الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
Psoriasis is a common chronic disfiguring disorder of unknown
etiology. Psoriatic prevalence in Egypt is about 3%. Much of the care
of patients with psoriasis, in the hospital setting, involves devising and
implementing topical and systemic therapies. Despite Major
improvements in these .therapies and more frequent remissions, many
patients still have recurrent or chronic disease activity.
In this study, 50 patients with psoriasis, 50 other patients with
depression, 50 patients of peptic ulcer and another 50 normal persons
were subjected to clinical evaluation and psychometric assessment
which include DSM III R scale of stressor events, Toronto Alexithymi
scale, Minnesota Multiphasic personably inventory Alexithymic
subscale, (MMPI-AS), Hostility and direction of Hostility
questionnaire (HDHQ), Eyesnck Personality Questionnaire, scale of
psychological meaning of illness and the tenth edition of Present State
Examination (PSE 10).
All case of peptic ulcer were diagnosed by upper gastrointestinal
endoscopy with exclusion of any case of cosophageal or gastric varices.
Depression was diagnosed according to ICDIO criteria with exclusion of
all cases of psychotic depression and bipolar affective disorders. Cases
of psoriasis were diagnosed by senior dermatologist with assessment of
its severity according to nine rules with exclusion of cases of psoriatic
arthritis.
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Summary & Conclusion
The studied psoriatics and other 3 control groups were matched
for age, sex, education and occupation. All the studied persons were 18
years or more.
WE found that:-
1- Male and low socioeconomic states were more presented in the
studied psoriatics.
2- The Majority of psoriatics reported the existence of low impact
stressful events preceding onset or exacerbation of psoriasis. Stress,
acute and enduring, is evident in its patho-etiology.
3- The average incubation period (2.4 months) was more prolonged
than reported European average incubation time.
4- Severity of stressors, Acute events, (DSMIIIR) was positively
correlated with severity of psoriasis (nine Rules).
5- There was negative finding concerning severity 01 stress and
incubation time .
6- Psoriatics proved to be significantly introverts and neurotics. They
showed high degree on the scale of psychotic ism (as a trait) and on
the lie scale (social desirability).
7- Hostility, self-criticism, guilt feeling as well as paranoid hostility are
found to be significantly playing role in the dynamics of psoriasis.
Hostility is directed towards patients’ self (Intropunitives).
8- The normal persons showed higher hostility 16.7 Compared to
western results.
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Summary & Conclusion
9- Psoriasis group had more, in ability to identify and describe feelings
and to distinguish between feelings and body sensations, than normal
group, Using TAS.
10- No significant difference between psoriatics and normal group for
MMPI.-As.
] ]-Depression group is less alexithymic than Psoriatics using MMPI.-
As. __ __
]2- Higher average total degree alexitymia (TAS) in our normal group
71.5 ±7.22 than western normal people (61.1 - 68.2).
] 3- There was no difference between professionals and other
occupations regarding Alexithymia , direction of hostility and
manifest hostility.
]4- Reported more guilt and loss feeling with illness.
] 5-We found hazardous effects of psoriasis on the quality of life of
patient in the form of moderate to severe limitation of activity
(82%) marked loss of capacity for enjoyment (70%) tedium vitae
(8%) and active suicide ideation (6%).
]6- Substance abuse was prevailing among good percent (]6%) of
cases in their past history,
] 7- Psoriatic showed more significant anxiety, depression and
somatization symptoms but non of psoriatics fits any other
psychiatric disorder According to reD lOusing PSE 10 .
]8- There was no difference between psoriasis and peptic ulcer except
for high degree of obessionality on MSS.
] 9- There was no qualitative difference between psoriasis and
depressed patients regarding studied factors ..
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Summary & Conclusion
Recommendations
* Studying the transcultural factors in cases of psoriasis as well
as other psychosomatic disorders.
* Providing educational programmes, teaching the proper ways
of dealing wich stressors and expressing and communicating feelings.
* Providing different psychiatric services to patients with
psychosomatic disorders.