Childhood trauma and resilience in psoriatic patients: A preliminary report

Clara De Simone, Ketty Peris, Lucio Rinaldi, Luigi Janiri, Maria Luigia Crosta, Salvatore Di Pietro, Giacomo Caldarola, Marco Di Nicola, Antonino Callea, Isabella Panaccione

Risultato della ricerca: Contributo in rivistaArticolo in rivista

11 Citazioni (Scopus)

Abstract

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.
Lingua originaleEnglish
pagine (da-a)25-28
Numero di pagine4
RivistaJournal of Psychosomatic Research
Volume106
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Childhood trauma
  • Clinical Psychology
  • Psoriasis
  • Psychiatry and Mental Health
  • Psychological distress
  • Psychosomatic
  • Quality of life
  • Resilience

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