Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis

Hye-Jin Ahn,1,* Min Kyung Shin,1,* Jong-Kil Seo,1 Su Jin Jeong,2 Ah Rang Cho,3 Sun-Hee Choi,4 Bark-Lynn Lew51Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea; 2Medical Science Research Institute, Kyung Hee University Medical Center, Seoul, Korea; 3Department of Psyc...

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Autores principales:	Ahn HJ, Shin MK, Seo JK, Jeong SJ, Cho AR, Choi SH, Lew BL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Atopic dermatitis Korean National Health Insurance Research Database Mental illness Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/67f36e6d6cfb4af9854de4c95d826b0e
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spelling	oai:doaj.org-article:67f36e6d6cfb4af9854de4c95d826b0e2021-12-02T05:40:03ZCross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis1178-2021https://doaj.org/article/67f36e6d6cfb4af9854de4c95d826b0e2019-05-01T00:00:00Zhttps://www.dovepress.com/cross-sectional-study-of-psychiatric-comorbidities-in-patients-with-at-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hye-Jin Ahn,1,* Min Kyung Shin,1,* Jong-Kil Seo,1 Su Jin Jeong,2 Ah Rang Cho,3 Sun-Hee Choi,4 Bark-Lynn Lew51Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea; 2Medical Science Research Institute, Kyung Hee University Medical Center, Seoul, Korea; 3Department of Psychiatry, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea; 4Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea; 5Department of Dermatology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea *These authors contributed equally to this workBackground: Recent data suggest depression has been linked to chronic skin diseases, including atopic dermatitis (AD), urticaria, and psoriasis. This study compared mental illnesses in patients with AD with those of patients with nonatopic eczema, urticaria, and psoriasis in Korea.Methods: A cross-sectional study design was used, analyzing data from the 2015 Korean National Health Insurance Research Database, a survey of 42,641 AD and 139,486 non-AD (nonatopic eczema, urticaria, and psoriasis) patients (103,938 males, 78,189 females) classified by age: infant, aged 0–3 years; early childhood, aged 4–8 years; late childhood, aged 9–12 years; adolescent, aged 13–18 years; adult, aged 19–64 years; elderly, aged above 65 years. Multiple logistic regression analysis was performed, and the odds ratio (OR) of various mental illnesses – attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), conduct disorder, depression, anxiety, suicidal ideation, schizophrenia, and sleep disorder – were calculated for patients with and without AD.Results: The incidence of depression was not significantly different between AD and non-AD patients. Severe AD showed a high OR of depression (moderate AD OR=1.75; severe AD OR=3.15, P<0.0001). Patients with AD had significantly higher incidence of ADHD (OR=1.48; 95% CI=1.27–1.72), ASD (OR=1.54; 95% CI=1.19–1.99), and conduct disorder (OR=2.88; 95% CI=1.52–5.45).Conclusion: Patients with AD were not found to have higher incidence of depression than non-AD patients. However, severe AD patients were determined to have a significantly higher incidence of depression. Therefore, the severity of dermatitis is thought to contribute to depression. Mental illnesses found to be significantly higher in AD patients were ADHD, ASD, and conduct disorder.Keywords: atopic dermatitis, Korean National Health Insurance Research Database, mental illnessAhn HJShin MKSeo JKJeong SJCho ARChoi SHLew BLDove Medical PressarticleAtopic dermatitisKorean National Health Insurance Research DatabaseMental illnessNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 1469-1478 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Atopic dermatitis Korean National Health Insurance Research Database Mental illness Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Atopic dermatitis Korean National Health Insurance Research Database Mental illness Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ahn HJ Shin MK Seo JK Jeong SJ Cho AR Choi SH Lew BL Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
description	Hye-Jin Ahn,1,* Min Kyung Shin,1,* Jong-Kil Seo,1 Su Jin Jeong,2 Ah Rang Cho,3 Sun-Hee Choi,4 Bark-Lynn Lew51Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea; 2Medical Science Research Institute, Kyung Hee University Medical Center, Seoul, Korea; 3Department of Psychiatry, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea; 4Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea; 5Department of Dermatology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea *These authors contributed equally to this workBackground: Recent data suggest depression has been linked to chronic skin diseases, including atopic dermatitis (AD), urticaria, and psoriasis. This study compared mental illnesses in patients with AD with those of patients with nonatopic eczema, urticaria, and psoriasis in Korea.Methods: A cross-sectional study design was used, analyzing data from the 2015 Korean National Health Insurance Research Database, a survey of 42,641 AD and 139,486 non-AD (nonatopic eczema, urticaria, and psoriasis) patients (103,938 males, 78,189 females) classified by age: infant, aged 0–3 years; early childhood, aged 4–8 years; late childhood, aged 9–12 years; adolescent, aged 13–18 years; adult, aged 19–64 years; elderly, aged above 65 years. Multiple logistic regression analysis was performed, and the odds ratio (OR) of various mental illnesses – attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), conduct disorder, depression, anxiety, suicidal ideation, schizophrenia, and sleep disorder – were calculated for patients with and without AD.Results: The incidence of depression was not significantly different between AD and non-AD patients. Severe AD showed a high OR of depression (moderate AD OR=1.75; severe AD OR=3.15, P<0.0001). Patients with AD had significantly higher incidence of ADHD (OR=1.48; 95% CI=1.27–1.72), ASD (OR=1.54; 95% CI=1.19–1.99), and conduct disorder (OR=2.88; 95% CI=1.52–5.45).Conclusion: Patients with AD were not found to have higher incidence of depression than non-AD patients. However, severe AD patients were determined to have a significantly higher incidence of depression. Therefore, the severity of dermatitis is thought to contribute to depression. Mental illnesses found to be significantly higher in AD patients were ADHD, ASD, and conduct disorder.Keywords: atopic dermatitis, Korean National Health Insurance Research Database, mental illness
format	article
author	Ahn HJ Shin MK Seo JK Jeong SJ Cho AR Choi SH Lew BL
author_facet	Ahn HJ Shin MK Seo JK Jeong SJ Cho AR Choi SH Lew BL
author_sort	Ahn HJ
title	Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
title_short	Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
title_full	Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
title_fullStr	Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
title_full_unstemmed	Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
title_sort	cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/67f36e6d6cfb4af9854de4c95d826b0e
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Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis

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