Akne Vulgaris Tanılı Hastalarda Psikolojik Acı, Rıminasyon ve Suicid ile Akne Şiddeti Arasındaki İlişkisi

Abstract

Amaç: Akne vulgaris intihar riskini önemli ölçüde artıran dermatolojik hastalıklar arasında yer almaktadır. 18-36 yaş arası akne vulgaris hastalarında intihar riski ile akne şiddeti, psikolojik acı ve özellikle brooding ruminasyon arasındaki ilişkiyi araştırmayı amaçladık. Gereç ve Yöntemler: Çalışmamız 103 akne vulgaris hastası ve 87 sağlıklı kontrol ile gerçekleştirildi. Çalışma verileri Sosyodemografik Veri Formu, Global Akne Skorlama Sistemi (GASS), İntihar Olasılığı Ölçeği (SPS), Psikolojik Ağrı Ölçeği (PPS), Ruminasyon Tepki Ölçeği-Kısa Form (RRS-SF) ve Beck Depresyon Envanteri ile toplanmıştır (BDI). Bulgular: Hasta grubunda kara kara düşünme, toplam SPS puanları ve Umutsuzluk, düşmanlık alt ölçek puan ortalamalarının istatistiksel olarak anlamlı derecede yüksek olduğu belirlendi (p değerleri; 0.035, 0.006, 0.032, 0.007). Hasta grubunda BDÖ puanı kontrol edildiğinde GASS ile ölçek puanları arasındaki korelasyonlar incelendiğinde, SPS umutsuzluk ve düşmanlık alt ölçek puanları ile toplam SPS puanı ile PPS ve kara kara düşünme puanları arasında pozitif yönde zayıf ilişkiler olduğu görüldü (p:0.003) ; r: 0.270), (p:0.014; r: 0.218), (p:0.010; r:0.229), (p:<0.001; r:0.389),(p:0.001, r:0.304), (p:0.010; r:0.229). Brooding ruminasyon, PPS ve GASS puanlarının, çoklu doğrusal regresyon modeli yapılandırılmış toplam SPS puanı tahminine anlamlı katkı sağladığı belirlendi. Sonuç: Dermatoloji kliniklerine başvuran akne hastalarının intihar riski yüksek olabileceğinden bu hastaların psikiyatri kliniği tarafından takip edilmesi önemlidir. Akne tedavisine ek olarak ruminatif düşünce ve psikolojik acıyı azaltmayı amaçlayan terapötik müdahaleler intihar riskinin azaltılmasına önemli ölçüde katkı sağlayabilir.

Keywords

• Akne vulgaris
• intihar
• psikolojik acı
• ruminasyon

THE RELATIONSHIP BETWEEN PSYCHOLOGICAL PAIN, RUMINATION AND SUICIDE AND ACNE SEVERITY IN ACNE VULGARIS PATIENTS

Abstract

Objective: Acne vulgaris is among dermatological diseases that increase suicide risk significantly. We aimed to investigate the relationship between suicide risk and acne severity, psychological pain, and especially brooding rumination in 18-36 year old acne vulgaris patients. Material and Methods: Our study was conducted with 103 acne vulgaris patients and 87 healthy controls. Study data were collected with a Socio-demographic Data Form, Global Acne Scoring System (GASS), Suicide Probability Scale (SPS), Psychological Pain Scale (PPS), Rumination Response Scale – Short Form (RRS-SF), and Beck Depression Inventory (BDI). Results: It was determined that median brooding rumination, total SPS scores and Hopelesness, hostility subscale scores were statistically significantly higher in the patient group (p values; 0.035, 0.006, 0.032, 0.007). In the patient group, the analysis of the correlations between the GASS and scale scores when the BDI score is controlled demonstrated that there were weak positive correlations between SPS despair and hostility subscale scores and total SPS score and PPS and brooding rumination scores (p: 0.003; r: 0.270), (p:0.014; r: 0.218), (p:0.010; r:0.229),(p:<0.001; r:0.389), (p:0.001, r: 0.304), (p:0.010; r:0.229). It was determined that brooding rumination, PPS and GASS scores contributed significantly to the multiple linear regression model structured estimate of the total SPS score. Conclusion: Since the suicidal risk of acne patients with acne who present to dermatology clinics could be high, it is important to follow up these patients with the psychiatry clinic, and in addition to acne treatment, therapeutic interventions that aim to reduce ruminative ideation and psychological pain could significantly contribute to the reduction of suicide risk.

Keywords

• Acne vulgaris
• suicide
• psychological pain
• rumination

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