RESUMO
BACKGROUND: Psoriasis may be considered as falling within the category of psychosomatic disorders. The aim of this study was to investigate the temperament profile in psoriasis patients in Tunisia. METHOD: We performed a prospective and comparative study investigating affective temperament in Tunisian psoriasis patients. Sixty five psoriasis patients and 67 age and sex matched healthy controls were enrolled, aged from 18 to 60 years. The diagnosis was made clinically; if necessary, lesional biopsy was obtained for histopathological examination. Temperament Evaluation of Memphis, Paris and San Diego Auto-questionnaire (TEMPS-A) in its 110-items version was used. Both statistical and descriptive analyses were performed. RESULTS: We found significant gender differences, with women scoring higher in depressive and anxious temperaments. There was no significant difference between temperament scores in psoriasis patients and healthy controls. Irritable temperament scores tend to decrease with disease duration. Stressful event was more frequently associated with anxious and depressive temperaments in women. LIMITATION: This survey has a single-time cross-sectional design. CONCLUSIONS: This study broadens our understanding of the relationship between temperament and psoriasis. Some aggravating factors of the disease seem to be associated with particular temperament traits. Understanding the temperaments would be essential in establishing a cooperative relationship between patients and doctors during the management of this chronic skin disorder.
