{"title":"[Suicidal ideation, anxiety and depression in adult patients with atopic dermatitis].","authors":"J Dieris-Hirche, U Gieler, J P Kupfer, W E Milch","doi":"10.1007/s00105-009-1744-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Atopic dermatitis is a chronic skin disease which is increasing in incidence and prevalence. An understanding of the mental burden patients carry is essential for successful psychodermatological treatment.</p><p><strong>Patients and methods: </strong>62 adult atopic dermatitis patients were tested with a questionnaire and compared with a matched group of 62 healthy persons. Using the questionnaire for assessing suicide risk of Pöldinger, suicidal ideations were assessed. Anxiety and depression were detected by using HADS-D; the severity of symptoms by patients' self-evaluation based on SCORAD index. Finally, the onset of atopic dermatitis was established.</p><p><strong>Results: </strong>A significantly higher level of suicidal ideation, anxiety and depression was shown among patients with atopic dermatitis. All three aspects showed a medium effect size. Strong correlations between severity of symptoms and psychological burden were observed. 16.1% of patients with atopic dermatitis suffered from suicidal ideation, while only 1.6% in control group did, producing an odds ratio of 11.73 (95%CI 1.45-94.71).</p><p><strong>Conclusion: </strong>Suicidal ideation, anxiety and depression are important factors, which should be addressed when treating atopic dermatitis.</p>","PeriodicalId":12970,"journal":{"name":"Hautarzt","volume":"60 8","pages":"641-6"},"PeriodicalIF":0.0000,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00105-009-1744-y","citationCount":"53","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hautarzt","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00105-009-1744-y","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 53
Abstract
Background: Atopic dermatitis is a chronic skin disease which is increasing in incidence and prevalence. An understanding of the mental burden patients carry is essential for successful psychodermatological treatment.
Patients and methods: 62 adult atopic dermatitis patients were tested with a questionnaire and compared with a matched group of 62 healthy persons. Using the questionnaire for assessing suicide risk of Pöldinger, suicidal ideations were assessed. Anxiety and depression were detected by using HADS-D; the severity of symptoms by patients' self-evaluation based on SCORAD index. Finally, the onset of atopic dermatitis was established.
Results: A significantly higher level of suicidal ideation, anxiety and depression was shown among patients with atopic dermatitis. All three aspects showed a medium effect size. Strong correlations between severity of symptoms and psychological burden were observed. 16.1% of patients with atopic dermatitis suffered from suicidal ideation, while only 1.6% in control group did, producing an odds ratio of 11.73 (95%CI 1.45-94.71).
Conclusion: Suicidal ideation, anxiety and depression are important factors, which should be addressed when treating atopic dermatitis.
期刊介绍:
Der Hautarzt is an internationally recognized journal informing all dermatologists working in practical or clinical environments about important developments in the field of dermatology including allergology, venereology and related areas.
Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy.
Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange.
Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies.
Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.