Yu Mi, Han Tae Young, Lee June Hyunkyung, Son Sook-Ja
Department of Dermatology, Eulji General Hospital, College of Medicine, Eulji University, Seoul, Korea.
Ann Dermatol. 2012 Nov;24(4):430-7. doi: 10.5021/ad.2012.24.4.430. Epub 2012 Nov 8.
Hand eczema is a disease frequently observed in dermatological practice. This condition has negative emotional, social, and psychological effects due to its impact on daily life and morphological appearance. Due to its considerable effect on the quality of life, this disease can lead to depression. However, not many studies have been performed on the quality of life and depression in hand eczema patients.
The purpose of this study is to investigate the association between the quality of life, depression, and disease severity in hand eczema patients in South Korea.
A total of 138 patients with hand eczema participated in this study. The patients' quality of life was assessed by a self-administered questionnaire using the Dermatology Life Quality Index (DLQI). Data on patients suffering from depression was obtained using the Beck's Depression Inventory (BDI-II). The disease severity was determined during the clinical examination, according to the Hand Eczema Severity Index (HECSI).
We found positive associations between DLQI and HECSI scores (p<0.05). BDI-II scores had also statistically positive correlations with HECSI scores (p<0.05). DLQI and BDI-II scores both increased with disease severity.
Hand eczema negatively affected the quality of life and mood of patients relative to the disease severity. Therefore, we suggest that quality of life modification and emotional support should be included as a part of treatment for hand eczema.
手部湿疹是皮肤科临床中常见的疾病。由于其对日常生活和形态外观的影响,这种疾病会产生负面的情绪、社交和心理效应。因其对生活质量有相当大的影响,这种疾病可能导致抑郁。然而,针对手部湿疹患者的生活质量和抑郁情况的研究并不多。
本研究旨在调查韩国手部湿疹患者的生活质量、抑郁与疾病严重程度之间的关联。
共有138例手部湿疹患者参与了本研究。使用皮肤病生活质量指数(DLQI)通过自填问卷对患者的生活质量进行评估。使用贝克抑郁量表(BDI-II)获取患者的抑郁数据。根据手部湿疹严重程度指数(HECSI)在临床检查时确定疾病严重程度。
我们发现DLQI与HECSI评分之间存在正相关(p<0.05)。BDI-II评分与HECSI评分在统计学上也呈正相关(p<0.05)。DLQI和BDI-II评分均随疾病严重程度增加。
相对于疾病严重程度,手部湿疹对患者的生活质量和情绪产生负面影响。因此,我们建议改善生活质量和给予情感支持应作为手部湿疹治疗的一部分。