RESUMO
BACKGROUND: Skin picking disorder is a prevalent disorder frequently comorbid with depression and anxiety, which is underdiagnosed mainly by dermatologists. Assessment of skin picking disorder is based on instruments influenced by the awareness about skin picking disorder and comorbid symptoms. To date, there is no validated instrument for Brazilian individuals nor an instrument to evaluate the severity of skin lesions in an objective way. OBJECTIVES: Validate the Skin Picking Impact Scale for Brazilian Portuguese and create a photographic measurement to assess skin lesions. METHODS: The sample was assessed through the Skin Picking Impact Scale translated into Brazilian Portuguese, the Hamilton Anxiety Scale, the Beck Depression Inventory, and the Clinical Global Impression Scale. The patients' skin lesions were photographed. Photos were evaluated regarding active excoriation, crust/bleeding, exulceration, and linear lesions. RESULTS: There were 63 patients included. The Skin Picking Impact Scale translated into Brazilian Portuguese had good internal consistency (Cronbach's alpha=0.88), which tests of goodness-of-fit, showing a suitable model. The reliability of photographic measurement was 0.66, with a high internal consistency (Cronbach's alpha=0.87). Photographic measurement was not correlated with the Skin Picking Impact Scale, the Clinical Global Impression Scale, or comorbid symptoms. STUDY LIMITATIONS: Lack of a previously validated instrument to evaluate dermatillomania in the Brazilian population for comparison. CONCLUSION: The Skin Picking Impact Scale validated in Brazilian Portuguese is a good instrument to evaluate skin picking disorder. Photographic measurement is a consistent way of assessing skin lesions, but it does not reflect the impact of skin picking disorder on the individual's life.
Assuntos
Fotografação/normas , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/psicologia , Perfil de Impacto da Doença , Pele/lesões , Adulto , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtorno Obsessivo-Compulsivo , Escalas de Graduação Psiquiátrica/normas , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Fatores Socioeconômicos , Estatísticas não Paramétricas , Traduções , Adulto JovemRESUMO
Abstract Background Skin picking disorder is a prevalent disorder frequently comorbid with depression and anxiety, which is underdiagnosed mainly by dermatologists. Assessment of skin picking disorder is based on instruments influenced by the awareness about skin picking disorder and comorbid symptoms. To date, there is no validated instrument for Brazilian individuals nor an instrument to evaluate the severity of skin lesions in an objective way. Objectives Validate the Skin Picking Impact Scale for Brazilian Portuguese and create a photographic measurement to assess skin lesions. Methods The sample was assessed through the Skin Picking Impact Scale translated into Brazilian Portuguese, the Hamilton Anxiety Scale, the Beck Depression Inventory, and the Clinical Global Impression Scale. The patients' skin lesions were photographed. Photos were evaluated regarding active excoriation, crust/bleeding, exulceration, and linear lesions. Results There were 63 patients included. The Skin Picking Impact Scale translated into Brazilian Portuguese had good internal consistency (Cronbach's alpha = 0.88), which tests of goodness-of-fit, showing a suitable model. The reliability of photographic measurement was 0.66, with a high internal consistency (Cronbach's alpha = 0.87). Photographic measurement was not correlated with the Skin Picking Impact Scale, the Clinical Global Impression Scale, or comorbid symptoms. Study limitations Lack of a previously validated instrument to evaluate dermatillomania in the Brazilian population for comparison. Conclusion The Skin Picking Impact Scale validated in Brazilian Portuguese is a good instrument to evaluate skin picking disorder. Photographic measurement is a consistent way of assessing skin lesions, but it does not reflect the impact of skin picking disorder on the individual's life.
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Pele/lesões , Fotografação/tendências , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/psicologia , Perfil de Impacto da Doença , Escalas de Graduação Psiquiátrica/normas , Fatores Socioeconômicos , Traduções , Índice de Gravidade de Doença , Brasil , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Transtorno Obsessivo-CompulsivoRESUMO
Este estudo clínico foi realizado com Filtrum FPS 50 Alta Proteção em voluntários saudáveis. Realizou-se avaliação sensorial...
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Filtros UltravioletasRESUMO
O presente trabalho pretende discutir a importância dos modelos de relação materna inicial estabelecida entre os pacientes portadores de dermatoses (neste caso, psoríase) e suas mães. De acordo com a literatura (Anzieu, 1989; Winnicott, 1983) a qualidade da maternagem está amplamente relacionada ao surgimento de distúrbios psicossomáticos, aqui exemplificados pela função limitante da pele entre eu e não-eu. Tendo a pele tal função, o presente artigo busca discutir importantes relações entre dermatologia e psicologia(AU)
