手湿疹的心理社会后果 - - 一项前性横截面研究
Adam Zalewski1, Piotr K Krajewski1, Jacek C Szepietowski1
1Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, 50-368 Wroclaw, Poland.
Journal of clinical medicine
|September 9, 2023
概括
手湿疹显著影响生活质量和心理健康. 这项研究发现,手湿疹的严重程度与患者的,疼痛,焦虑和抑郁症增加有关.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 生活质量研究 研究 生命质量研究
背景情况:
- 手湿疹 (HE) 是一种普遍的慢性炎症性皮肤疾病.
- HE显著损害患者的生活质量 (QoL),并可能影响心理健康.
- 了解HE的心理负担对于全面的患者护理至关重要.
研究的目的:
- 评估和描述手湿疹患者的心理负担.
- 调查HE对患者生活质量的影响.
- 确定HE患者焦虑和抑郁障碍的患病率和严重程度.
主要方法:
- 研究了一组100名患有手湿疹的成年患者.
- 疾病的严重程度是使用研究人员的慢性手湿疹全球评估 (IGA-CHE) 和手湿疹严重程度指数 (HECSI) 尺度来评估的.
- 生活质量 (QoL) 通过皮肤病学生活质量指数 (DLQI) 来衡量. 用患者健康问卷-9 (PHQ-9),通用焦虑障碍-7 (GAD-7) 和修改的医院焦虑和抑郁量表 (HADS-M) 来评估抑郁和焦虑.
主要成果:
- 观察到QOL显著下降,与疾病严重程度,和疼痛有积极的相关性.
- 在17%的患者中发现了可能的抑郁症,较高的抑郁症得分与增加的和疼痛有关.
- 25%的患者被诊断出可能的焦虑障碍,焦虑症状严重程度与疼痛强度和整体疾病严重程度正相关.
结论:
- 手湿疹的心理社会影响是巨大的和不可否认的.
- 手湿疹显著降低了患者的生活质量.
- 精神健康障碍,包括抑郁和焦虑障碍,是手湿疹患者常见的并发症.
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