A Research on Relationship Between Latent Aging and Chronic Lymphocytic Thyroiditis

Objectives: It was aimed to determine the relationship between CLT and latent aging, in this study. Methods: This study was conducted in November 2019 with 63 CLT patients (57 female, 6 males; living in the province of Adana in Turkey; ages ranging between 31 to 58; who responded “yes” to questions Q1 and Q2.). Results: In this study, it was found that the physical (sallow skin, under-eye swell-ing, puffiness) and psychological (depression, anxiety, dysmnesia, focus problem) changes and effects taking place in the individual’s body were effective in the sense of latent aging. Conclusion: In this study, Chronic Lymphocytic Thyroiditis (CLT) was found to be associated with latent aging in the context of psychological and physical effects, and the imitation ability of latent aging via CLT was proved.


Introduction
Chronic Lymphocytic Thyroiditis (CLT), known as Hashimoto's thyroiditis, is a type of disease in which the body produces high levels of anti-TPO and anti-thyroglobulin for the destruction of the thyroid gland, causing the immune system to attack healthy cells and reduce thyroid gland secretion [1]. Thanks to these antibodies, the thyroid gland shrinks, and hormone deficiency occurs. Clinical manifestations Symptoms of chronic lymphocytic thyroiditis have been found to be poor concentration, slow motion, skin discoloration, depression, irritability, menstrual dysfunction, dysmnesia [2][3][4]. Genetic factors, Rheumatoid Arthritis, Systemic Lupus Erythematosus (SLE) are among the risk groups in this disease. Females are eight times more likely to face this disease than males [5][6][7]. The fact that the findings of the disease affect the quality of life at a high level is especially important for the aging of women [8]. Latent aging is the internalization of environmental factors, experience, and knowledge related to aging and the perception that the individual enters the aging process as a result of the cognitive process [9]. In latent aging, an individual feel old even though he or she does not age and starts to be under the influence of aging. Latent aging was first introduced by Özsungur [9]. This subject, which is new in the literature, is a type of disease observed especially in autoimmune diseases. The relationship between latent aging and CLT has not been previously investigated. The aim of this study is to determine the relationship between CLT and latent aging and to contribute to the literature in this context.

Materials and Methods
This study was conducted in November 2019 with 63 CLT patients (57 female, 6 males; living in the province of Adana in Turkey; ages ranging between 31 to 58; who responded "yes» to questions Q1 and Q2.). Structured questions were taken from Özsungur [9]. The consent form was obtained from the participants. According to the reports, 63 participants were found to be CLT patients. The treatment recommendations and other diseases mentioned in the report findings were compared.

Results
CLT patients experience internal-oriented psychological problems. The participants associated the external stimuli with age perception less than other factors. In particular, the physical (sallow skin, under-eye swelling, puffiness) and psychological (depression, anxiety, dysmnesia, focus problem) changes and effects taking place in the individual's body were effective in the sense of latent aging.
Cognitive learning 1 (associating physical changes with aging), cognitive learning 2 (associating diseases and pain perception with aging) and medically obligatory drug dependence were effective on the perception of latent aging. Medical effects of latent aging were CLT, SLE and other diseases (Cardiac diseases, blood cholesterol).
Social effects of latent aging are reported by the participants as «withdrawal from social activities» and «feeling excluded from society». The imitation level of latent aging (diseases) was determined as Alzheimer's disease, dementia, cancer, CLT and SLE (Table 1). Besides, CLT can cause negative social consequences due to the deterioration of mobility. This decline is perceived by the participants' friends as the effect of aging syndrome.

Conclusion
In this study, Chronic Lymphocytic Thyroiditis (CLT) was found to be associated with latent aging in the context of psychological and physical effects, and the imitation ability of latent aging via CLT was proved.