Hubungan Antara Stres Psikologis Dengan Dermatitis Numularis

Nunik Sriwahyuni, Prof. Dr. dr. Hardyanto Soebono, SpKK(K); dr. Niken Indrastuti, SpKK(K)

2015 | Tesis-Spesialis | S2 Ilmu Kesehatan Kulit dan Kelamin

Tujuan: Penelitian ini bertujuan untuk mengetahui adanya hubungan stres psikologis dengan dermatitis numularis dan pengaruh stres psikologis terhadap fungsi sawar kulit. Metode: Penelitian ini merupakan penelitian analitik observasional dengan menggunakan rancangan studi potong lintang. Sebanyak 35 subyek dermatitis numularis dan 35 subyek non dermatitis numularis yang masing-masing terdiri atas 26 wanita dan 9 pria, dilakukan pemeriksaan stres psikologis,transepidermal waterloss (TEWL), dan hidrasi kulit. Stres psikologis diperiksa dengan metode kuesioner skala Holmes dan Rahe, perceived stress scale (PSS-10), Beck depression inventory (BDI) dan Beck anxiety inventory (BAI). Transepidermal waterloss diperiksa dengan tewameter dan hidrasi kulit dengan korneometer. Analisis statistik menggunakan uji Mann Whitney dan korelasi Rho Hasil: penelitian menunjukkan tingkat stres psikologis kelompok dermatitis numularis lebih tinggi daripada kelompok non dermatitis numularis yaitu pada BDI dan BAI, BDI kelompok dermatitis numularis (11,4±7,1), non dermatitis numularis (5,8±5,7), BAI kelompok dermatitis numularis (8,91±5,8), non dermatitis numularis (5,91±4,9). Tidak didapatkan korelasi antara stres psiklogis dan fungsi sawar kulit (TEWL dan hidrasi), sehingga peran stres psikologis terhadap kejadian dermatitis numularis tidak melalui pengaruh fungsi sawar kulit, kemungkinan melalui jalur mekanisme lain yang membutuhkan penelitian lebih lanjut. Kesimpulan:Terdapat perbedaan bermakna tingkat stres psikologis dermatitis numularis dengan non dermatitis numularis, tingkat stres psikologis (depresi dan ansietas) dermatitis numularis lebih tinggi dibandingkan non dermatitis numularis. Tidak terdapat pengaruh stres psikologis terhadap fungsi sawar kulit pada kejadian dermatitis numularis.

Purpose: The purpose of this study was to determine the relationship of psychological stress with nummular dermatitis and the effect of psychological stress on skin barrier function. Method: This research is an observational analytic research using cross sectional study design. A total of 35 subjects and 35 subjects dermatitis numularis numularis non dermatitis, each consisting of 26 women and 9 men, examined psychological stress, transepidermal waterloss (TEWL), and hydration of the skin. Psychological stress scale questionnaire examined by the method of Holmes and Rahe, perceived stress scale (PSS-10), Beck depression inventory (BDI) and Beck anxiety inventory (BAI). Transepidermal waterloss checked with tewameter and skin hydration with corneometer. Result: The results showed the levels of psychological stress nummular dermatitis group was higher than non nummular dermatitis especially BDI and BAI, BDI nummular dermatitis (11,43±7,1), non nummular dermatitis group (5,8±5,7), BAI nummular dermatitis (8,91±5,8), non nummular dermatitis group (5,91±4,9). No correlation between psychological stress and barrier function of the skin (TEWL and hydration). The role of psychological stress on the incidence of nummular dermatitis does not affect the barrier function of the skin, and most likely due to other mechanisms that require further research Conclusion: The level of psychological stress are significantly difference between nummular dermatitis and non nummular dermatitis, the level of depression and anxiety on nummular dermatitis is higher than non nummular dermatitis. There is no influence of psychological stress on the skin barrier function on the incidence of nummular dermatitis.

Kata Kunci : dermatitis numularis, stres psikologis, transepidermal waterloss, hidrasi kulit, nummular dermatitis, psychological stress, transepidermal waterloss, skin hydration