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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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Giornale Italiano di Dermatologia e Venereologia 1999 October;134(5):427-33

language: Italian

Stressful events and effects of hospitalization in psoriasis patients. A clinical-psychological study

Nadalini L. 1, Barba A. 2, Bravi E. 1, Meloni G. 2, Trabucco G. 1, Cordioli N. 1, Chieregato G. C. 2, Ferrari G. 1

1 Azienda Ospedaliera di Verona - OCM di Borgo Trento, Divisione di Neurologia, Modulo di Psicologia Clinica, Università degli Studi - Verona;
2 Istituto Dermatologico


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Background. 50 patients with psoriasis in its initial stages and in the stages of relapse, admitted to hospital between 1995 and 1997 were studied by the Clinical Psychology Service of the Neurology Department and Clinical Dermatologic Institute of Verona University.
Methods. The object of the study was to determine the role of affectivity in patients with psoriasis. The study was also intended to reveal the prevailing psychological characteristics, to look at the relationship between stress and illness, both during the initial stages and in the stages of relapse, as well as the effects of hospitalization on the course of the disease.
Results. The research highlighted a pattern in the psychological condition of the patients, according to which the psoriasis patients were aggressive-inhibited, introverted, afraid of criticism or of denial, and anxious. Moreover anxiety proved to be a limit to socialization when directed to relationships.
Stress is linked to psoriasis both in its initial stages and in the stages of relapse (in 90% of cases). Cases of emotional separation predominate in the initial stages whilst in the relapse stages lack of both self-esteem and confidence are involved.
Conclusions. The decision of the patients, in almost all cases, to go into hospital arises from a change in their personal life and relationships. It seems that the period in hospital has a significant effect on the emotional stress and plays a precise role in reducing it. The hospitalization is useful only if the stressful situations can be removed or diminished after leaving hospital.

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