Al-Qaraleh O. Constitutional and individually-psychological features of the origin and course of psoriasis in men of different somatotypes

Українська версія

Thesis for the degree of Doctor of Philosophy (PhD)

State registration number

0822U101026

Applicant for

Specialization

  • 222 - Медицина

14-12-2022

Specialized Academic Board

ДФ 05.600.058

Vinnytsia National Pirogov Memorial Medical University

Essay

For the first time it was found that in men of mesomorphic somatotype patients with mild or severe psoriasis and only in patients with mild psoriasis course men of endo-mesomorphic somatotype, compared with healthy men of meso- and endo-mesomorphic somatotypes, the picture of anthropo-somatotypological differences in most cases coincides with the differences established between the general groups of healthy and psoriasis men of different courses. For the first time when comparing anthropo-somatotypological indicators between sick men without taking into account somatotype significantly greater or tendency to greater values in representatives with mild psoriasis course compared with severe course of body length, height of the suprasternal, pubic and digital anthropometric points, width of the distal epiphysis (WDE) of the forearm and thigh, shin girth in the lower part and bone component of body weight. For the first time, reliable or tendencies of differences of anthropo-somatotipolo-gical indicators between patients with psoriasis of the corresponding course of men of meso- and endo-mesomorphic somatotypes have been established. For the first time on the basis of constitutional parameters of the body highly informative reliable discriminant models have been developed which provide an opportunity to predict the possibility of psoriasis in Ukrainian men of the general group (correctness 84.1 % of cases, statistics Wilks’ Lambda=0.074; р<0.001) and meso-morphic representatives (correctness 83.6 % of cases, statistics Wilks’ Lambda=0.027; р<0.001) and endomesomorphic (correctness 84.6 % of cases; statistics Wilks’ Lambda=0.027; р<0.001) somatotypes. It was found for the first time that the degree of neuroticism, situational and personal anxiety was higher in subjects with and without somatotype. For the first time, a number of typical features characteristic of people with psoriasis with different body types were identified. Thus, in patients with psoriasis of male mesomorphs compared to endomesomorphic patients with mild or severe dermatosis, a higher percentage of people with high (by 53.57 % and 36.36 %) and lower – with a medium level of situational anxiety (by 35.71 % and 30.91 %), low level of personal anxiety (by 16.77 % with mild course), which indicates the constitutional predisposition of the former to the development of anxiety, which can provoke an exacerbation of psoriasis.

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