Abstract

An actual and popular area of research in psychodermatology is to conduct comprehensive studies that comprehensively reveal the mental characteristics of patients with different forms and types of eczema. This will allow in the future to optimize work with patients of this profile and to plan psychotherapeutic measures in the key of a personalized constitutional approach. The aim of the study was to examine the differences in the level of subjective control between healthy and/or eczema patients depending on the severity of dermatosis. Men aged 22 to 35 years, with a diagnosis of true (n=34) and microbial (n=38) eczema, were assessed by the level of subjective control on the basis of the J. Rotter scale edited by E.F. Bazhin et al. (1984). As a control from the data bank of the research center of National Pirogov Memorial Medical University, Vinnytsya indicators of the level of subjective control of 82 practically healthy men of the same age group were selected. Statistical processing of the results was performed in the license package "Statistica 5.5" using non-parametric evaluation methods. Patients with true eczema, compared with the control group, have a higher level of subjective control in the field of general internality, achievements, educational (professional) relations (mild course) and interpersonal relations (severe course). At patients with a microbic eczema of mild and severe course in comparison with healthy investigated size of level of subjective control is smaller in the field of failures and interpersonal relations. Patients with true eczema compared to patients with microbial eczema found significantly higher levels of subjective control in the field of general internality, failures, educational (professional) and interpersonal relationships. In patients with severe dermatosis compared with patients with mild dermatitis there is a decrease in the level of subjective control in the field of educational (professional) relations (true eczema) and interpersonal relations (microbial eczema). Thus, the peculiarities of the level of subjective control in men with various forms of eczema can serve as psychological predictors of exacerbations and exacerbations of eczema, which is certainly important for both clinicians and health care providers in particular.

Highlights

  • World statistics show that the prevalence of eczema is about 1-2% of the adult population, and the proportion among other dermatoses is 30-40% [2, 5, 6]

  • There is a tendency to lower values of the scale of general internality of the level of subjective control according to Rotter (4.831±1.765) st. compared with men with true eczema of mild course (5.813±2.167, p=0.089) st

  • The indicator of the level of subjective control in the field of achievements according to Rotter is significantly higher in patients with true eczema of severe course (6.556±1.042; p

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Summary

Introduction

World statistics show that the prevalence of eczema is about 1-2% of the adult population, and the proportion among other dermatoses is 30-40% [2, 5, 6]. This includes genetic predisposition, weakened immunity, predisposition to allergic reactions, stress, exposure to harmful substances, household chemicals, endocrine diseases, digestive diseases, abrasions, wounds and a number of other factors. True and microbial eczema tend to be more severe with frequent long-term recurrences, a significant spread of the pathological process on the skin, resistance to traditional treatments [1, 4, 10, 12]. To prevent the development of eczema with a more severe course, often one of the important conditions is the timeliness of diagnosis and treatment. The reluctance to seek any help from others, including medical, is closely linked to such components of subjective control

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