title: Psychosomatic analysis of atopic dermatitis using a psychological test.
abstract: In patients with atopic dermatitis (AD), psychosomatic factors are important elements in treating the condition. In this study, we surveyed 51 outpatients with AD who consulted the Department of Dermatology of Fujita Health University Hospital using a questionnaire involving present illness/treatment history regarding AD to analyze psychosomatic factors. The severity of AD was evaluated using the severity classification described by Yoshiike et al. Four psychological tests were used to examine depression, anxiety, personality, and upbringing experiences during childhood. Beck Depression Inventory (BDI) was used as a scale for depression, Self-rating Anxiety Scale (SAS) as a scale for anxiety, the Temperament and Character Inventory (TCI) as a scale for the personality tendency, and the Parental Bonding Instrument (PBI) as a scale for upbringing experiences during childhood. The BDI and SAS scores were high in the severe AD group. Among patients with the same grade of AD, the BDI and SAS scores were higher in the low IgE RIST group. In the patients with AD, the BDI scores were significantly higher than those in the healthy controls (P<0.05). In clinical practice, the treatment of AD should include psychosomatic approaches.
authors.affiliation: Department of Dermatology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
authors.forename: Masaru
authors.initials: M
authors.lastname: Arima
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Shimizu
authors.forename: Junko
authors.initials: J
authors.lastname: Sowa
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Narita
authors.forename: Izumi
authors.initials: I
authors.lastname: Nishi
authors.forename: Nakao
authors.initials: N
authors.lastname: Iwata
authors.forename: Norio
authors.initials: N
authors.lastname: Ozaki
authors.forename: Shuuji
authors.initials: S
authors.lastname: Hashimoto
authors.forename: Kayoko
authors.initials: K
authors.lastname: Matsunaga
mesh_terms: D000328:Adult; D017677:Age Distribution; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D016022:Case-Control Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D003876:Dermatitis, Atopic / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D010555:Personality Inventory; D011336:Probability; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D011788:Quality of Life; D012016:Reference Values; D018570:Risk Assessment; D012720:Severity of Illness Index; D017678:Sex Distribution; D011795:Surveys and Questionnaires