Алекситимия как один из факторов риска развития кожной патологии при субъективном переживании стресса

О. С. Белугина, О. А. Скугаревский УО «Белорусский государственный медицинский университет»

2017 №2 | Лекции

Аннотация

Список литературы

Алекситимия является чертой личности, которая характеризуется трудностью в дифференциации и описании эмоциональных ощущений. Под эмоциональным интеллектом следует понимать способность разбираться в эмоциональной сфере человеческой жизни (умение воспринимать, понимать, предвосхищать и оценивать изменчивость эмоций). «Теория разума» (eng. «Theory of mind») включает в себя возможность делать выводы о таких состояниях, как намерения, убеждения и эмоции других людей. По данным литературы, чем выше уровень алекситимии, тем ниже способность понимать чувства и мотивы поведения других людей. Наличие алекситимии может стать пусковым механизмом для психосоматических заболеваний, к ним, в свою очередь, относится и кожная патология. В данном обзоре собраны результаты исследований в области алекситимии и эмоционального интеллекта у пациентов с кожной патологией.

Ключевые слова:

эмоциональный интеллект, алекситимия, теория разума, психосоматические расстройства, соматоформные расстройства, кожная патология, психодерматология, психотерапия

Subjective stress experience: alexithymia AS One Of the Skin pathology risk factors

Alexithymia is a personality trait that is characterized by difficulty to distinguish and describe emotions. Emotional intelligence –- ability to understand the emotional part of human life. It is the capability to perceive, understand, anticipate and assess the variability of emotions, as well as express emotions correctly according to situation and use them to provide adaptive and creative thinking style. «Theory of Mind» includes capability to draw conclusions about intentions, beliefs, and emotions of others. According to the literature, the higher the level of alexithymia is the lower ability to understand the feelings and motives of other people. Various studies show that the presence of alexithymia may be a trigger for physical and mental disorders, particularly for psychosomatic disorders such as skin pathology. This review contains results of research in the field of alexithymia and emotional intelligence in patients with skin pathology.

Keywords

emotional intelligence, alexithymia, theory of mind, psychosomatic disorders, somatoform disorders, skin pathology, psychodermatology, psychotherapy

1. Байкова, И. А. Психосоматические расстройства (классификация, клиника, диагностика, лечение). – Минск, 1999. – С. 6.
2. Darrel, A. Regier, Emily A. Kuhl, David J. Kupfer DSM-5: Классификация и изменения критериев // World psychiatry; пер. А. В. Павличенко. – 2013. – June. – P. 88–94.
3. Канитц, фон А. E. Q. Управление эмоциями / А. фон Канитц; пер. с нем. – М.: Изд-во ОМЕГА-Л: Smart Book, 2008. – 128 c.
4. Alexopoulos, A., Chrousos G. P. Stress-related skin disorders // Rev Endocr Metab Disord. – 2016. – Sep. 17(3). – P. 295–304.
5. Abell, F., Happé F., Frith U. Do triangles play tricks? Attribution of mental states to animated shapes in normal and abnormal development // Journal of Cognitive Development. – 2000. – № 15(1). – P. 1–16.
6. Allen, L. A., Woolfolk R. L. Cognitive behavioral therapy for somatoform disorders // Psychiatr Clin North Am. – 2010. – Sep. 33(3). – P. 579–593.
7. Berthoz, S., Artiges E., Van De Moortele P. F., Poline J. B., Rouquette S., Consoli S. M., Martinot J. L. Effect of impaired recognition and expression of emotions on frontocingulate cortices: an fMRI study of men with alexithymia // Am. J. Psychiatry. – 2002. – № 159(6). – P. 961–967.
8. Basińska, M. A., Woźniewicz A. Emotional intelligence as a determinant of illness acceptance in patients with psoriasis // Przegl Dermatol. – 2012. – № 99. – P. 202–209.
9. Basińska, A., Drozdowska M. Emotional intelligence as an indicator of satisfaction with life of patients with psoriasis // Postepy Dermatol Alergol. – 2013. – № 30(6). – P. 365–372.
10. Bundy, C., Pinder B., Bucci S., Reeves D., Griffiths C. E., Tarrier N. A novel, web-based, psychological intervention for people with psoriasis: the electronic Targeted Intervention for Psoriasis (eTIPs) study // Br. J. Dermatol. – 2013. – № 169(2). – P. 329–36.
11. Cox, B. J., Swinson R. P., Shulman I. D., Bourdeau D. Alexithymia in panic disorder and social phobia // Comprehensive Psychiatry. – 1995. – № 36 (3). – P. 195–198.
12. Colin, A. Wastell, Alan J. Taylor. Alexithymic metalizing: theory of mind and social adaptation // Social behavior and personality. – 2002. – № 30(2). – P. 141–148.
13. Chida, Y., Steptoe A., Hirakawa N., Sudo N., Kubo C. The effects of psychological intervention on atopic dermatitis. A systematic review and meta-analysis // Int. Arch. Allergy Immunol. – 2007. – № 144(1). – P. 1–9.
14. Demers, L. A., Koven N. S. The Relation of Alexithymic Traits to Affective Theory of Mind // Am. J. Psychol. – 2015. – Spring. 128(1). – P. 31–42.
15. Elise Kleyn, C., Shane McKie, Andrew R. Ross, Daniela Montaldi, Lloyd J. Gregory, Rebecca Elliott, Clare L. Isaacs, Ian M. Anderson, Helen L. Richards, J. F. William Deakin, Donal G. Fortune and Christopher E. M. Griffiths. Diminished neural and cognitive responses to facial expressions of disgust in patients with psoriasis: a functional magnetic resonance imaging study // Journal of Investigative Dermatology. – 2009. – № 129(11). – P. 2613–2619.
16. Goleman, D. Working with emotional intelligence // Bantam Books. – 1998. – P. 383.
17. Grynberg, D., Chang B., Corneille O., Maurage P., Vermeulen N., Berthoz S., Luminet O.P. Alexithymia and the processing of emotional facial expressions (EFEs): systematic review, unanswered questions and further perspectives // PLoS One. – 2012. – № 7(8).
18. Jafferany, M., Franca K. Psychodermatology: Basics Concepts // Acta Derm Venereol. – 2016. – Jun 9. – P. 35–37.
19. Koelen, Jurrijn A., Houtveen Jan H., Abbass Allan, Luyten Patrick, Geenen Rinie. Effectiveness of psychotherapy for severe somatoform disorder: meta-analysis // The British Journal of Psychiatry. – 2014. – № 204(1). – P. 12–19.
20. Kim, J. H., Lee S. J., Rim H. D., Kim H. W., Bae G. Y., Chang S. M. The Relationship between Alexithymia and General Symptoms of Patients with Depressive Disorders // Psychiatry Investig. – 2008. – Sep. 5(3). – P. 179–185.
21. Kirmayer, L. J., Taillefer S. Somatoform disorders // Adult Psychopathology and Diagnosis. – 1997. – P. 333–383.
22. Koblenzer, C. S. Psychotherapy for intractable inflammatory dermatoses // J. Am. Acad. Dermatol. – 1995. – № 32(4). – P. 609–612.
23. Lumley, M. A., Stettner L., Wehmer F. How are alexithymia and physical illness linked? A review and critique of pathways // J. Psychosom. Res. – 1996. – № 41(6). – P. 505–518.
24. Michiko Kano, Shin Fukudo. The alexithymic brain: the neural pathways linking alexithymia to physical disorders // Biopsychosoc Med. – 2013. – № 7(1):1.
25. Mayer, J. D., Salovey P. What is emotional intelligence? Emotional development and emotional intelligence // Rebis Press. – 1999. – P. 21–70.
26. Matczak, A. The role of temperament in human development // Developmental Psychology. – 2004. – P. 9–21.
27. Öztürk, A., Kiliç A., Deveci E., Kirpinar İ. Investigation of facial emotion recognition, alexithymia, and levels of anxiety and depression in patients with somatic symptoms and related disorders // Neuropsychiatr Dis Treat. – 2016. – № 29;12. – P. 1047–1053.
28. Picardi, A., Pasquini P., Cattaruzza M. S. Psychosomatic factors in first-onset alopecia areata // Psychosomatics. – 2003. – P. 374–381.
29. Pedrosa, Gil. F., Ridout N., Kessler H. Facial emotion recognition and alexithymia in adults with somatoform disorders //Depress Anxiety. – 2009. – № 26(1). – P. 26–33.
30. Pollatos, O., Herbert B. M., Wankner S. Autonomic imbalance is associated with reduced facial recognition in somatoform disorders // J. Psychosom. Res. – 2011. – № 71(4). – P. 232–239.
31. Roseeuw, D., Willemsen R., Vanderlinden J. Alexithymia and dermatology: the state of the art // Int. J. Dermatol. – 2008. – Sep. 47(9). – P. 903–910.
32. Sackeim, H. A. Lateral asymmetry in intensity of emotional expression // Neuropsychologia. – 1978. – Vol. 16, № 4. – P. 433.
33. Salovey, P., Sluyter D. J. Emotional development and emotional intelligence: Educational implications. – New York: Basic Books, 1997.
34. Sternberg, R. The Triarchic Theory of Successful Intelligence / Contemporary Intellectual Assessment: Theory, Tests, and Issues // Guilford Pres. – 2005. – Р. 103–118.
35. Subic-Wrana, C., Beutel M. E., Knebel A., Lane R. D. Theory of mind and emotional awareness deficits in patients with somatoform disorders // Psychosom. Med. – 2010. – № 72(4). – P. 404–411.
36. Shenefelt, P. D. Hypnosis in dermatology // Arch. Dermatol. – 2000. – № 136(3). – P. 393–399.
37. Starita, F., Làdavas E., Pellegrinoc G. Reduced anticipation of negative emotional events in alexithymia // Sci Rep. – 2016. – Jun 9;6.
38. Taylor, G. J., Bagby R. M., Parker J. D. A. Affect dysregulation and alexithymia. Alexithymia in Medical and Psychiatric Illness // Cambridge: Cambridge University Press. – 1997. – P. 26–45.
39. Todarello, O., Casamassima A., Daniele S., Marinaccio M., Fanciullo F., Valentino L., Tedesco N., Wiesel S., Simone G., Marinaccio L. Alexithymia, immunity and cervical intraepithelialneoplasia: replication // Psychother. Psychosom. – 1997. – № 66(4). – P. 208–213.