Skip to main content

Advertisement

Log in

Negative and positive life experiences in patients with psoriatic arthritis

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

An Erratum to this article was published on 29 January 2013

Abstract

Recent data suggest that childhood and adulthood stressors may play a significant role in the development of an autoimmune disease. The present study explores the relationship between psoriatic arthritis (PsA) and positive and negative life events during childhood and adulthood in psoriatic patients. Forty-five patients with psoriatic arthritis and 101 controls (patients with skin conditions considered to be “non-psychosomatic”) were enrolled in the study. All participants completed a specific questionnaire measuring traumatic life experiences [Traumatic Antecedents Questionnaire (TAQ)]. The TAQ assesses positive personal experiences (competence and safety) and negative personal experiences (neglect, separation, secrets, emotional, physical and sexual abuse, trauma witnessing, other traumas and exposure to alcohol/drugs) from early childhood to adulthood. The patients with psoriatic arthritis exhibited lower mean scores of total positive experiences during late childhood (latency) as compared to the control group. Negative experiences during four developmental periods appeared more frequently in patients with psoriatic arthritis than in the controls. The most frequently reported negative experiences were neglect, emotional abuse, physical abuse, sexual abuse, alcohol/drug abuse and other traumas. The present findings add evidence to the relationship between retrospectively reported childhood experiences and psoriatic arthritis. Furthermore, a high amount of reported emotional and physical abuse occurs in patients with psoriatic arthritis during latency and adolescence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ciocon DH, Kimball AB (2007) Psoriasis and psoriatic arthritis: separate or one and the same? Br J Dermatol 157:850–860

    Article  CAS  Google Scholar 

  2. Feuchtenberger M, Kleinert S, Tony HP, Kneitz C (2008) Psoriatic arthritis: therapeutic principles. Clin Dermatol 26:460–463

    Article  Google Scholar 

  3. Fearon U, Veale DJ (2001) Pathogenesis of psoriatic arthritis. Clin Exp Dermatol 26:333–337

    Article  CAS  Google Scholar 

  4. McGonagle D, Tan AL, Benjamin M (2008) The biomechanical link between skin and joint disease in psoriasis and psoriatic arthritis: what every dermatologist needs to know. Ann Rheum Dis 67:1–4

    Article  Google Scholar 

  5. Poot F, Sampogna F, Onnis L (2007) Basic knowledge in psychodermatology. JEADV 21:227–234

    CAS  PubMed  Google Scholar 

  6. Herrmann M, Scholmerich J, Straub RH (2000) Stress and rheumatic diseases. Rheum Dis Clin North Am 26:737–763

    Article  CAS  Google Scholar 

  7. Bruce IN, Silman AJ (2001) The aetiology of psoriatic arthritis. Rheumatology 40:363–366

    Article  CAS  Google Scholar 

  8. Schmid-Ott G, Jaeger B, Boehm T, Langer K, Stephan M, Raap U, Werfel T (2009) Immunological effects of stress in psoriasis. Br J Dermatol 160:782–785

    Article  CAS  Google Scholar 

  9. Maiden NL, Hurst NP, Lochhead A, Carson AJ, Sharpe M (2003) Quantifying the burden of emotional ill-health amongst patients referred to a specialist rheumatology service. Rheumatol 42:750–757

    Article  CAS  Google Scholar 

  10. Nicolson NA, Davis MC, Kruszewski D, Zautra AJ (2010) Childhood maltreatment and diurnal cortisol patterns in women with chronic pain. Psychosom Med 72:471–480

    Article  Google Scholar 

  11. Von Korff M, Alonso J, Ormel J, Angermeyer M, Bruffaerts R, Fleiz C, de Girolamo G, Kessler RC, Kovess-Masfety V, Posada-Villa J, Scott KM, Uda H (2009) Childhood psychosocial stressors and adult onset arthritis: broad spectrum risk factors and allostatic load. Pain 143:76–83

    Article  Google Scholar 

  12. Kopec JA, Sayre EC (2004) Traumatic experiences in childhood and the risk of arthritis: a prospective cohort study. Can J Public Health 95:361–365

    PubMed  Google Scholar 

  13. Willemsen R, Vanderlinden J, Roseeuw D, Haentjens P (2009) Increased history of childhood and lifetime traumatic events among adults with alopecia areata. J Am Acad Dermatol 60:388–393

    Article  Google Scholar 

  14. Saleptesi E, Bichescu D, Rockstroh B, Neuner F, Schauer M, Studer K, Hoffmann K, Elbert T (2004) Negative and positive childhood experiences across developmental periods in psychiatric patients with different diagnoses—an explorative study. BMC Psychiatr 4:40. doi:10.1186/1471-244X-4-40

    Article  Google Scholar 

  15. Anderberg UM, Marteinsdottir I, Theorell T, von Knorring L (2000) The impact of life events in female patients with fibromyalgia and in female healthy controls. Eur Psychiatr 15:295–301

    Article  CAS  Google Scholar 

  16. Kopec J, Sayre E (2005) Stressful experiences in childhood and chronic back pain in the general population. Clin J Pain 21:478–483

    Article  Google Scholar 

  17. Simonić E, Kaštelan M, Peternel S, Pernar M, Brajac I, Rončević-Gržeta I, Kardum I (2010) Childhood and adulthood traumatic experiences in patients with psoriasis. J Dermatol 37:1–8

    Article  Google Scholar 

  18. Wismer Fries AB, Shirteliff AE, Pollak SD (2008) Neuroendocrine dysregulation following early social deprivation in children. Dev Psychobiol 50:588–599

    Article  Google Scholar 

  19. Sacareno R, Kleyn CE, Terenghi G, Griffiths CEM (2006) The role of neuropeptides in psoriasis. Br Dermatol 154:876–882

    Google Scholar 

  20. Veale DJ, Fitzgerald O (2002) Psoriatic arthritis-pathogenesis and epidemiology. Clin Exp Rheumatol 20:27–33

    Google Scholar 

  21. Herman JL, van der Kolk B (1987) Traumatic antecedents of borderline personality disorder. In: van der Kolk B (ed) Psychological trauma. Am Psychiatr Press, Washington, DC, pp 111–126

    Google Scholar 

  22. Irish L, Kobayashi I, Delahanty DL (2010) Long-term physical health consequences of childhood sexual abuse: a meta-analytic review. J Pediatr Psychol 35:450–461

    Article  Google Scholar 

  23. Chapman BP, Moynihan J (2009) The brain–skin connection: role of psychosocial factors and neuropeptides in psoriasis. Expert Rev Clin Immunol 5:623–627

    Article  Google Scholar 

  24. Mrowietz U, Elder JT, Barker J (2007) The importance of disease associations and concomitant therapy for the long-term management of psoriasis patients. Arch Dermatol Res 298:309–319

    Article  Google Scholar 

  25. Griffiths CEM, Barker JNWN (2007) Pathogenesis and clinical features of psoriasis. Lancet 370:263–271

    Article  CAS  Google Scholar 

  26. Mulvihill D (2005) The health impact of childhood trauma: an interdisciplinary review 1997–2003. Issues Compr Pediatr Nurs 28:115–136

    Article  Google Scholar 

  27. Pollak SD (2008) Mechanisms linking early experiences and the emergence of emotions. Curr Dir Psychol Sci 17:370–375

    Article  Google Scholar 

  28. Richards HL, Fortune DG, Griffiths CE, Main CJ (2005) Alexithymia in patients with psoriasis: clinical correlates and psychometric properties of the Toronto Alexithymia Scale-20. J Psychosom Res 58:89–96

    Article  Google Scholar 

  29. Stojanovic L, Marisavljević D (2008) Stress as a trigger of autoimmune disease. Autoimmun Rev 7:209–213

    Article  Google Scholar 

  30. Richards HL, Ray DW, Kirby B, Mason D, Plant D, Main CJ, Fortune DG, Griffiths CE (2005) Response of the hypothalamic–pituitary–adrenal axis to psychological stress in patients with psoriasis. Br J Dermatol 153:1114–1120

    Article  CAS  Google Scholar 

  31. Danese A, Pariante CM, Caspi A, Taylor A, Poulton R (2007) Childhood maltreatment predicts adult inflammation in a life-course study. Proc Natl Acad Sci USA 23:1319–1324

    Article  Google Scholar 

Download references

Conflict of interest

None to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Edita Simonić.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Simonić, E., Peternel, S., Stojnić-Soša, L. et al. Negative and positive life experiences in patients with psoriatic arthritis. Rheumatol Int 33, 1587–1593 (2013). https://doi.org/10.1007/s00296-012-2569-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-012-2569-z

Keywords

Navigation