Psöriazis Hastalarında Aleksitimi Düzeyleri ve Yüzden Duygu İfadesi Tanıma Becerileri

Öz

Bu çalışmanın amacı, psöriazis tanısı alan hastalarda aleksitimi düzeylerini ve yüzden duyguları tanıma becerilerini sağlıklı kontrollerle karşılaştırmak ve bu belirtilerin klinik önemini araştırmaktır. Dermato-loji polikliniğinde psöriazis tanısı konan 60 hastaya, yaş, eğitim ve cinsiyet olarak eşleştirilmiş 65 sağlıklı kontrole Psöriazis Alan Şiddet İndeksi (PAŞİ), psikiyatri servisinde DSM-IV eksen-1 için yapılandırılmış klinik görüşme formu, Toronto Aleksitimi Ölçeği (TAÖ), Yüzden Duygu İfadesi Tanıma Testi uygulandı. Psöriazis hastalarının TAÖ toplam ve altölçek puanlarında anlamlı bir yükseklik saptanırken, yüz ifadele-rinin büyük kısmını tanıma becerilerinin kontrol grubuna göre daha düşük bulundu. Depresyon ve anksiyete skorlarının da iki grupta benzer olmasından hareketle, hastaların muhtemelen depresyondan ve anksiyeteden korunmak amacıyla zaman içinde özellikle olumsuz duygulara yönelik bir kayıtsızlık geliştirmiş olabilecekleri değerlendirildi. Psöriazis hastalarının aleksitimi seviyeleri ile hastalık şiddeti arasında da anlamlı ilişki olduğu saptandı. Aleksitiminin psoriasis şiddetinin belirleyicilerinden biri olabileceği düşünüldü.

Anahtar Kelimeler

• psöriazis,aleksitimi,yüzden duygu ifadesi tanıma,depresyon,anksiyete

Alexithymia Levels and Facial Emotion Recognition Skills in Psoriasis Patients

Öz

The purpose of this study was to examine alexithymia levels and abilities to recognize facial emotions among psoriasis patients and compare with healthy controls. Sixty psoriasis patients diagnosed in dermatology clinics, and 65 age, sex and educationally matched healthy controls were assessed for this randomized controlled trial. Psoriasis Area Severity Index (PASI) was applied to patients in dermatology clinics, Structured Clinical Interview for DSM-IV Axis-1 Disorders, 20-item Toronto Alexithymia Scale (TAS-20), Facial Emotion Recognition Test (FERT) were applied to patients and controls in psychiatry clinics. Patients’ mean TAS-20 total scores were higher, while their ability to recognize negative facial emotions were lower than the control group Patients might have underestimated especially negative emotions over time, for a possible defense mechanism against depression and anxiety. Alexithymia levels were significantly related with psoriasis disease severity. Thus, alexithymia might be a predictor for severity of psoriasis.

Anahtar Kelimeler

• psoriasis,alexithymia,facial emotion recognition,depression,anxiety

Kaynakça

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