Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Seboreik Dermatit Klinik Şiddeti ile Psikososyal Sorunların İlişkisinin Değerlendirilmesi: Tanımlayıcı Araştırma
Evaluation of the Relationship Between Severity of Seborheic Dermatitis and Psychosocial Problems: Descriptive Research
Nursel ALTIN KAYAa , Ceylan AVCIb , Sevgi AKARSUb , Turna İLKNURb
aÇiğli Eğitim ve Araştırma Hastanesi, Deri ve Zührevi Hastalıkları Kliniği, İzmir, Türkiye
bDokuz Eylül Üniversitesi Tıp Fakültesi, Deri ve Zührevi Hastalıkları AD, İzmir, Türkiye
Turkiye Klinikleri J Dermatol. 2024;34(3):99-106
doi: 10.5336/dermato.2024-102954
Article Language: TR
Full Text
ÖZET
 Amaç: Seboreik dermatit (SD), vücudun seboreik bölgelerinde skuam, eritem ve kaşıntı ile karakterize bir ekzemadır. Yüz ve saçlı deriyi tutması, kronik ve tekrarlayıcı seyri nedeniyle psikososyal sorunlara neden olabilmektedir. Bu çalışmada; SD şiddeti ile yaşam kalitesi, anksiyete, depresyon, algılanan stres düzeyi, benlik saygısı, dismorfofobi ve sosyal fobi arasındaki ilişkinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya SD tanılı 18 yaş ve üzeri 122 olgu dâhil edilmiştir. Olguların Seboreik Dermatit Alan ve Şiddet İndeksi (SEDAŞİ), Dermatolojik Yaşam Kalite İndeksi (DYKİ), Beck Anksiyete Ölçeği (BAÖ), Beck Depresyon Ölçeği (BDÖ), Algılanan Stres Ölçeği (ASÖ), Durumluk-Sürekli Kaygı Ölçeği (DSKÖ), Rosenberg Benlik Saygısı Ölçeği (RBSÖ), Dismorfofobi Anketi ve Liebowitz Sosyal Fobi Ölçeği (LSFÖ) skorlamaları yapılmıştır. Bulgular: Hastalık şiddeti ile ortalama DYKİ, RBSÖ, BAÖ, DSKÖ, ASÖ, dismorfofobi ve performans kaygısı dışındaki sosyal fobi skorları arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır. Yapılan korelasyon analizlerinde SEDAŞİ ile sadece BDÖ skoru arasında (p=0,034; r=-0,192) ve LSFÖ alt kategorilerinden performans kaygısı skoru arasında (p=0,028; r=-0,199) istatistiksel olarak negatif yönde çok zayıf bir ilişki saptanmıştır. Sonuç: Hafif-orta şiddetli hastaların çoğunluğu oluşturduğu bu çalışmada sadece SD klinik şiddeti ile depresyon ve performans kaygısı yönünden çok zayıf negatif bir ilişki saptanmış olması, en azından bizim bölgemizde, SD'nin psikososyal yönden hastaları çok zorlayıcı bir hastalık olmadığını düşündürmektedir. Bu konuda daha kesin yargılara varabilmek için hastalık şiddetinin dengeli dağıldığı, yüksek olgu serili ve sağlıklı kontrol grubu içeren çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: Seboreik dermatit; psikososyal sorunlar; yaşam kalitesi
ABSTRACT
 Objective: Seborrheic dermatitis (SD) is a common inflammation of the skin that manifests as scale, erythema and pruritus in seborrheic areas of the body. The face and scalp involvement, chronic and recurrent course of the disease may cause psychosocial problems. In this study, we aimed to determine the relationship between SD severity and quality of life, anxiety, depression, perceived stress level, selfesteem, dysmorphophobia and social phobia. Material and Methods: A total of 122 patients aged 18 years and above with SD were included in the study. Seborrheic Dermatitis Area and Severity Index (SDASI), Dermatologic Quality of Life Index (DLQI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Perceived Stress Scale (PSS), State-Trait Anxiety Inventory (STAI), Rosenberg Self-Esteem Scale (RSES), Dysmorphophobia Questionnaire and Liebowitz Social Anxiety Scale (LSAS) were scored. Results: There was no statistically significant correlation between the severity of the disease and the mean scores of DLQI, RSES, BAI, STAI, PSS, dysmorphophobia and social phobia scores except for performance anxiety. In the correlation analyses, a very weak statistically negative relationship was found between SDASI and BDI score (p=0.034; r=-0.192) and performance anxiety score (p=0.028; r=-0.199), one of the subcategories of the LSAS. Conclusion: Only a very weak negative correlation was found between the severity of SD and depression and performance anxiety in our patients, the majority of whom had mild to moderate disease. Therefore, at least in our region, SD does not seem to be a very challenging disease in terms of psychosocial aspects. To make more definitive judgments, studies with a balanced distribution of disease severity, a high case series and a healthy control group are needed.

Keywords: Seborrheic dermatitis; psychosocial problems; quality of life
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