Psychosomatic study of self-excoriative behavior among male acne patients: Preliminary observations
Psychosomatic study of self-excoriative behavior among male acne patients: Preliminary observations
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DOI：
10.1111/j.1365-4362.1994.tb01017.x
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发表时间：
1994-01-01
影响因子：
3.6
通讯作者：
Schork, Nicholas J.
中科院分区：
文献类型：
--
作者：
Gupta, Madhulika A.;Gupta, Aditya K.;Schork, Nicholas J.
背景：关于痤疮患者自责行为的心身相关因素的研究主要涉及患有痤疮的女性。很少有关于影响男性粉刺的心身因素的文章。方法：13例面部轻度至中度痤疮患者(平均年龄：22.2±1.4岁)，他们的自责行为不足以导致痤疮脱落，他们完成了一系列自评问卷，评估他们的自责行为、痤疮的严重程度以及各种心理因素。抑郁(简明症状问卷)(皮尔逊r=0.64，P=0.02)和焦虑(皮尔逊r=0.61，P=0.03)得分直接相关。皮肤病严重程度的皮肤病指标，如炎症(皮尔逊r=0.82，P=0.0004)和脓疱疹(皮尔逊r=0.62，P=0.03)是自残行为的最强相关因素。相比之下，据报道，患有痤疮的女性性格不成熟，皮肤状况可能会成为“寻求帮助的诉求”。过度挑剔粉刺的男性将受益于积极的皮肤科治疗，并应接受潜在的抑郁和焦虑障碍的评估。
Background.Studies of the psychosomatic correlates of self‐excoriative behavior in acne have involved mainly women with acne excorieé. Little is written about the psychosomatic factors that affect men with acne. Excessive self‐excoriation of acne lesions is an important clinical factor because it can prolong the course of the disease and exacerbate the deeper inflammatory process with an increase in the severity of scarring.Methods.Thirteen men (mean ± SE: age: 22.2 ± 1.4 years) with mild to moderate facial acne, whose self‐excoriative behavior was not severe enough to result in acne excoriee, completed a battery of self‐rated questions assessing their self‐excoriative behaviors, the severity of their acne, and various psychologic factors.Results.Certain aspects of self‐excoriative behavior (e.g., a tendency to pick or squeeze the acne lesions when stressed) correlated directly with depression (brief symptom inventory (BSI)) (Pearson r = 0.64, P = 0.02) and anxiety (BSI) (Pearson r = 0.61, P = 0.03) scores. The dermatologic indices of acne severity such as inflammation (Pearson r = 0.82, P = 0.0004) and pustules (Pearson r = 0.62, P = 0.03) were the strongest correlates of self‐excoriative behavior.Conclusion.Self‐excoriative behavior in men with acne may be exacerbated by a coexisting depressive or anxiety disorder. In contrast, women with acne excorieé have been reported to suffer from an immature personality where the cutaneous condition may serve as “an appeal for help.” Men who excessively pick their acne will benefit from aggressive dermatologic therapies and should be assessed for underlying depressive and anxiety disorders.