Common burden of chronic skin diseases? Contributors to psychological distress in adults with psoriasis and atopic dermatitis
Common burden of chronic skin diseases? Contributors to psychological distress in adults with psoriasis and atopic dermatitis
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DOI：
10.1111/j.1365-2133.2005.06565.x
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发表时间：
2005-06-01
影响因子：
10.3
通讯作者：
van de Kerkhof, PCM
中科院分区：
文献类型：
--
作者：
Evers, AWM;Lu, Y;van de Kerkhof, PCM
背景慢性皮肤病，如特应性皮炎和银屑病，是众所周知的影响生活质量，通过加剧心理困扰。了解导致心理困扰的因素对于支持医生为有心理风险的患者提供诊断和多学科治疗方案是必不可少的。ObjectiveTo研究与慢性疾病患者相关的一般生理、心理和社会因素是否可能导致银屑病和特应性皮炎成人患者的心理困扰。对128例银屑病患者和120例16岁以上特应性皮炎患者的瘙痒、疲劳等躯体症状、对日常生活的影响、对疾病的认知和社会支持情况进行调查。相反，在多元回归分析中，更高水平的疲劳、感觉无助和更少的社会支持最能预测这两种皮肤病患者的心理困扰。心理和社会方面在慢性皮肤病中起作用，并表明通过整合常见的筛查和治疗成分，可以大大改善银屑病和特应性皮炎患者的多学科护理治疗慢性病
Background Chronic skin diseases, such as atopic dermatitis and psoriasis, are known to affect quality of life by heightening psychological distress. Knowledge about factors contributing to psychological distress is essential for supporting physicians in diagnostic and multidisciplinary treatment options for patients psychologically at risk.Objectives To examine whether generic physical, psychological and social factors relevant to patients with chronic diseases might contribute to psychological distress in adults with psoriasis and atopic dermatitis.Methods Self-report data on clinical skin status, physical symptoms of itching and fatigue, impact of the disease on daily life, illness cognitions and social support were collected from 128 patients with psoriasis and 120 patients with atopic dermatitis (aged over 16 years).Results For patients with either skin disease, clinical status and physical symptoms of itching scarcely affected psychological distress. Instead, higher levels of fatigue, perceived helplessness and less social support best predicted psychological distress in patients with both skin diseases in multiple regression analyses.Conclusions Results demonstrate that generic physical, psychological and social aspects play a role in chronic skin diseases and suggest that multidisciplinary care for patients with psoriasis and atopic dermatitis can be greatly improved by integrating common screening and treatment components for chronic diseases.