Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-06-03T10:51:12.177Z Has data issue: false hasContentIssue false

Type D personality, anxiety, depression and personality traits in patients with isolated itching of the external auditory canal

Published online by Cambridge University Press:  26 November 2015

B Yilmaz
Affiliation:
Department of Otorhinolaryngology, Dicle University School of Medicine, Diyarbakir, Turkey
F Canan*
Affiliation:
Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
E Şengül
Affiliation:
Department of Otorhinolaryngology, Dicle University School of Medicine, Diyarbakir, Turkey
F E Özkurt
Affiliation:
Department of Otorhinolaryngology, Dicle University School of Medicine, Diyarbakir, Turkey
S F Tuna
Affiliation:
Department of Otorhinolaryngology, Dicle University School of Medicine, Diyarbakir, Turkey
H Yildirim
Affiliation:
Department of Otorhinolaryngology, Dicle University School of Medicine, Diyarbakir, Turkey
*
Address for correspondence: Dr F Canan, Department of Psychiatry, Akdeniz University School of Medicine, 07059 Kampüs, Antalya, Turkey Fax: +90 242 2275540 E-mail: fatihcanan@gmail.com

Abstract

Objective:

This study evaluated type D personality, anxiety, depression and personality traits in patients with isolated itching of the external auditory canal.

Method:

A hundred consecutive out-patients with isolated itching of the external auditory canal and 100 controls were enrolled in the study. The Type D Scale, the abbreviated form of the Eysenck Personality Questionnaire Revised and the Hospital Anxiety and Depression Scale were used for data collection. Patients were also evaluated using the Modified Itch Severity Scale.

Results:

In all, 43 per cent of patients and 15 per cent of controls met the criteria for a type D personality. Patients with a type D personality had higher anxiety and itching severity but lower extraversion compared with those without a type D personality. Multiple linear regression analysis showed that extraversion and type D personality were independently associated with itch severity.

Conclusion:

These data suggest that clinicians should consider psychological and personality features when evaluating and treating patients with isolated itching of the external auditory canal.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Djalilian, HR, Memar, O. Topical pimecrolimus 1% for the treatment of pruritic external auditory canals. Laryngoscope 2006;116:1809–12CrossRefGoogle ScholarPubMed
2Shenoy, PK, Paulose, KO, Sharma, RK. Itchy ear syndrome. Arch Otolaryngol Head Neck Surg 1989;115:109CrossRefGoogle ScholarPubMed
3Acar, B, Simsek, GG, Oguztuzun, S, Zaim, M, Karasen, RM. Isolated itching of external auditory canal: clinicopathological study with immunohistochemical determination of antimicrobial peptides. J Laryngol Otol 2011;125:227–30CrossRefGoogle ScholarPubMed
4Acar, B, Karadag, AS, Karabulut, H, Babademez, MA, Zaim, M, Karasen, RM. Evaluation of contact sensitivity in patients with isolated itching of the external auditory canal. J Otolaryngol Head Neck Surg 2011;40:187–90Google ScholarPubMed
5Tuzuner, A, Akdagli, S, Sen, T, Demirci, S, Tarimci, N, Caylan, R. An objective analysis of sebum, pH and moisture levels of the external ear canal skin. Am J Otolaryngol 2015;36:424–8CrossRefGoogle ScholarPubMed
6Dalgard, F, Svensson, A, Sundby, J, Dalgard, OS. Self–reported skin morbidity and mental health. A population survey among adults in a Norwegian city. Br J Dermatol 2005;153:145–9CrossRefGoogle Scholar
7Sheehan-Dare, RA, Henderson, MJ, Cotterill, JA. Anxiety and depression in patients with chronic urticaria and generalized pruritus. Br J Dermatol 1990;123:769–74CrossRefGoogle ScholarPubMed
8Gupta, MA, Gupta, AK, Schork, NJ, Ellis, CN. Depression modulates pruritus perception: a study of pruritus in psoriasis, atopic dermatitis, and chronic idiopathic urticaria. Psychosom Med 1994;56:3640CrossRefGoogle ScholarPubMed
9Remröd, C, Sjöström, K, Svensson, Å. Pruritus in psoriasis: a study of personality traits, depression and anxiety. Acta Derm Venereol 2015;95:439–43CrossRefGoogle ScholarPubMed
10Mazeh, D, Melamed, Y, Cholostoy, A, Aharonovitzch, V, Weizman, A, Yosipovitch, G. Itching in the psychiatric ward. Acta Derm Venereol 2008;88:128–31CrossRefGoogle ScholarPubMed
11Kretzmer, GE, Gelkopf, M, Kretzmer, G, Melamed, Y. Idiopathic pruritus in psychiatric inpatients: an explorative study. Gen Hosp Psychiatry 2008;30:344–8CrossRefGoogle ScholarPubMed
12Denollet, J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med 2005;67:8997CrossRefGoogle ScholarPubMed
13Yildirim, O, Alçelik, A, Canan, F, Aktaş, G, Şit, M, İşçi, A et al. Impaired subjective sleep quality in irritable bowel syndrome patients with a Type D personality. Sleep Biol Rhytms 2013;11:135–8CrossRefGoogle Scholar
14Versteeg, H, Spek, V, Pedersen, SS, Denollet, J. Type D personality and health status in cardiovascular disease populations: a meta-analysis of prospective studies. Eur J Prev Cardiol 2012;19:1373–80CrossRefGoogle ScholarPubMed
15Middel, B, El Baz, N, Pedersen, SS, van Dijk, JP, Wynia, K, Reijneveld, SA. Decline in health–related quality of life 6 months after coronary artery bypass graft surgery: the influence of anxiety, depression, and personality traits. J Cardiovasc Nurs 2014;29:544–54CrossRefGoogle ScholarPubMed
16Sit, M, Yilmaz, EE, Canan, F, Yildirim, O, Cetin, MM. Health–related quality of life in patients with anal fissure: effect of type D personality. Prz Gastroenterol 2014;9:93–8Google ScholarPubMed
17Nefs, G, Pouwer, F, Pop, V, Denollet, J. Type D (distressed) personality in primary care patients with type 2 diabetes: validation and clinical correlates of the DS14 assessment. J Psychosom Res 2012;72:251–7CrossRefGoogle ScholarPubMed
18Sit, M, Yilmaz, EE, Canan, F, Yıldırım, O, Cetin, MM. The impact of type D personality on health–related quality of life in patients with symptomatic haemorrhoids. Prz Gastroenterol 2014;9:242–8Google ScholarPubMed
19Emons, WH, Meijer, RR, Denollet, J. Negative affectivity and social inhibition in cardiovascular disease: evaluating type–D personality and its assessment using item response theory. J Psychosom Res 2007;63:2739CrossRefGoogle ScholarPubMed
20Alçelik, A, Yıldırım, O, Canan, F, Eroğlu, M, Aktaş, G, Şavlı, H. A preliminary psychometric evaluation of the type D personality construct in Turkish hemodialysis patients. JMOOD 2012;2:15CrossRefGoogle Scholar
21Zigmond, AS, Snaith, RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–70CrossRefGoogle ScholarPubMed
22Aydemir, Ö, Güvenir, T, Küey, L, Kültür, S. Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Turk Psikiyatri Derg 1997;8:280–7Google Scholar
23Francis, LJ, Brown, LB, Philipchalk, R. The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQR–A): its use among students in England, Canada, the USA and Australia. Pers Individ Diff 1992;13:443–9CrossRefGoogle Scholar
24Karanci, AN, Dirik, G, Yorulmaz, O. Reliability and validity studies of Turkish translation of Eysenck Personality Questionnaire Revised–Abbreviated [in Turkish]. Turk Psikiyatri Derg 2007;18:254–61Google ScholarPubMed
25Majeski, CJ, Johnson, JA, Davison, SN, Lauzon, GJ. Itch Severity Scale: a self–report instrument for the measurement of pruritus severity. Br J Dermatol 2007;156:667–73CrossRefGoogle Scholar
26Acar, B, Karabulut, H, Sahin, Y, Babademez, MA, Karadag, AS, Karasen, RM. New treatment strategy and assessment questionnaire for external auditory canal pruritus: topical pimecrolimus therapy and Modified Itch Severity Scale. J Laryngol Otol 2010;124:147–51CrossRefGoogle ScholarPubMed
27Bartels, H, Middel, B, Pedersen, SS, Staal, MJ, Albers, FW. The distressed (Type D) personality is independently associated with tinnitus: a case–control study. Psychosomatics 2010;51:2938Google ScholarPubMed
28Bartels, H, Pedersen, SS, van der Laan, BF, Staal, MJ, Albers, FW, Middel, B. The impact of Type D personality on health–related quality of life in tinnitus patients is mainly mediated by anxiety and depression. Otol Neurotol 2010;31:1118CrossRefGoogle ScholarPubMed
29Witsell, DL, Hannley, MT, Stinnet, S, Tucci, DL. Treatment of tinnitus with gabapentin: a pilot study. Otol Neurotol 2007;28:1115CrossRefGoogle ScholarPubMed
30Mommersteeg, PM, Pot, I, Aarnoudse, W, Denollet, J, Widdershoven, JW. Type D personality and patient–perceived health in nonsignificant coronary artery disease: the TWeesteden mIld STenosis (TWIST) study. Qual Life Res 2013;22:2041–50CrossRefGoogle ScholarPubMed
31Broström, A, Strömberg, A, Mårtensson, J, Ulander, M, Harder, L, Svanborg, E. Association of Type D personality to perceived side effects and adherence in CPAP–treated patients with OSAS. J Sleep Res 2007;16:439–47CrossRefGoogle ScholarPubMed
32Klaassen, K, Nyklíček, I, Traa, S, de Nijs, R. Distressed personality is associated with lower psychological well–being and life satisfaction, but not disability or disease activity in rheumatoid arthritis patients. Clin Rheumatol 2012;31:661–7CrossRefGoogle ScholarPubMed
33Eysenck, HJ, Eysenck, SEG. Manual: Eysenck Personality Inventory. San Diego, CA: Educational and Industrial Testing Service, 1975Google Scholar
34De Fruyt, F, Denollet, J. Type D personality: a five–factor model perspective. Psychol Health 2002;17:671–8CrossRefGoogle Scholar