Aleksitimi, Ruminasyon ve Stresle Başa Çıkmanın Psöriyazis ile İlişkisi ve Psöriyazis Kliniğine Etkisi

Sevim BAYSAK, Fatma Arzu KILIÇ, Ebru KARAGÜN, Erkan BAYSAK
2020; 31(4): 252-258
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Relationship of Alexithymia, Rumination and Coping Style with Psoriasis and Their Effects on The Clinical Features

Objective: A relationship has been demonstrated between stress and the
increase in the skin plaques in psoriasis. In addition, psoriasis is observed
in cases of severe alexithymia and stress. In depression and various
psychiatric disorders, there is a relationship between rumination and
both the onset and persistence of the disease. The role of rumination,
being a stress related factor, was investigated in this study.
Method: The study included 91 patients with psoriasis and 93 healthy
controls. All participants were evaluated with the Toronto Alexithymia
Scale, Coping Style Scale, the Ruminative Thought Style Questionnaire
and the Hospital Anxiety and Depression Scale. Any increase in the
plaque formation after the duration of 1 month was recorded by the
Results: In both the patient and the control groups, rumination
scores were significantly correlated with the alexithymia severity scores
(psoriasis group r=0.46, p<0.01; control group r=0.38, p<0.01) and the
helpless coping styles scores (psoriasis group r=0.56, p<0.01; healthy
r=0.57, p<0.01). When depression and anxiety scores were controlled,
significant positive correlations were observed in the patient group
between rumination scores and the scores on the difficulty of identifying
feelings (r=0.42, p<0.01), the difficulty of describing feelings (r=0.25,
p<0.05) and the scores on helpless coping styles (r=0.41, p<0.01);
and also significant positive correlations were observed in the control
group between the rumination scores and the scores on the difficulty
of identifying feelings (r=0.27, p<0.05) and on helpless coping styles
(r=0.42, p<0.01). Comparing the patients with and without increase in
the plaques showed significant differences in the scores on rumination
(p<0.01), difficulty of describing feelings (p <0.05) and total alexithymia
scores (p<0.05).
Conclusion: The relationship of alexithymia and of passive stress coping
styles with rumination may have an effect on the course of psoriasis.
Key Words: Psoriasis, rumination, alexithymia, coping style, stress