THE RELATIONSHIP BETWEEN STRESS AND THE ONSET AND EXACERBATION OF PSORIASIS AND OTHER SKIN CONDITIONS
THE RELATIONSHIP BETWEEN STRESS AND THE ONSET AND EXACERBATION OF PSORIASIS AND OTHER SKIN CONDITIONS
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DOI：
10.1111/j.1365-2133.1994.tb02900.x
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发表时间：
1994-02-01
影响因子：
10.3
通讯作者：
GAWKRODGER, DJ
中科院分区：
文献类型：
--
作者：
ALABADIE, MS;KENT, GG;GAWKRODGER, DJ
回顾性研究了压力生活事件在各种皮肤病进展中的作用，这些患者表现为牛皮癣（对压力的重要性有一些共识）、荨麻疹、痤疮、脱发和非特应性湿疹（对压力的作用有一些不确定性），或恶性黑色素瘤、真菌感染、基底细胞癌和黑素细胞痣（其中压力被认为不太相关）。当三组患者的年龄相匹配时，牛皮癣患者比其他皮肤病患者更有可能报告压力的经历早于他们病情的发作和恶化。对于牛皮癣患者来说，最常见的生活事件类型是家庭不安（如丧亲之痛），工作或学业需求，但慢性困难也很常见。压力的严重程度与发病或恶化的时间没有关系。研究结果支持了这样一种观点，即压力比其他疾病更可能与牛皮癣的发病有关，但也表明，应对能力可能存在相当大的个体差异，这表明心理干预可能对特定患者有帮助。
The role of stressful life events in the progress of various skin conditions was studied retrospectively in patients who presented with either psoriasis (where there is some agreement about the importance of stress), urticaria, acne, alopecia and non-atopic eczema (where there is some uncertainty regarding the role of stress), or malignant melanoma, fungal infection, basal cell carcinoma and melanocytic naevi (where stress is considered less relevant). When patients in the three groups were matched for age, those with psoriasis were more likely to report that the experience of stress pre-dated the onset and exacerbations of their condition than patients with other skin diseases. For the psoriasis patients the most common types of life events were family upsets (such as bereavements), and work or school demands, but chronic difficulties were also common. There was no relationship between the severity of stress and time to onset or exacerbations. The results support the notion that stress is more likely to be associated with the onset of psoriasis than other conditions, but also that there may be considerable individual variation in the ability to cope, suggesting that psychological interventions may be helpful for particular patients.