Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis
The aim of this study was to detect demographic and clinical factors associated with affective symptoms and quality of life in patients with severe atopic dermatitis. First, one-way analyses of variance and correlations were performed to compare a large set of qualitative and quantitative clinical v...
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Society for Publication of Acta Dermato-Venereologica
2021
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oai:doaj.org-article:d24b119dc09f4d58b6f4d15132cac52f2021-11-10T12:26:17ZFactors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis10.2340/00015555-39220001-55551651-2057https://doaj.org/article/d24b119dc09f4d58b6f4d15132cac52f2021-11-01T00:00:00Zhttps://medicaljournalssweden.se/actadv/article/view/715https://doaj.org/toc/0001-5555https://doaj.org/toc/1651-2057The aim of this study was to detect demographic and clinical factors associated with affective symptoms and quality of life in patients with severe atopic dermatitis. First, one-way analyses of variance and correlations were performed to compare a large set of qualitative and quantitative clinical variables. Three final multivariable regression models were performed, with depression/anxiety subscales and Dermatology Life Quality Index scores as dependent variables, and the factors that were statistically significant on univariate analyses as independent ones. More severe anxiety symptoms and poorer quality of life (p < 0.01) were significantly associated with more severe depressive symptoms. Female sex and disturbed sleep (p = 0.03) were significantly associated with more severe anxiety. Finally, previous treatment with cyclosporine (p = 0.03) or methotrexate (p = 0.04), more severe depressive symptoms (p < 0.01), itch (p = 0.03), impaired sleep (p < 0.01) and perceived severity of dermatological illness (p < 0.01) were significant predictors of low quality of life. This study shows a complex interplay between the severity of atopic dermatitis, poor quality of life and presence of clinically relevant affective symptoms. These results will help dermatologists to identify patients who need psychiatric consultation within the framework of a multidisciplinary approach. Silvia Mariel FerrucciSimona TavecchioLuisa AngileriTeresa SuraceEmilio BertiMassimiliano BuoliSociety for Publication of Acta Dermato-Venereologicaarticleatopic dermatitisdepressionanxietyquality of lifeDermatologyRL1-803ENActa Dermato-Venereologica, Vol 101, Iss 11 (2021) |
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atopic dermatitis depression anxiety quality of life Dermatology RL1-803 |
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atopic dermatitis depression anxiety quality of life Dermatology RL1-803 Silvia Mariel Ferrucci Simona Tavecchio Luisa Angileri Teresa Surace Emilio Berti Massimiliano Buoli Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis |
description |
The aim of this study was to detect demographic and clinical factors associated with affective symptoms and quality of life in patients with severe atopic dermatitis. First, one-way analyses of variance and correlations were performed to compare a large set of qualitative and quantitative clinical variables. Three final multivariable regression models were performed, with depression/anxiety subscales and Dermatology Life Quality Index scores as dependent variables, and the factors that were statistically significant on univariate analyses as independent ones. More severe anxiety symptoms and poorer quality of life (p < 0.01) were significantly associated with more severe depressive symptoms. Female sex and disturbed sleep (p = 0.03) were significantly associated with more severe anxiety. Finally, previous treatment with cyclosporine (p = 0.03) or methotrexate (p = 0.04), more severe depressive symptoms (p < 0.01), itch (p = 0.03), impaired sleep (p < 0.01) and perceived severity of dermatological illness (p < 0.01) were significant predictors of low quality of life. This study shows a complex interplay between the severity of atopic dermatitis, poor quality of life and presence of clinically relevant affective symptoms. These results will help dermatologists to identify patients who need psychiatric consultation within the framework of a multidisciplinary approach.
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format |
article |
author |
Silvia Mariel Ferrucci Simona Tavecchio Luisa Angileri Teresa Surace Emilio Berti Massimiliano Buoli |
author_facet |
Silvia Mariel Ferrucci Simona Tavecchio Luisa Angileri Teresa Surace Emilio Berti Massimiliano Buoli |
author_sort |
Silvia Mariel Ferrucci |
title |
Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis |
title_short |
Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis |
title_full |
Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis |
title_fullStr |
Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis |
title_full_unstemmed |
Factors Associated with Affective Symptoms and Quality of Life in Patients with Atopic Dermatitis |
title_sort |
factors associated with affective symptoms and quality of life in patients with atopic dermatitis |
publisher |
Society for Publication of Acta Dermato-Venereologica |
publishDate |
2021 |
url |
https://doaj.org/article/d24b119dc09f4d58b6f4d15132cac52f |
work_keys_str_mv |
AT silviamarielferrucci factorsassociatedwithaffectivesymptomsandqualityoflifeinpatientswithatopicdermatitis AT simonatavecchio factorsassociatedwithaffectivesymptomsandqualityoflifeinpatientswithatopicdermatitis AT luisaangileri factorsassociatedwithaffectivesymptomsandqualityoflifeinpatientswithatopicdermatitis AT teresasurace factorsassociatedwithaffectivesymptomsandqualityoflifeinpatientswithatopicdermatitis AT emilioberti factorsassociatedwithaffectivesymptomsandqualityoflifeinpatientswithatopicdermatitis AT massimilianobuoli factorsassociatedwithaffectivesymptomsandqualityoflifeinpatientswithatopicdermatitis |
_version_ |
1718440041381888000 |