[Suicidal ideation, anxiety and depression in adult patients with atopic dermatitis].

4区 医学 Q3 Medicine Hautarzt Pub Date : 2009-08-01 DOI:10.1007/s00105-009-1744-y
J Dieris-Hirche, U Gieler, J P Kupfer, W E Milch
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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.

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成人特应性皮炎患者的自杀意念、焦虑和抑郁。
背景:特应性皮炎是一种发病率和流行率都在上升的慢性皮肤病。了解患者的精神负担对成功的精神皮肤病治疗至关重要。患者和方法:对62例成人特应性皮炎患者进行问卷调查,并与对照组62名健康人进行比较。采用Pöldinger自杀风险评估问卷,对自杀意念进行评估。采用HADS-D检测焦虑、抑郁;症状的严重程度由患者基于SCORAD指数的自我评价来判断。最后,确定了特应性皮炎的发病。结果:特应性皮炎患者的自杀意念、焦虑和抑郁水平显著升高。这三个方面的效应均为中等。观察到症状严重程度与心理负担之间有很强的相关性。特应性皮炎患者有自杀意念的比例为16.1%,对照组为1.6%,比值比为11.73 (95%CI 1.45 ~ 94.71)。结论:自杀意念、焦虑和抑郁是治疗特应性皮炎时应注意的重要因素。
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来源期刊
Hautarzt
Hautarzt 医学-皮肤病学
CiteScore
1.40
自引率
0.00%
发文量
93
审稿时长
4-8 weeks
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.
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