皮肤利什曼病对患者的心理影响

• 作 者: Yanik M. Gurel M.S. 田中伟
• 机 构: Department of Psychiatry, Medical Faculty of Harran University, 63100Sanliurfa, Turkey
• 出 处: 世界核心医学期刊文摘(皮肤病学分册)
• 发表日期: 2005年02期
• 关键词: 皮肤利什曼病 心理影响 抑郁评分 生活质量 瘢痕形成 生活质量评估 评估表 美人 皮肤病 心理疾患

A psychiatric disorder would be associated with extensive, unsightly lesions on exposed body parts. Cutaneous leishmaniasis (CL) has long been endemic in Sanliurfa and is called ’beauty scar’. The aim of this study was to determine psychological impact of CL. Patients with active CL, with CL that had healed with scaring, and healthy controls were included in this casecontrol study. The Hospital Anxiety Depression Scale (HAD). Body Image Satisfaction Scale (BIS), and DermatologyQuality of Life Scale (DQL) assessments were performed to determine the psychological effect of CL. The patients with CL had significantly higher HAD anxiety and depression subscale scores than the control groups. Patients with CL have decreased body satisfaction and lower quality of life than those in the control group. It was found that CL patients with active lesions have the lowest quality of life score than other groups. CL lesions on exposed body parts such as the face and hands, active CL for more than 1 year, permanent scar formation, and social stigmatization cause anxiety, depressive symptoms, decreased body satisfaction and quality of life in CL patients.

Acuteiatric disorders would be associated with extensive, unsightly lesions on exposed body parts. Cutaneous leishmaniasis (CL) has long been endemic in Sanliurfa and is called ’beauty scar’. The aim of this study was to determine psychological impact of CL. Patients with active CL, with CL that had healed with scaring, and healthy controls were included in this case control study. The Hospital Anxiety Depression Scale (HAD). Body Image Satisfaction Scale (BIS), and Dermatology Quality of Life Scale (DQL) assessments were performed to determine the psychological effect of CL. The patients with CL have decreased higher than HAD anxiety and depression subscale scores than the control groups. Patients with CL have decreased higher than HAD anxiety and depression subscale scores than the control groups. with active lesions have the lowest quality of life score than other groups. CL lesions on exposed body parts such as the face and hands, active CL for more than 1 y ear, permanent scar formation, and social stigmatization cause anxiety, depressive symptoms, decreased body satisfaction and quality of life in CL patients.