TY - JOUR
T1 - Childhood trauma and resilience in psoriatic patients: A preliminary report.
AU - Crosta, Maria Luigia
AU - De Simone, Clara
AU - Di Pietro, Salvatore
AU - Acanfora, Mariateresa
AU - Caldarola, Giacomo
AU - Moccia, Lorenzo
AU - Callea, Antonino
AU - Panaccione, Isabella
AU - Peris, Ketty
AU - Rinaldi, Lucio
AU - Janiri, Luigi
AU - Di Nicola, Marco
PY - 2018
Y1 - 2018
N2 - AIMS:
Psoriasis is a chronic inflammatory skin disease with a complex etiology, involving the immune system, genetic factors, and external/internal triggers, with psychosomatic aspects. The aim of the study was to investigate childhood trauma and resilience in a psoriatic sample compared with healthy controls. Correlations between childhood trauma, resilience, quality of life, clinical data and psoriatic features were also evaluated.
METHODS:
Seventy-seven psoriatic patients and seventy-six homogeneous healthy controls were enrolled. We used the Psoriasis Area and Severity Index (PASI) to assess the severity of psoriasis and the Skindex-29 to measure health-related quality of life. The psychometric battery included the Childhood Trauma Questionnaire (CTQ) and the Connor-Davidson Resilience Scale (CD-Risc) to assess trauma exposure and resilience, respectively.
RESULTS:
Psoriatic patients showed a significant prevalence of childhood trauma and a lower resilience level compared to healthy controls. Associations between traumatic experiences, low resilience and reduced quality of life in psoriatic subjects were also observed.
CONCLUSIONS:
A multidisciplinary approach is helpful to investigate clinical aspects, trigger factors and psychophysiological stress response in psoriatic subjects. Improving resilience with an early psychological intervention focused on self-motivation and strengthening of self-efficacy could facilitate the management of psoriasis.
AB - AIMS:
Psoriasis is a chronic inflammatory skin disease with a complex etiology, involving the immune system, genetic factors, and external/internal triggers, with psychosomatic aspects. The aim of the study was to investigate childhood trauma and resilience in a psoriatic sample compared with healthy controls. Correlations between childhood trauma, resilience, quality of life, clinical data and psoriatic features were also evaluated.
METHODS:
Seventy-seven psoriatic patients and seventy-six homogeneous healthy controls were enrolled. We used the Psoriasis Area and Severity Index (PASI) to assess the severity of psoriasis and the Skindex-29 to measure health-related quality of life. The psychometric battery included the Childhood Trauma Questionnaire (CTQ) and the Connor-Davidson Resilience Scale (CD-Risc) to assess trauma exposure and resilience, respectively.
RESULTS:
Psoriatic patients showed a significant prevalence of childhood trauma and a lower resilience level compared to healthy controls. Associations between traumatic experiences, low resilience and reduced quality of life in psoriatic subjects were also observed.
CONCLUSIONS:
A multidisciplinary approach is helpful to investigate clinical aspects, trigger factors and psychophysiological stress response in psoriatic subjects. Improving resilience with an early psychological intervention focused on self-motivation and strengthening of self-efficacy could facilitate the management of psoriasis.
KW - inglese
KW - inglese
UR - http://hdl.handle.net/10807/122634
U2 - 10.1016/j.jpsychores.2018.01.002
DO - 10.1016/j.jpsychores.2018.01.002
M3 - Article
SP - 25
EP - 28
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
ER -