Childhood Trauma and Resilience in Psoriatic Patients: A Preliminary Report

J Psychosom Res. 2018 Mar;106:25-28. doi: 10.1016/j.jpsychores.2018.01.002. Epub 2018 Jan 8.

Abstract

Aims: Psoriasis is a chronic inflammatory skin disease with a complex etiology, involving the immune system, genetic factors, and external/internal triggers, with psychosomatic aspects. The aim of the study was to investigate childhood trauma and resilience in a psoriatic sample compared with healthy controls. Correlations between childhood trauma, resilience, quality of life, clinical data and psoriatic features were also evaluated.

Methods: Seventy-seven psoriatic patients and seventy-six homogeneous healthy controls were enrolled. We used the Psoriasis Area and Severity Index (PASI) to assess the severity of psoriasis and the Skindex-29 to measure health-related quality of life. The psychometric battery included the Childhood Trauma Questionnaire (CTQ) and the Connor-Davidson Resilience Scale (CD-Risc) to assess trauma exposure and resilience, respectively.

Results: Psoriatic patients showed a significant prevalence of childhood trauma and a lower resilience level compared to healthy controls. Associations between traumatic experiences, low resilience and reduced quality of life in psoriatic subjects were also observed.

Conclusions: A multidisciplinary approach is helpful to investigate clinical aspects, trigger factors and psychophysiological stress response in psoriatic subjects. Improving resilience with an early psychological intervention focused on self-motivation and strengthening of self-efficacy could facilitate the management of psoriasis.

Keywords: Childhood trauma; Psoriasis; Psychological distress; Psychosomatic; Quality of life; Resilience.

MeSH terms

  • Adult
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psoriasis / psychology*
  • Psychological Trauma / psychology*
  • Psychometrics
  • Quality of Life
  • Resilience, Psychological*
  • Surveys and Questionnaires