Relationship between adverse childhood experiences, close relations and emotion regulation: Chronic idiopathic urticaria patients

Year 2021, Volume: 8 Issue: 1, 54 - 63, 01.03.2021

Kübra Ünal , İlknur Altunay , Fatma Mercan , Yasemin Erdem

Abstract

Objective: Urticaria is a very common disease in the community and its etiology is still unclear. It is considered in a psychodermatological and psychosomatic disease category because it is in close relationship with emotional factors. In this study, the relationship between chronic idiopathic urticaria and some psychological conditions will be evaluated.
Method: This study was carried out on 80 chronic idiopathic urticaria patients and 80 control group volunteers who applied to a dermatology clinic. Information and consent form from the participants and questionnaires prepared by the researcher were applied to the patient and control groups.
Results: There was no significant difference between the chronic urticaria patient group and the control group in terms of scale and sub-dimensions. Depression, anxiety, negative ego and somatization were statistically significant and high in women compared to men.
Conclusion: Organic, psychological and social factors are involved in the formation and development of skin diseases evaluated in the psychosomatic category.

Keywords

Chronic Idiopathic Urticaria, Emotion Regulation, , Relationship Scales Questionnare (RSQ), Adverse Childhood Experiences (ACEs)

Çocukluk çağı olumsuz yaşantı, yakın ilişkiler ve duygu regülasyonu arasındaki ilişki: Kronik idiyopatik ürtiker hasta grubu

Abstract

Amaç: Ürtiker toplumda çok sık karşılaşılan bir hastalık olup etiyolojisi halen netleşmemiştir. Emosyonel faktörlerle sıkı ilişki içerisinde olması nedeniyle psikodermatolojik, psikosomatik bir hastalık kategorisinde değerlendirilmektedir. Bu çalışmada kronik idiyopatik ürtiker ile bazı psikolojik etkenler arasındaki ilişki değerlendirilecektir.
Yöntem: Bu çalışma bir dermatoloji kliniği’ne başvuran 80 kronik idiyopatik ürtiker hastası ve 80 kişilik kontrol grubu gönüllüsü üzerinde gerçekleştirilmiştir. Hasta ve kontrol grubuna katılımcılardan bilgilendirme ve onam formu, araştırmacı tarafından hazırlanan soru formları uygulanmıştır.
Bulgular: Kronik ürtiker hasta grubu ile kontrol grubunun ölçek ve alt boyutları açısından karşılaştırılmasında gruplar arasında anlamlı farklılık bulunamamıştır. Hasta grubunda kadınlarda erkeklere kıyasla, depresyon, anksiyete, olumsuz benlik ve somatizasyon istatistiksel olarak anlamlı ve yüksek bulunmuştur.
Sonuç: Psikosomatik kategorisinde değerlendirilen deri hastalıklarının oluşumunda, gelişiminde fiziksel, psikolojik ve sosyal faktörler önemli bir yere sahiptir.

Keywords

Kronik İdiyopatik Ürtiker, Duygu Düzenleme, Yakın İlişki, Çocukluk Çağı Olumsuz Yaşantı

References

• Brüske I, Standl M, Weidinger S ve diğ. (2014) Epidemiology of urticaria in infants and young children in Germany--results from the German LISAplus and GINIplus Birth Cohort Studies. Pediatr Allergy Immunol, 25:36–42.
• Lee, S. J., Ha, E. K., Jee, H. Ve diğ (2017). Prevalence and risk factors of urticaria with a focus on chronic urticaria in children. Allergy, Asthma & Immunology Research, 9(3),212-219.
• Jafferany, M., & Franca, K. (2016). Psychodermatology: basics concepts. Acta dermato-venereologica, 96(217),35-37.
• França, K., Castillo, D. E., Roccia, M. G., ve diğ (2017). Psychoneurocutaneous medicine: past, present and future. Wiener Medizinische Wochenschrift, 167(1), 31-36.
• Mulligan, A., & Lavender, T. (2010). An investigation into the relationship between attachment, gender and recovery from psychosis in a stable community‐based sample. Clinical Psychology & Psychotherapy, 17(4),269-284.
• Jones, J. D., Fraley, R. C., Ehrlich, K. B. ve diğ (2018). Stability of Attachment Style in Adolescence: An Empirical Test of Alternative Developmental Processes. Child development, 89(3),871-880.
• Thompson, R. A., Waters, S. F., Beauchaine, T. P. ve diğ (2020). Development of emotion dysregulation in developing relationships. The Oxford Handbook of Emotion Dysregulation içinde (s.99) Oxford University Press.
• Zilverstand, A., Parvaz, M. A., & Goldstein, R. Z. (2017). Neuroimaging Cognitive Reappraisal in Clinical Populations to Define Neural Targets for Enhancing Emotion Regulation. A systematic review. Neuroimage, 151,105-116.
• Kalmakis, K.A. ve Chandler, G.E. (2014). Adverse childhood experiences: towards a clear conceptual meaning. Journal of advanced nursing, 70(7), 1489-1501.
• Hunt, T.K., Slack, K.S. ve Berger, L.M. (2017). Adverse childhood experiences and behavioral problems in middle childhood. Child abuse ve neglect, 67, 391-402.
• Wolfe D. A., Scott K., Wekerle C., Pitman, A. L. (2001). Child maltreatment: Risk of adjustment problems and dating violence in adolescence. Journal of the American Academy of Child ve Adolescent Psychiatry. 40(3) : 282-289.
• Gündüz, A., Yaşar, B., Gündoğmuş, İ., Savran, C. ve Konuk, E. (2018). Çocukluk Çağı Olumsuz Yaşantılar Ölçeği Türkçe Formunun Geçerlilik ve Güvenilirlik Çalışması. Anatolian Journal of Psychiatry, 19: 68-75.
• Sümer, N., Güngör, D. (1999). Yetişkin Bağlanma Stilleri Ölçeklerinin Türk Örneklemi Üzerinde Psikometrik Değerlendirmesi ve Kültürlerarası bir Karşılaştırma. Türk Psikoloji Dergisi, 14(43), 71-106.
• Yiğit, İ. ve Yiğit, G.M. (2017). Psychometric properties of Turkish version of Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). Current Psychology, 1-9.
• Şahin, N.H. ve Durak, A. (1994). Kısa Semptom Envanteri: Türk gençleri için uyarlanması. Türk Psikoloji Dergisi, 9 (31) : 44-56.
• Zuberbier, T., Maurer, M. (2007). Urticaria Current opinions about etiology, diagnosis and therapy. Acta Derm Venereol. 87: 196-205.
• Badoux, A., Levy, D.A. (1994). Psychological symptoms in asthma and chronic urticara. Ann Allergy, 72 (Suppl 3), 229-234.
• McKenzie, C. ve Silverberg, J.I. (2020). Association of Adverse Childhood Experiences With Childhood Atopic Dermatitis in the United States. Dermatitis, 31(2), 147-152.
• Zhang, X.J., Wang, A.P., Shi, T. Y., Zhang, J., Xu, H., Wang, D.Q. ve Feng, L. (2019). The psychosocial adaptation of patients with skin disease: a scoping review. BMC public health, 19(1), 1404.
• Baiardini, I., Braido, F. ve Canonica, G.W. (2010). Impact of Urticaria: QOL and Performance. In Urticaria and Angioedema (pp. 33-36). Springer, Berlin, Heidelberg.
• Michaelsson, G. (1969). Chronic urticeria. Acta Dermatol Venereol, 49:404-416.
• Champion, R.H., Roberts, S.O., Carpenter, R.G. ve diğ. (1969). Urticaria and angio-oedema: a review of 554 patients. Br J Dermatol, 81:588-597.
• Janković, S., Raznatović, M., Marinković, J., Maksimović, N., Janković, J. ve Djikanović, B. (2009). Relevance of psychosomatic factors in psoriasis: a case-control study. Acta dermato-venereologica, 89(4), 364-368.
• Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal relationships, 7(2), 147-178.
• Demirci, O.O., Ates, B., Sagaltici, E., Ocak, Z.G. ve Altunay, I.K. (2020). Association of the attachment styles with depression, anxiety, and quality of life in patients with psoriasis. Dermatologica Sinica, 38(2), 81.
• Szabó, C., Altmayer, A., Lien, L., Poot, F., Gieler, U., Tomas-Aragones, L. ve Sampogna, F. (2017). Attachment styles of dermatological patients in europe: A multi-centre study in 13 countries. Acta dermato-venereologica, 97(6-7), 813-818
• Berrino, A.M., Voltolini, S., Fiaschi, D., Pellegrini, S., Bignardi, D., Minale, P., ve Maura, E. (2006). Chronic urticaria: importance of a medical-psychological approach. European annals of allergy and clinical immunology, 38(5), 149-152.
• Arndt, J., Smith, N. ve Tausk, F. (2008). Stress and atopic dermatitis. Current allergy and asthma reports, 8(4), 312-317.
• Hashiro, M., Okumura, M. (1994) Anxiety, depression, psychosomatic symptoms and autonomic nervous function in patients with chronic urticaria. J Dermatol Sci, 8:129-135.
• Gupta, M.A., Gupta, A.K., Schork, N.J. ve Ellis, C.N. (1994). Depression modulates pruritus perception: a study of pruritus in psoriasis, atopic dermatitis, and chronic idiopathic urticaria. Psychosomatic Medicine.
• Barbosa, F., Freitas, J. ve Barbosa, A. (2011a). Chronic Idiopathic Urticaria and Anxiety Symptoms. Journal of Health Psychology, 16(7), 1038-1047.
• Guerra-Tapia, A., Asensio Martinez, A. ve Garcia Campayo, J. (2015). The emotional impact of skin diseases. Actas Dermosifiliogr, 106(9), 699-702.
• Buffet, M. (2003). Management of psychologic factors in chronic urticaria. When and how?. In Annales de dermatologie et de venereologie (Vol. 130, pp. 1S145-59).
• Richards, H.L., Fortune, D.G., Griffiths, C.E. ve Main, C.J. (2001). The contribution of perceptions of stigmatisation to disability in patients with psoriasis. Journal of psychosomatic research, 50(1), 11-15.
• Kökçam, İ. ve Dilek, N. (2010). Dermatoloji Kliniğinde Tedavi Gören Hastalar İçin İstenen Psikiyatri Konsültasyonları. Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi. Cilt 24, Sayı 1, 021-024.
• Engin, B., Uguz, F., Yilmaz, E., Özdemir, M. ve Mevlitoglu, I. (2008). The levels of depression, anxiety and quality of life in patients with chronic idiopathic urticaria. Journal of the European Academy of Dermatology and Venereology, 22(1), 36-40.
• Martin, J. B. ve Pihl, R. (1985). The stress–alexithymia hypothesis: Theoretical and empirical considerations. Psychotherapy and Psychosomatics, 43(4) :169-176.
• Waller, E. ve Scheidt, C.E. (2006). Somatoform disorders as disorders of affect regulation: A development perspective. International Review of Psychiatry, 18(1) :13-24.