic pruritus in chronic hemodialysis patients. J Nephrol 2008;21:161–5.
- 22. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983;24:385–96.
- 23. Eskin M, Harlak H, Demirkiran F, Dereboy Ç. The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. New Symposium J 2013;51:132–40. [Turkish]
- 24. Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav 1980;21:219–39.
- 25. Şahin NH, Durak A. Stresle başa çıkma tarzları ölçeği: Üniversite öğrencileri için uyarlanması. Türk Psikolojisi Dergisi 1995;10:56–73. [Turkish]
- 26. Ograczyk-Piotrowska A, Gerlicz-Kowalczuk Z, Pietrzak A, Zalewska-Janowska A. Stress, itch and quality of life in chronic urticaria females. Adv Dermatol Allergol 2018;35:156–60.
- 27. Ograczyk-Piotrowska A, Malec J, Miniszewska J, Zalewska-Janowska A. Psychological aspects of atopic dermatitis and contact dermatitis: Stress coping strategies and stigmatization. Post Dermatol Allergol 2012;29:14–8.
- 28. Schut C, Weik U, Tews N, Gieler U, Deinzer R, Kupfer J. Coping as mediator of the relationship between stress and itch in patients with atopic dermatitis: A regression and mediation analysis. Exp Dermatol 2015;24:148–50.
- 29. Misery L, Touboul S, Vinçot C, Dutray S, Rolland-Jacob G, Consoli SG, et al. Stress and seborrheic dermatitis. Ann Dermatol Venereol 2007;134:833–7.
- 30. Kaneko S, Sumikawa Y, Murota H, Tabara M, Katayama I, Morita E. Trends of stress and stress coping in patients with atopic dermatitis: Analysis using the brief coping orientation to problems experienced inventory. J Cutan Immunol Allergy 2020;3:4–9.
- 31. Jafferany M, Davari ME. Itch and psyche: Psychiatric aspects of pruritus. Int J Dermatol 2019;58:3–23.
- 32. Globe D, Bayliss MS, Harrison DJ. The impact of itch symptoms in psoriasis: Results from physician interviews and patient focus groups. Health Qual Life Outcomes 2009;7:62.
- 33. Pereira MP, Ständer S. Chronic pruritus: Current and emerging treatment options. Drugs 2017;77:999–1007.
- 34. Lavda AC, Webb TL, Thompson AR. A meta-analysis of the effectiveness of psychological interventions for adults with skin conditions. Br J Dermatol 2012;167:970–9.
- 35. Altunay IK, Atis G, Esen K, Kucukunal A. Impact of functional pruritus compared with mild psoriasis on quality of life: A cross-sectional questionnaire study in Turkey. Am J Clin Dermatol 2014;15:365–70.
- 36. Eraslan M, Karafil A, Atay E. Evaluation of strategies for managing stress among muay thai sportsmen participating in intervarsity sports competitions. J New Results Sci 2017;14:2915– 24. [Turkish]
- 37. Çakirca G, Manav V, Çelik H, Saraçoglu G, Yetkin EN. Effects of anxiety and depression symptoms on oxidative stress in patients with alopecia areata. Adv Dermatol Allergol 2020;37:412–6.
- 38. Reszke R, Bialynicki-Birula R, Lindner K, Sobieszczańska M, Szepietowski J. Itch in elderly people: A cross-sectional study. Acta Derm Venereol 2019;99:1016–21.
- 39. Van Os‐Medendorp H, Eland‐de Kok P, Grypdonck M, Bruijnzeel‐Koomen C, Ros WJG. Prevalence and predictors of psychosocial morbidity in patients with chronic pruritic skin diseases. J Eur Acad Dermatol Venereol 2006;20:810–7.
| APA | YABACI S, Arslan D, KILIÇ AKÇA N (2021). Perceived stress level and methods of coping with stress in patients with chronic itching. , 333 - 340. 10.14744/phd.2021.97752 |
| Chicago | YABACI Sema,Arslan Dilek,KILIÇ AKÇA Nazan Perceived stress level and methods of coping with stress in patients with chronic itching. (2021): 333 - 340. 10.14744/phd.2021.97752 |
| MLA | YABACI Sema,Arslan Dilek,KILIÇ AKÇA Nazan Perceived stress level and methods of coping with stress in patients with chronic itching. , 2021, ss.333 - 340. 10.14744/phd.2021.97752 |
| AMA | YABACI S,Arslan D,KILIÇ AKÇA N Perceived stress level and methods of coping with stress in patients with chronic itching. . 2021; 333 - 340. 10.14744/phd.2021.97752 |
| Vancouver | YABACI S,Arslan D,KILIÇ AKÇA N Perceived stress level and methods of coping with stress in patients with chronic itching. . 2021; 333 - 340. 10.14744/phd.2021.97752 |
| IEEE | YABACI S,Arslan D,KILIÇ AKÇA N "Perceived stress level and methods of coping with stress in patients with chronic itching." , ss.333 - 340, 2021. 10.14744/phd.2021.97752 |
| ISNAD | YABACI, Sema vd. "Perceived stress level and methods of coping with stress in patients with chronic itching". (2021), 333-340. https://doi.org/10.14744/phd.2021.97752 |
| APA | YABACI S, Arslan D, KILIÇ AKÇA N (2021). Perceived stress level and methods of coping with stress in patients with chronic itching. Psikiyatri Hemşireliği Dergisi, 12(4), 333 - 340. 10.14744/phd.2021.97752 |
| Chicago | YABACI Sema,Arslan Dilek,KILIÇ AKÇA Nazan Perceived stress level and methods of coping with stress in patients with chronic itching. Psikiyatri Hemşireliği Dergisi 12, no.4 (2021): 333 - 340. 10.14744/phd.2021.97752 |
| MLA | YABACI Sema,Arslan Dilek,KILIÇ AKÇA Nazan Perceived stress level and methods of coping with stress in patients with chronic itching. Psikiyatri Hemşireliği Dergisi, vol.12, no.4, 2021, ss.333 - 340. 10.14744/phd.2021.97752 |
| AMA | YABACI S,Arslan D,KILIÇ AKÇA N Perceived stress level and methods of coping with stress in patients with chronic itching. Psikiyatri Hemşireliği Dergisi. 2021; 12(4): 333 - 340. 10.14744/phd.2021.97752 |
| Vancouver | YABACI S,Arslan D,KILIÇ AKÇA N Perceived stress level and methods of coping with stress in patients with chronic itching. Psikiyatri Hemşireliği Dergisi. 2021; 12(4): 333 - 340. 10.14744/phd.2021.97752 |
| IEEE | YABACI S,Arslan D,KILIÇ AKÇA N "Perceived stress level and methods of coping with stress in patients with chronic itching." Psikiyatri Hemşireliği Dergisi, 12, ss.333 - 340, 2021. 10.14744/phd.2021.97752 |
| ISNAD | YABACI, Sema vd. "Perceived stress level and methods of coping with stress in patients with chronic itching". Psikiyatri Hemşireliği Dergisi 12/4 (2021), 333-340. https://doi.org/10.14744/phd.2021.97752 |
