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Published in: Journal of Clinical Psychology in Medical Settings 4/2010

01-12-2010

Psychiatric Symptoms and Quality of Life in Patients Affected by Epidermolysis Bullosa

Authors: Francesco Margari, Paola A. Lecce, Wanda Santamato, Patrizia Ventura, Nicola Sportelli, Giuseppina Annicchiarico, Ernesto Bonifazi

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2010

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Abstract

The aim of our study was to provide a psychosocial and psychiatric evaluation of patients with epidermolysis bullosa (EB; a rare genetic disorder characterized by skin fragility), to assess psychological status, ascertain the presence of any psychiatric disorders and understand the impact of EB on quality of life. Twenty-five patients were assessed using a case record form and several standardized instruments. In 82% of patients, EB had a negative impact on quality of life and 80% of patients experienced psychiatric symptoms. Our findings revealed a high prevalence of psychosocial problems and psychiatric symptoms in patients with EB and suggested that a combined bio-psychosocial approach is the most appropriate therapeutic intervention.
Literature
go back to reference Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: University of Vermont. Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: University of Vermont.
go back to reference Achenbach, T. M., & Edelbrock, C. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: Queen City Printers. Achenbach, T. M., & Edelbrock, C. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: Queen City Printers.
go back to reference Achenbach, T. M., & Rescorla, L. A. (2000). Manual for ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.
go back to reference Achenbach, T. M., & Rescorla, L. A. (2004). Achenbach System of Empirically Based Assessment (ASEBA). (Version 5.0) [computer software]. Burlington, VT: Assessment Data Manager (ADM). Achenbach, T. M., & Rescorla, L. A. (2004). Achenbach System of Empirically Based Assessment (ASEBA). (Version 5.0) [computer software]. Burlington, VT: Assessment Data Manager (ADM).
go back to reference Ambrosini, P. J. (2000). Historical development and present status of the Schedule for Affective Disorders and Schizophrenia for school-age children. Journal of American Academy Child Adolescent Psychiatry, 39, 1.CrossRef Ambrosini, P. J. (2000). Historical development and present status of the Schedule for Affective Disorders and Schizophrenia for school-age children. Journal of American Academy Child Adolescent Psychiatry, 39, 1.CrossRef
go back to reference Andreoli, E., Mozzetta, A., Angelo, C., Paradisi, M., & Foglio Bonda, P. G. (2002). Epidermolysis bullosa, psychological and psychosocial aspects. Dermatology and Psychosomatics, 3, 77–81.CrossRef Andreoli, E., Mozzetta, A., Angelo, C., Paradisi, M., & Foglio Bonda, P. G. (2002). Epidermolysis bullosa, psychological and psychosocial aspects. Dermatology and Psychosomatics, 3, 77–81.CrossRef
go back to reference Clark, A., & Friedman, M. J. (1983). Psychometric evaluation of the Symptom Checklist (SCL-90) in psychiatric inpatients. Personality and Individual Differences, 14, 751–759. Clark, A., & Friedman, M. J. (1983). Psychometric evaluation of the Symptom Checklist (SCL-90) in psychiatric inpatients. Personality and Individual Differences, 14, 751–759.
go back to reference Derogatis, L. R. (1983). SCL90: Administration, scoring and procedures manual for the revised version. Baltimore: Clinical Psychometric Research. Derogatis, L. R. (1983). SCL90: Administration, scoring and procedures manual for the revised version. Baltimore: Clinical Psychometric Research.
go back to reference Derogatis, L. R. (2005). ARC90. Gestione e archiviazione del test sintomatologico Symptom Check List 90 (SCL-90) (Version 1.2.1) [computer software]. Siracusa: Cryteria Technologies. Derogatis, L. R. (2005). ARC90. Gestione e archiviazione del test sintomatologico Symptom Check List 90 (SCL-90) (Version 1.2.1) [computer software]. Siracusa: Cryteria Technologies.
go back to reference Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13, 595–605.PubMedCrossRef
go back to reference Engelhardt, U., Kuster, W., Stangier, U., & Gieler, U. (1997). Krankheitsbewaltigung bei Patienten mit Epidermolysis bullosa hereditaria. Zeitschrift fur Hautkrankleiten, 72, 651–656. Engelhardt, U., Kuster, W., Stangier, U., & Gieler, U. (1997). Krankheitsbewaltigung bei Patienten mit Epidermolysis bullosa hereditaria. Zeitschrift fur Hautkrankleiten, 72, 651–656.
go back to reference Fine, J. D., Eady, R. A. J., Bauer, E. A., Bauer, J. W., Bruckner-Tuderman, L., Heagerty, A., et al. (2008). The classification of inherited epidermolysis bullosa (EB): Report of the third international consensus meeting on diagnosis and classification of EB. Journal American Academy Dermatology, 58, 931–950.CrossRef Fine, J. D., Eady, R. A. J., Bauer, E. A., Bauer, J. W., Bruckner-Tuderman, L., Heagerty, A., et al. (2008). The classification of inherited epidermolysis bullosa (EB): Report of the third international consensus meeting on diagnosis and classification of EB. Journal American Academy Dermatology, 58, 931–950.CrossRef
go back to reference Fine, J. D., Johnson, L. B., Weiner, M., & Suchindran, C. (2005). Impact of inherited epidermolysis bullosa on parental interpersonal relationships, marital status and family size. British Journal of Dermatology, 152, 1009–1014.PubMedCrossRef Fine, J. D., Johnson, L. B., Weiner, M., & Suchindran, C. (2005). Impact of inherited epidermolysis bullosa on parental interpersonal relationships, marital status and family size. British Journal of Dermatology, 152, 1009–1014.PubMedCrossRef
go back to reference Finlay, A. Y., & Khan, G. K. (1994). Dermatology Life Quality Index (DLQI): A simple practical measure for routine clinical use. Clinical and Experimental Dermatology, 19, 210–216.PubMedCrossRef Finlay, A. Y., & Khan, G. K. (1994). Dermatology Life Quality Index (DLQI): A simple practical measure for routine clinical use. Clinical and Experimental Dermatology, 19, 210–216.PubMedCrossRef
go back to reference Horn, H. M., Priestley, G. C., Eady, R. A., & Tidman, M. J. (1997). The prevalence of epidermolysis bullosa in Scotland. British Journal of Dermatology, 136, 560–564.PubMedCrossRef Horn, H. M., Priestley, G. C., Eady, R. A., & Tidman, M. J. (1997). The prevalence of epidermolysis bullosa in Scotland. British Journal of Dermatology, 136, 560–564.PubMedCrossRef
go back to reference Horn, H. M., & Tidman, J. (2002). Quality of life in epidermolysis bullosa. Clinical And Experimental Dermatology, 27, 707–710.PubMedCrossRef Horn, H. M., & Tidman, J. (2002). Quality of life in epidermolysis bullosa. Clinical And Experimental Dermatology, 27, 707–710.PubMedCrossRef
go back to reference Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). K Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): Initial reliability and validity data. Journal of American Academy of Child and Adolescent Psychiatry, 36, 980–988.CrossRef Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). K Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): Initial reliability and validity data. Journal of American Academy of Child and Adolescent Psychiatry, 36, 980–988.CrossRef
go back to reference Kaufman, J., Birmaher, B., Rao, U., & Ryan, N. (2004). Test K-SADS-PL. Trento: Erikson. Kaufman, J., Birmaher, B., Rao, U., & Ryan, N. (2004). Test K-SADS-PL. Trento: Erikson.
go back to reference Lai-Cheong, J. E., Tanaka, A., Hawche, G., Emanuel, P., Maari, C., Taskesen, M., et al. (2009). Kindler syndrome: A focal adhesion genodermatosis. British Journal of Dermatology, 160, 233–242.PubMedCrossRef Lai-Cheong, J. E., Tanaka, A., Hawche, G., Emanuel, P., Maari, C., Taskesen, M., et al. (2009). Kindler syndrome: A focal adhesion genodermatosis. British Journal of Dermatology, 160, 233–242.PubMedCrossRef
go back to reference Magliano, L., Guarnieri, M., Marasco, G., Veltro, F., & Morosini, P. (1993). Studio di riproducibilità di un’intervista semi-strutturata per l’accertamento della disabilità sociale e del carico familiare (A.D.C.). Napoli: Idelson. Magliano, L., Guarnieri, M., Marasco, G., Veltro, F., & Morosini, P. (1993). Studio di riproducibilità di un’intervista semi-strutturata per l’accertamento della disabilità sociale e del carico familiare (A.D.C.). Napoli: Idelson.
go back to reference Pfendner, E., Uitto, J., & Fine, J. D. (2001). Epidermolysis bullosa carrier frequencies in the US population. Journal of Investigative Dermatolology, 116, 483–484.CrossRef Pfendner, E., Uitto, J., & Fine, J. D. (2001). Epidermolysis bullosa carrier frequencies in the US population. Journal of Investigative Dermatolology, 116, 483–484.CrossRef
go back to reference Tabolli, S., Sampogna, F., Di Pietro, C., Paradisi, A., Uras, C., Zotti, P., et al. (2009). Quality of life in patients with epidermolysis bullosa. British Journal of Dermatology, 161, 869–877.PubMedCrossRef Tabolli, S., Sampogna, F., Di Pietro, C., Paradisi, A., Uras, C., Zotti, P., et al. (2009). Quality of life in patients with epidermolysis bullosa. British Journal of Dermatology, 161, 869–877.PubMedCrossRef
go back to reference Tadini, G., Gualandri, L., Colombi, M., Paradisi, M., Angelo, C., Zambruno, et al. (2005). Original articles. Giornale Italiano di Dermatologia e Venereologia, 4, 359. Tadini, G., Gualandri, L., Colombi, M., Paradisi, M., Angelo, C., Zambruno, et al. (2005). Original articles. Giornale Italiano di Dermatologia e Venereologia, 4, 359.
go back to reference Valtolina, G. G. (2000). Famiglia e disabilità. Milano: Franco Angeli. Valtolina, G. G. (2000). Famiglia e disabilità. Milano: Franco Angeli.
go back to reference van Scheppingen, C., Lettinga, A. T., Duipmans, J. C., Maathuis, C. G. B., & Jonkman, M. F. (2008). Main problems experienced by children with epidermolysis bullosa: A qualitative study with semistructured interviews. Acta Dermato Venereologica, 88, 143–150.PubMedCrossRef van Scheppingen, C., Lettinga, A. T., Duipmans, J. C., Maathuis, C. G. B., & Jonkman, M. F. (2008). Main problems experienced by children with epidermolysis bullosa: A qualitative study with semistructured interviews. Acta Dermato Venereologica, 88, 143–150.PubMedCrossRef
Metadata
Title
Psychiatric Symptoms and Quality of Life in Patients Affected by Epidermolysis Bullosa
Authors
Francesco Margari
Paola A. Lecce
Wanda Santamato
Patrizia Ventura
Nicola Sportelli
Giuseppina Annicchiarico
Ernesto Bonifazi
Publication date
01-12-2010
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2010
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-010-9205-4

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