Abstract
Data from the Vietnam Experience Study were used to examine psychosocial correlates of eczema. Based upon the results of dermatologic examinations, three groups of male veterans were identified: (a) subjects with eczema (n = 80), (b) subjects with tinea (n = 282), and (c) subjects with no medical diagnosis (n = 176). These three groups were compared on measures of anxiety, depression, hostility, and social support. The Diagnostic Interview Schedule (Version III-A) was used to determine diagnoses of anxiety and depression and level of social support. MMPI Scales 2 and 7, the Wiggins content scale of Depression, and the Cook-Medley Hostility Scale were used to assess anxiety, depression, and hostility. Eczema subjects did not differ from tinea or no-disease control groups on dependent measures. These results are contrasted with previous studies of treatment-seeking patients, which showed greater prevalence of anxiety and depression among individuals with eczema. Directions for future research are suggested.
Similar content being viewed by others
References
Arnetz, B. B., Fjellner, B., Eneroth, P., & Kallner, A. (1985). Stress psoriasis: Psychoendocrine and metabolic reactions in psoriatic patients during standardized stressor exposure.Psychosomatic Medicine, 47, 528–541.
Barefoot, J. C. (1992). Developments in the measurement of hostility. In H. S. Friedman (Ed.),Hostility, coping, and health (pp. 13–31). Washington, DC: American Psychological Association.
Barefoot, J. C., Dodge, K. A., Peterson, B. L. Dahlstrom, W. G., & Williams, R. B., Jr. (1989). The Cook-Medley Hostility Scale: Item content and ability to predict survival.Psychosomatic Medicine, 51, 46–57.
Brown, D. G. (1967). Emotional disturbance in eczema: A study of symptom reporting behavior.Journal of Psychosomatic Research, 11, 27–40.
Brown, D. G., & Bettley, F. R. (1971). Psychiatric treatment of eczema: A controlled trial.British Medical Journal, 2, 729–734.
Brunsting, L. A. (1955). Neurodermatitis.Minnesota Medicine, 38, 291–293.
Centers for Disease Control and Prevention (CDC), National Center for Health Statistics. (1994).Vital and health statistics: Current estimates from the National Health Interview Survey, 1992 (Series 10, No. 189, p. 95). Atlanta, GA: CDC.
Cotterill, J. A., & Champion, B. H. (1992). Eczema, lichenification, prurigo and erythroderma. In R. H. Champion, J. L. Burton, & F. J. G. Ebling (Eds.).Rook/Wilkinson/Ebling Textbook of Dermatology (Vol. 4, 5th ed., pp. 2907–2925). London: Blackwell Science.
Faulstich, M. E., & Williamson, D. A. (1985). An overview of atopic dermatitis: Toward a bio-behavioral integration.Journal of Psychosomatic Research, 29, 647–654.
Faulstich, M. E., Williamson, D. A., Duchman, E. G., Conerly, S., & Brantley, P. (1985). Psychophysiological analysis of atopic dermatitis.Journal of Psychosomatic Research, 29, 415–417.
Folks, D. G., & Kinney, F. C. (1992). The role of psychological factors in dermatologic conditions.Psychomatics, 33(1), 45–54.
Friedman, H. S. (1992). Understanding hostility, coping, and health. In H. S. Friedman (Ed.),Hostility, coping, and health (pp. 3–13). Washington, DC: American Psychological Association.
Friedman, H. S., & Booth-Kewley, S. (1987). The “disease-prone personality: A meta-analytic view of the construct.American Psychologist, 42(6), 539–555.
Friedman, S., Hatch, M., & Paradis, C. (1993). Dermatological disorders. In R. J. Gatchel & E. B. Blanchard (Eds.),Psychophysiological disorders: Research and clinical applications (pp. 205–244). Washington, DC: American Psychological Association.
Gould, W. M., & Gragg, T. M. (1983). A dermatology-psychiatry liaison clinic.Journal of the American Academy of Dermatology, 9, 73–77.
Greenhill, M., & Finesinger, J. (1942). Neurotic symptoms and emotional factors in atopic dermatitis.Archives of Dermatology and Syphilology, 46, 187–200.
Hatch, M. L., Paradis, C., Friedman, S., Popkin, M., & Shalita, A. R. (1992). Obsessive compulsive disorder in patients with chronic pruritic conditions: Case studies and discussion.Journal of the American Academy of Dermatology, 26, 549–551.
Hathaway, S. R., & McKinley, J. C. (1942). A multiphasic personality schedule (Minnesota). III. The measurement of symptomatic depression.Journal of Psychology, 14, 73–84.
Horn, R. (1986). The pattern of skin disease in general practice.Dermatology in Practice, Dec, 14–19.
Hughes, J. E., Barraclough, B. M., Hamblin, L. G., & White. (1983).British Journal of Psychiatry, 143, 51–54.
Jordan, J. M., & Whitlock, F. A. (1972). Emotions and the skin: The conditioning of scratch responses in cases of atopic dermatitis.British Journal of Dermatology, 86, 574–585.
Jordan, J. M., & Whitlock, F. A. (1974). Atopic dermatitis: Anxiety and conditioned scratch responses.Journal of Psychosomatic Research, 18, 297–299.
Jowett, S., & Ryan, T. (1985). Skin disease and handicap: An analysis of the impact of skin conditions.Social Science Medicine, 20, 425–429.
Koblenzer, C. S. (1983). Psychosomatic concepts in dermatology: A dermatologist-psychoanalyst's viewpoint.Archives of Dermatology, 119, 501–511.
Koblenzer, C. S. (1987).Psychocutaneous disease. New York: Grune & Stratton.
Leung, D. Y. M., Rhodes, A. R., Geha, R. S., Schneider, L. C., & Ring, J. (1993). Atopic dermatitis. In T. B. Fitzpatrick, A. Z. Eisen, K. Wolff, I. M. Freedberg, & K. F. Austen (Eds.),Dermatology in general medicine (4th ed., pp. 1543–1563). New York: McGraw-Hill.
McKinley, J. C., & Hathaway, S. R. (1942). A multiphasic personality schedule (Minnesota). IV. Psychasthenia.Journal of Applied Psychology, 26, 614–624.
Mechanic, D. (1976).The growth of bureaucratic medicine: An inquiry into the dynamics of patient behavior and the organization of medical care. New York: Wiley.
Mechanic, D. (1978).Medical sociology (2nd ed.). New York: Free Press.
Medansky, R. S., & Handler, R. M. (1981). Dermatopsychosomatics: Classification, physiology, and therapeutic approaches.Journal of the American Academy of Dermatology, 5, 125–136.
Moschella, S. L., & Hurley, H. J. (1992).Dermatology. Philadelphia: W.B. Saunders.
Nathanson, C. (1975). Illness and the feminine role: A theoretical review.Social Science & Medicine, 9, 57, 62.
Nathanson, C. (1977). Sex, illness, and medical care.Social Science & Medicine, 11, 13–25.
Paulley, J. W. (1991). Specificity revisited and updated.Psychotherapy and Psychosomatics, 55, 42–46.
Pope, M., Smith, T., & Rhodewalt, F., (1990). Cognitive, behavioral, and affective correlates of the Cook and Medley hostility scale.Journal of Personality Assessment, 54(3–4), 501–514.
Preston, K. (1969). Depression and skin disease.Medical Journal of Australia, 1, 326–329.
Rabin, A., & Kepecs, J. (1954). Personality structure in atopic dermatitis: A Rorschach study.Journal of General Psychology, 50, 171–180.
Rajka, G. (1989).Essential aspects of atopic dermatitis. Berlin: Springer-Verlag.
Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. S. (1981). The NIMH Diagnostic Interview Schedule: Its history, characteristics and validity.Archives of General Psychiatry, 38, 381–389.
Sanborn, P. E., Sanborn, C. J., Cimbolic, P., & Niswander, G. P. (1972). Suicide and stress-related dermatoses.Diseases of the Nervous System, 33, 391–394.
Savin, J. A., & Cotterill, J. A. (1992). Psychocutaneous disorders. In R. H. Champion, J. L. Burton, & F. J. G. Ebling (Eds.),Rook/Wilkinson/Ebling Textbook of Dermatology (Vol. 4, 5th ed., pp. 2479–2496). London: Blackwell Science.
Scherwitz, L., Perkins, L., Chesney, M., & Hughes, G. (1991). Cook-Medley Hostility Scale and subsets: Relationship to demographic and psychosocial characteristics in young adults in the CARDIA study.Psychosomatic Medicine, 53, 36–49.
U.S. Department of Health & Human Services (USDHHS), Public Health Service, Centers for Disease Control (1989).Health status of Vietnam veterans (Vols. 1–5). Atlanta, GA: USDHHS.
Verbrugge, L. M. (1979). Female illness rates and illness behavior: Testing hypotheses about sex differences in health.Women & Health, 4, 61–79.
Verbrugge, L. M. (1980). Sex differences in complaints and diagnoses.Journal of Behavioral Medicine, 3, 327–356.
Wiggins, J. S. (1966). Substantive dimensions of self-report in the MMPI item pool.Psychological Monographs, 80(22), Whole No. 630.
Author information
Authors and Affiliations
Additional information
This paper is taken from the first author's dissertation.
Rights and permissions
About this article
Cite this article
Keller, B., Zalewski, C., Carmody, T.P. et al. Psychosocial correlates of eczema in a non-treatment-seeking population. J Clin Psychol Med Settings 3, 201–210 (1996). https://doi.org/10.1007/BF01993906
Issue Date:
DOI: https://doi.org/10.1007/BF01993906