Role of psychological factors in course of the rosacea.
OBJECTIVE
(1) Investigation of dependence between first symptoms of the rosacea and with surviving of critical life events. (2) Description of the dissimilarity in intensity of the stress at illness and healthy. (3) Estimation of impact of stressful situations for escalating of changes in course of the disease. (4) Comparison of the subjective estimation of patients' health.


METHODS
40 persons with rosacea, in the age of 25-75 years, were examined and 40 healthy volunteers, matched to the sex, age, social-economic background. The Holms' and Rahes' modified Social Readjustment Rating Scale questionnaire was applied and the WZS questionnaire by Sek and Szałdziński.


RESULTS
Investigations showed dissimilarities of events met in the number and intensity of the stress between sick people and volunteers. Symptoms of the acne are escalating as a result of caused emotions with primary evaluation. The image of the subjective estimation of patients' health is showing their motivation to recover.


CONCLUSIONS
(1) Patients with rosacea in the period before the occurring of first symptoms of the disease, comparatively with persons from the control group, they experienced the bigger number of critical life events. (2) The stress intensity resulting from the number of critical life events, is significantly higher at sick people in the relation to the control group. (3) At patients with rosacea emotions resulting of the estimation of the primary stressful situation tightening symptoms of the disease. (4) The subjective estimation of patients' health is essential predicate of psychodermatological therapy releasing potential health possibilities at the patient.
Sowińska-Gługiewicz
I
I
Laboratory of Medical Education, Pomeranian Medical University, Szczecin, Poland.
Ratajczak-Stefańska
V
V
Maleszka
R
R
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D012393:Rosacea / Q000209:etiology / Q000523:psychology*; D013315:Stress, Psychological