Elevated social stress levels and depressive symptoms in primary hyperhidrosis.
Identifieur interne : 000376 ( PubMed/Corpus ); précédent : 000375; suivant : 000377Elevated social stress levels and depressive symptoms in primary hyperhidrosis.
Auteurs : Katharina M. Gross ; Andrea B. Schote ; Katja Kerstin Schneider ; André Schulz ; Jobst MeyerSource :
- PloS one [ 1932-6203 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Aged, Depressive Disorder (blood), Depressive Disorder (physiopathology), Female, Humans, Hydrocortisone (blood), Hyperhidrosis (blood), Hyperhidrosis (physiopathology), Hyperhidrosis (psychology), Male, Middle Aged, Stress, Psychological (blood), Stress, Psychological (physiopathology), Sweating (physiology).
- MESH :
- chemical , blood : Hydrocortisone.
- blood : Depressive Disorder, Hyperhidrosis, Stress, Psychological.
- physiology : Sweating.
- physiopathology : Depressive Disorder, Hyperhidrosis, Stress, Psychological.
- psychology : Hyperhidrosis.
- Adult, Aged, Female, Humans, Male, Middle Aged.
Abstract
Primary hyperhidrosis is defined as excessive sweating of certain body areas without physiological reasons. Hyperhidrotic individuals report a high psychological strain and an impairment of their quality of life. Thus, the aim of the study is to investigate the relation between hyperhidrosis and different psychological as well as physiological aspects of chronic stress as a co-factor for the etiology of depression. In this study, forty hyperhidrotic subjects were compared to forty age- and sex-matched healthy control subjects. The Trier Inventory of Chronic Stress ('Trierer Inventar zum chronischen Stress': TICS), the Beck Depression Inventory (BDI-II) and the Screening for Somatoform Disorders (SOMS-2) were used to examine the correlation between primary hyperhidrosis and stress as well as accompanying depressive and somatic symptoms. The cortisol awakening response of each subject was analyzed as a physiological stress correlate. In hyperhidrotics, we found a significant lack of social recognition as well as significantly more depressive symptoms compared to the control subjects. A subgroup of patients with axillary hyperhidrosis had the highest impact on these increased issues of chronic stress, pointing to a higher embarrassment in these subjects. Especially in social situations, hyperhidrotics showed higher stress levels, whereby a vicious circle of stress and sweating is triggered. However, the cortisol awakening response did not significantly differ between hyperhidrotics and controls. Moreover, affected persons suffer from more depressive symptoms, which may be caused by feelings of shame and a lack of self-confidence. This initial study provides an impetus for further investigation to reveal a causative relationship between hyperhidrosis and its psychological concomitants.
DOI: 10.1371/journal.pone.0092412
PubMed: 24647796
Links to Exploration step
pubmed:24647796Le document en format XML
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Schote</name><affiliation><nlm:affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schneider, Katja Kerstin" sort="Schneider, Katja Kerstin" uniqKey="Schneider K" first="Katja Kerstin" last="Schneider">Katja Kerstin Schneider</name><affiliation><nlm:affiliation>Department of Psychology, Cognitive Psychology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schulz, Andre" sort="Schulz, Andre" uniqKey="Schulz A" first="André" last="Schulz">André Schulz</name><affiliation><nlm:affiliation>Sub-domain Self-Regulation and Health, Research Unit INSIDE, University of Luxembourg, Walferdange, Luxembourg; Department of Clinical Psychophysiology, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Meyer, Jobst" sort="Meyer, Jobst" uniqKey="Meyer J" first="Jobst" last="Meyer">Jobst Meyer</name><affiliation><nlm:affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24647796</idno><idno type="pmid">24647796</idno><idno type="doi">10.1371/journal.pone.0092412</idno><idno type="wicri:Area/PubMed/Corpus">000376</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000376</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Elevated social stress levels and depressive symptoms in primary hyperhidrosis.</title><author><name sortKey="Gross, Katharina M" sort="Gross, Katharina M" uniqKey="Gross K" first="Katharina M" last="Gross">Katharina M. Gross</name><affiliation><nlm:affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schote, Andrea B" sort="Schote, Andrea B" uniqKey="Schote A" first="Andrea B" last="Schote">Andrea B. Schote</name><affiliation><nlm:affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schneider, Katja Kerstin" sort="Schneider, Katja Kerstin" uniqKey="Schneider K" first="Katja Kerstin" last="Schneider">Katja Kerstin Schneider</name><affiliation><nlm:affiliation>Department of Psychology, Cognitive Psychology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schulz, Andre" sort="Schulz, Andre" uniqKey="Schulz A" first="André" last="Schulz">André Schulz</name><affiliation><nlm:affiliation>Sub-domain Self-Regulation and Health, Research Unit INSIDE, University of Luxembourg, Walferdange, Luxembourg; Department of Clinical Psychophysiology, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Meyer, Jobst" sort="Meyer, Jobst" uniqKey="Meyer J" first="Jobst" last="Meyer">Jobst Meyer</name><affiliation><nlm:affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</nlm:affiliation></affiliation></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Depressive Disorder (blood)</term><term>Depressive Disorder (physiopathology)</term><term>Female</term><term>Humans</term><term>Hydrocortisone (blood)</term><term>Hyperhidrosis (blood)</term><term>Hyperhidrosis (physiopathology)</term><term>Hyperhidrosis (psychology)</term><term>Male</term><term>Middle Aged</term><term>Stress, Psychological (blood)</term><term>Stress, Psychological (physiopathology)</term><term>Sweating (physiology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Depressive Disorder</term><term>Hyperhidrosis</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Sweating</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Depressive Disorder</term><term>Hyperhidrosis</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Hyperhidrosis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Primary hyperhidrosis is defined as excessive sweating of certain body areas without physiological reasons. Hyperhidrotic individuals report a high psychological strain and an impairment of their quality of life. Thus, the aim of the study is to investigate the relation between hyperhidrosis and different psychological as well as physiological aspects of chronic stress as a co-factor for the etiology of depression. In this study, forty hyperhidrotic subjects were compared to forty age- and sex-matched healthy control subjects. The Trier Inventory of Chronic Stress ('Trierer Inventar zum chronischen Stress': TICS), the Beck Depression Inventory (BDI-II) and the Screening for Somatoform Disorders (SOMS-2) were used to examine the correlation between primary hyperhidrosis and stress as well as accompanying depressive and somatic symptoms. The cortisol awakening response of each subject was analyzed as a physiological stress correlate. In hyperhidrotics, we found a significant lack of social recognition as well as significantly more depressive symptoms compared to the control subjects. A subgroup of patients with axillary hyperhidrosis had the highest impact on these increased issues of chronic stress, pointing to a higher embarrassment in these subjects. Especially in social situations, hyperhidrotics showed higher stress levels, whereby a vicious circle of stress and sweating is triggered. However, the cortisol awakening response did not significantly differ between hyperhidrotics and controls. Moreover, affected persons suffer from more depressive symptoms, which may be caused by feelings of shame and a lack of self-confidence. This initial study provides an impetus for further investigation to reveal a causative relationship between hyperhidrosis and its psychological concomitants.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24647796</PMID><DateCreated><Year>2014</Year><Month>03</Month><Day>20</Day></DateCreated><DateCompleted><Year>2014</Year><Month>11</Month><Day>12</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>14</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>3</Issue><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS ONE</ISOAbbreviation></Journal><ArticleTitle>Elevated social stress levels and depressive symptoms in primary hyperhidrosis.</ArticleTitle><Pagination><MedlinePgn>e92412</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0092412</ELocationID><Abstract><AbstractText>Primary hyperhidrosis is defined as excessive sweating of certain body areas without physiological reasons. Hyperhidrotic individuals report a high psychological strain and an impairment of their quality of life. Thus, the aim of the study is to investigate the relation between hyperhidrosis and different psychological as well as physiological aspects of chronic stress as a co-factor for the etiology of depression. In this study, forty hyperhidrotic subjects were compared to forty age- and sex-matched healthy control subjects. The Trier Inventory of Chronic Stress ('Trierer Inventar zum chronischen Stress': TICS), the Beck Depression Inventory (BDI-II) and the Screening for Somatoform Disorders (SOMS-2) were used to examine the correlation between primary hyperhidrosis and stress as well as accompanying depressive and somatic symptoms. The cortisol awakening response of each subject was analyzed as a physiological stress correlate. In hyperhidrotics, we found a significant lack of social recognition as well as significantly more depressive symptoms compared to the control subjects. A subgroup of patients with axillary hyperhidrosis had the highest impact on these increased issues of chronic stress, pointing to a higher embarrassment in these subjects. Especially in social situations, hyperhidrotics showed higher stress levels, whereby a vicious circle of stress and sweating is triggered. However, the cortisol awakening response did not significantly differ between hyperhidrotics and controls. Moreover, affected persons suffer from more depressive symptoms, which may be caused by feelings of shame and a lack of self-confidence. This initial study provides an impetus for further investigation to reveal a causative relationship between hyperhidrosis and its psychological concomitants.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gross</LastName><ForeName>Katharina M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schote</LastName><ForeName>Andrea B</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schneider</LastName><ForeName>Katja Kerstin</ForeName><Initials>KK</Initials><AffiliationInfo><Affiliation>Department of Psychology, Cognitive Psychology, University of Trier, Trier, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schulz</LastName><ForeName>André</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Sub-domain Self-Regulation and Health, Research Unit INSIDE, University of Luxembourg, Walferdange, Luxembourg; Department of Clinical Psychophysiology, Institute of Psychobiology, University of Trier, Trier, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meyer</LastName><ForeName>Jobst</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurobehavioral Genetics, Institute of Psychobiology, University of Trier, Trier, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS One</MedlineTA><NlmUniqueID>101285081</NlmUniqueID><ISSNLinking>1932-6203</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>WI4X0X7BPJ</RegistryNumber><NameOfSubstance UI="D006854">Hydrocortisone</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Mayo Clin Proc. 2005 May;80(5):657-66</RefSource><PMID Version="1">15887434</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Dermatol. 2005 Feb;152(2):342-5</RefSource><PMID Version="1">15727649</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Med Genet A. 2006 Mar 15;140(6):567-72</RefSource><PMID Version="1">16470694</PMID></CommentsCorrections><CommentsCorrections 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MajorTopicYN="N">blood</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006854" MajorTopicYN="N">Hydrocortisone</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006945" MajorTopicYN="N">Hyperhidrosis</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle 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