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Do Hyperhidrosis Patients Have Personality Disorders ?

By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD

July 27, 2008

Do Hyperhidrosis Patients Have Personality Disorders or Anxiety Disorders ? 
There are those who have questioned whether patients with hyperhidrosis have some  personality disorders such anxiety or stress.
Researchers from the Department of Dermatology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey investigated the temperament and character dimensions in patients with hyperhidrosis with a psychobiological inventory.
Patients with hyperhidrosis were recruited and compared to normal healthy patients without hyperhidrosis and patients with chronic renal failure. All subjects were required to perform a temperament and character inventory.
These researchers found that “total novelty seeking score in hyperhidrosis was significantly lower than in controls. There was no significance in total harm avoidance scores between hyperhidrosis patients and controls. The total reward dependence and persistence scores were significantly higher in hyperhidrosis patients. The fear of uncertainty in the harm avoidance scale was found to be significantly greater in hyperhidrosis patients. Regarding character dimensions, the total score in each of the subscales self-directedness, cooperativeness and self-transcendence was found to be higher in hyperhidrosis patients”.
These researchers led by Dr. Karaca concluded that “the higher scores of all subscales of character dimensions in hyperhidrosis patients suggest that hyperhidrosis is not related with social phobia or a personality disorder”.
Dr. Karamanoukian – I wholeheartedly agree with these observations and conclusions. Having treated several thousand patients with hyperhidrosis and operated on a large number, I believe that patients with hyperhidrosis do not have personality disorders or anxiety disorders. This is counter to what some insurance companies think which on occasion ask their enrollees to get psychiatric evaluation.
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For more information about hyperhidrosis (excessive sweating) , as well as surgical and non-surgical hyperhidrosis treatment options, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638.

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