慢性手部湿疹患者的生活质量、焦虑、抑郁及强迫倾向
Quality of life, anxiety, depression and obsessive-compulsive tendencies in patients with chronic hand eczema.
作者信息
Kouris Anargyros, Armyra Kalliopi, Christodoulou Christos, Katoulis Alexandros, Potouridou Irene, Tsatovidou Revekka, Rigopoulos Dimitrios, Kontochristopoulos Georgios
机构信息
Department of Dermatology and Venereology, 'Andreas Sygros' Hospital, 16121, Athens, Greece.
2nd Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Attikon General University Hospital, 10121, Athens, Greece.
出版信息
Contact Dermatitis. 2015 Jun;72(6):367-70. doi: 10.1111/cod.12366. Epub 2015 Feb 18.
BACKGROUND
Chronic hand eczema is a common dermatological disorder of multifactorial aetiology. It affects physical, material, social and psychological aspects of life, thereby impairing health-related quality of life.
OBJECTIVES
The aim of the present study was to assess quality of life, anxiety, depression and obsessive-compulsive tendencies in patients with chronic hand eczema.
MATERIALS AND METHODS
Seventy-one patients with chronic hand eczema were included in the study. Quality of life was evaluated according to the Dermatology Life Quality Index (DLQI). Patients were also assessed for anxiety and depression with the Hospital Anxiety and Depression Scale (HADS), and for compulsive behaviour with the Leyton Trait Scale.
RESULTS
The DLQI score was 11.11 ± 1.81 in patients with chronic hand eczema. Scores on the Leyton Trait Scale were significantly higher than those of healthy controls (p < 0.027). As concerns the HADS-Anxiety subscale, patients with hand dermatitis had statistically significantly higher scores than those of volunteers (p = 0.002). In contrast, no statistically significant difference was found between the two groups with regard to the HADS-Depression subscale score and total HADS score.
CONCLUSION
Hand eczema treatment should address the severity of skin lesions as well as the psychological impact of hand eczema.
背景
慢性手部湿疹是一种病因多因素的常见皮肤病。它会影响生活的身体、物质、社会和心理方面，从而损害与健康相关的生活质量。
目的
本研究旨在评估慢性手部湿疹患者的生活质量、焦虑、抑郁和强迫倾向。
材料与方法
71例慢性手部湿疹患者纳入本研究。根据皮肤病生活质量指数（DLQI）评估生活质量。还使用医院焦虑抑郁量表（HADS）评估患者的焦虑和抑郁情况，并使用莱顿特质量表评估强迫行为。
结果
慢性手部湿疹患者的DLQI评分为11.11±1.81。莱顿特质量表得分显著高于健康对照组（p<0.027）。关于HADS焦虑分量表，手部皮炎患者的得分在统计学上显著高于志愿者（p = 0.002）。相比之下，两组在HADS抑郁分量表得分和HADS总分方面未发现统计学上的显著差异。
结论
手部湿疹治疗应兼顾皮肤病变的严重程度以及手部湿疹的心理影响。
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