Assessment of Temperament and Character Profile with Anxiety and Depression in Patients with Acne

摘要

Background: Acne is the most common skin disease, affecting nearly 85% of the population as well as their lives. Acne can severely affect social and psychological functioning. Patients with acne may have anxiety, depression, decreased self-esteem, interpersonal difficulties, unemployment, social withdrawal, and even suicidal intent. Aims: The aim of this study was to evaluate the temperament and character inventory (TCI) of patients with acne and to compare the results with those of healthy controls. Study Design: Case-control study Methods: The study population consisted of 47 patients with acne, and 40 healthy control subjects. All participants were instructed to complete a self-administered 240-item TCI and the Hospital Anxiety and Depression Scale. Results: In this study, the scores for the temperament properties Worry and pessimism (HA1) and Dependence (RD4) and the character properties Social acceptance (C1) and Integrated conscience (C5) were found to be higher in acne patients than in healthy controls (p<0.05). Compared to the controls, depression and anxiety scores were found to be markedly higher in the patients with acne. Acne type correlated positively with the Disorderliness (NS4) subscale of Novelty seeking (NS) and anxiety. Additionally, acne type correlated negatively with the Attachment (RD3) subscale of Reward Dependence (RD), with the Transpersonal identification (ST2) and Spiritual acceptance (ST3) subscales of Self-Trancendence (ST), and with the Compassion (C4) subscale of Cooperativeness (C). Conclusion: Studies in this area may lead to the development of specific and focused interventions for TCI in patients with acne vulgaris. We suggest that the evaluation and treatment of acne should also include psychosomatic approaches in clinical practice. Turkish Ba?l?k: Akneli Hastalarda Anksiyete ve Depresyon ile Miza? ve Karakter ?zelliklerinin De?erlendirilmesi Anahtar Kelimeler: Akne, anksiyete, depresyon, miza?, karakter Arka Plan: Akne, ya?amlar? boyunca popülasyonun yakla??k olarak %85'ini etkilyen yayg?n deri hastal???d?r. Akne sosyal ve psikolojik fonkisyonlar? ciddi olarak etkileyebilir. Akneli hastalarda anksiyete, depresyon, benlik sayg?s?nda azalma, ki?ileraras? ili?kilerde sorun, i?sizlik, sosyal geri ?ekilme ve hatta intihar giri?imleri olabilir. Ama?: Bu ?al??man?n amac?; akneli hastalar?n miza? ve karakter ?zelliklerini (MK?)?l?mek ve sonu?lar? sa?l?kl? kontroller ile kar??la?t?rmakt?r. ?al??ma Tasar?m?: Olgu kontrol ?al??mas? Y?ntemler: ?al??maya 47 akne hastas? ile 40 sa?l?kl? birey al?nd?. Tüm kat?l?mc?lar kendi kendine uygulanan ve 240 maddelik MK? ve hastane anksiyete depresyon ?l?e?i uyguland?. Bulgular: Bu ?al??mada, miza? ?zelliklerinden, beklenti endi?esi (HA1) ile ba??ml?l?k (RD4), karakter ?zelliklerinden ise sosyal onaylama (C1), erdemlilik-vicdanl?l?k (C5) puanlar? sa?l?kl? kontrollere g?re akneli hastalarda daha yüksek bulundu (p<0.05 ). Kontrol ile kar??la?t?r?ld???nda akne hastalar?nda depresyon ve anksiyete skorlar? belirgin olarak yüksek bulundu. Ek olarak, akne tipi ?dül ba??ml?l??? (RD), RD alt ?l?e?i olan ba?lanma (RD3); kendini a?ma (ST), ki?iler ?tesi ?zde?im (ST2) ve kendini a?ma (ST3); i?birli?i yapma (C) ve onun alt ?l?e?i olan ac?ma (C4) ile negatif korale olarak bulundu. Sonu?: Bu alanda yap?lan ?al??malar, akne vulgaris hastalar?nda MKE i?in ?zel ve odaklanm?? müdahalelerin geli?mesine yol a?abilir. Biz klinik pratikte, akneli hastalar?n tedavisi ve de?erlendirilmesinde psikosomatik yakla??mlar?n olmas? gerekti?ini dü?ündük.