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 - Childhood trauma
KW - Clinical Psychology
KW - Psoriasis
KW - Psychiatry and Mental Health
KW - Psychological distress
KW - Psychosomatic
KW - Quality of life
KW - Resilience
KW - Childhood trauma
KW - Clinical Psychology
KW - Psoriasis
KW - Psychiatry and Mental Health
KW - Psychological distress
KW - Psychosomatic
KW - Quality of life
KW - Resilience
UR - https://publicatt.unicatt.it/handle/10807/113033
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85040228546&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85040228546&origin=inward
U2 - 10.1016/j.jpsychores.2018.01.002
DO - 10.1016/j.jpsychores.2018.01.002
M3 - Article
SN - 0022-3999
VL - 106
SP - 25
EP - 28
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
IS - 106
ER -