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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Autores principales: Silvia Mariel Ferrucci, Simona Tavecchio, Luisa Angileri, Teresa Surace, Emilio Berti, Massimiliano Buoli
Formato: article
Lenguaje:EN
Publicado: Society for Publication of Acta Dermato-Venereologica 2021
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Acceso en línea:https://doaj.org/article/d24b119dc09f4d58b6f4d15132cac52f
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic atopic dermatitis
depression
anxiety
quality of life
Dermatology
RL1-803
spellingShingle 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.
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
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