The role of childhood trauma in patients with chronic urticaria.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-01-01 DOI:10.14744/nci.2021.10170
Neslihan Cansel, Dursun Turkmen, Nihal Altunisik
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引用次数: 2

Abstract

Objective: Chronic urticaria (CU) is a common skin disease in which the etiology involves immunological and psychological factors. Childhood traumas may disrupt the development of the neuro-immuno-cutaneous-endocrine system and start a complex pathophysiological process with inflammatory abnormalities, potentially leading to the development of skin disease. In light of this information, we believe that childhood trauma may play a role in the onset and severity of disease in CU patients. Our study aimed to discover a potential relationship between CU and childhood traumatic experiences.

Methods: This study was conducted with 53 controls and 50 CU patients. The participants were given a questionnaire form that included sociodemographic information, Beck Anxiety Scale, Beck Depression Scale, and Childhood Trauma Questionnaire (CTQ-28).

Results: The rates of childhood trauma were found to be 68% in the patient group, and 54.7% in the control group. The patient group demonstrated higher scores for moderate to severe anxiety and depression. The mean emotional abuse score was significantly higher in early onset (<35 ages) urticaria patients in comparison to late onset urticarial (≥35 ages) and the control group. It was found that depression scores were positively correlated with all abuse sub-types, excluding sexual abuse, and total CTQ-28 scores. Anxiety scores were positively correlated with emotional abuse, physical neglect, emotional neglect, and total CTQ-28 scores.

Conclusion: Childhood traumas are associated with the early onset and severity of disease in CU patients as well as the accompanying depression and anxiety.

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儿童期创伤在慢性荨麻疹患者中的作用。
目的:慢性荨麻疹(Chronic urticaria, CU)是一种常见的皮肤病,其病因涉及免疫和心理因素。儿童创伤可破坏神经-免疫-皮肤-内分泌系统的发育,并启动复杂的病理生理过程,伴有炎症异常,可能导致皮肤病的发展。根据这些信息,我们认为童年创伤可能在CU患者的发病和疾病严重程度中起作用。我们的研究旨在发现CU与童年创伤经历之间的潜在关系。方法:本研究以53例对照组和50例CU患者为研究对象。问卷内容包括社会人口学信息、贝克焦虑量表、贝克抑郁量表和儿童创伤问卷(CTQ-28)。结果:患儿组儿童期创伤发生率为68%,对照组为54.7%。患者组在中度至重度焦虑和抑郁方面得分较高。结论:童年创伤与CU患者疾病的早发、严重程度以及伴随的抑郁和焦虑有关。
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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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