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A case-control study on family dysfunction in patients with alopecia areata, psoriasis and atopic dermatitis.
Acta Derm Venereol. 2011 Jun; 91(4):415-21.AD

Abstract

Family history can provide important information about a patient's psychological status, and thus their disease risk. A multicentric case-control study on family dysfunction was performed on 59 patients with psoriasis (63.7%), atopic dermatitis (11.9%) or alopecia areata (25.4%), and 47 patients with minor skin problems (controls), all attending a dermatological clinic or a psychodermatological consultation. The mean age of subjects was 47.7 years in the cases and 48.8 years in the controls. Women represented 53% of cases and 62% of controls. Patients and controls first completed the General Health Questionnaire (GHQ-12) and the Toronto Alexithymia Scale (TAS-20) questionnaire. The overall prevalence of anxiety and/or depression in cases was 43.3% (71.4% in atopic dermatitis). To collect the family history a genogram was built by the interviewer during a semi-structured interview. It can show dysfunction in the family, as it highlights alliances and ruptures, generational repetition of behaviours of dependence or vulnerability, and traumatic events. The mean (± standard deviation) genogram score was 6.7 ± 3.3 in the cases and 3.0 ± 2.4 in the controls (p<0.001). The cases had three times the risk of having moderate family dysfunction compared with controls and 16 times the risk of having a severe family dysfunction. The genogram score was correlated with the severity of the disease as evaluated by the patient. In conclusion, family dysfunction may play an important role in the onset or the exacerbation of psoriasis, alopecia, and atopic dermatitis.

Authors+Show Affiliations

Université Libre de Bruxelles, Erasme Hospital, Brussels, Belgium. fpoot@ulb.ac.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

21336474

Citation

Poot, Francoise, et al. "A Case-control Study On Family Dysfunction in Patients With Alopecia Areata, Psoriasis and Atopic Dermatitis." Acta Dermato-venereologica, vol. 91, no. 4, 2011, pp. 415-21.
Poot F, Antoine E, Gravellier M, et al. A case-control study on family dysfunction in patients with alopecia areata, psoriasis and atopic dermatitis. Acta Derm Venereol. 2011;91(4):415-21.
Poot, F., Antoine, E., Gravellier, M., Hirtt, J., Alfani, S., Forchetti, G., Linder, D., Abeni, D., Tabolli, S., & Sampogna, F. (2011). A case-control study on family dysfunction in patients with alopecia areata, psoriasis and atopic dermatitis. Acta Dermato-venereologica, 91(4), 415-21. https://doi.org/10.2340/00015555-1074
Poot F, et al. A Case-control Study On Family Dysfunction in Patients With Alopecia Areata, Psoriasis and Atopic Dermatitis. Acta Derm Venereol. 2011;91(4):415-21. PubMed PMID: 21336474.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case-control study on family dysfunction in patients with alopecia areata, psoriasis and atopic dermatitis. AU - Poot,Francoise, AU - Antoine,Enora, AU - Gravellier,Marion, AU - Hirtt,Jennifer, AU - Alfani,Stefania, AU - Forchetti,Giulia, AU - Linder,Dennis, AU - Abeni,Damiano, AU - Tabolli,Stefano, AU - Sampogna,Francesca, PY - 2011/2/22/entrez PY - 2011/2/22/pubmed PY - 2011/10/15/medline SP - 415 EP - 21 JF - Acta dermato-venereologica JO - Acta Derm. Venereol. VL - 91 IS - 4 N2 - Family history can provide important information about a patient's psychological status, and thus their disease risk. A multicentric case-control study on family dysfunction was performed on 59 patients with psoriasis (63.7%), atopic dermatitis (11.9%) or alopecia areata (25.4%), and 47 patients with minor skin problems (controls), all attending a dermatological clinic or a psychodermatological consultation. The mean age of subjects was 47.7 years in the cases and 48.8 years in the controls. Women represented 53% of cases and 62% of controls. Patients and controls first completed the General Health Questionnaire (GHQ-12) and the Toronto Alexithymia Scale (TAS-20) questionnaire. The overall prevalence of anxiety and/or depression in cases was 43.3% (71.4% in atopic dermatitis). To collect the family history a genogram was built by the interviewer during a semi-structured interview. It can show dysfunction in the family, as it highlights alliances and ruptures, generational repetition of behaviours of dependence or vulnerability, and traumatic events. The mean (± standard deviation) genogram score was 6.7 ± 3.3 in the cases and 3.0 ± 2.4 in the controls (p<0.001). The cases had three times the risk of having moderate family dysfunction compared with controls and 16 times the risk of having a severe family dysfunction. The genogram score was correlated with the severity of the disease as evaluated by the patient. In conclusion, family dysfunction may play an important role in the onset or the exacerbation of psoriasis, alopecia, and atopic dermatitis. SN - 1651-2057 UR - https://www.unboundmedicine.com/medline/citation/21336474/A_case_control_study_on_family_dysfunction_in_patients_with_alopecia_areata_psoriasis_and_atopic_dermatitis_ L2 - https://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-1074 DB - PRIME DP - Unbound Medicine ER -