Department of Psychosomatic Medicine and Psychotherapy, LWL-University Clinic Bochum, Ruhr-University Bochum, Alexandrinenstr. 1-3, DE-44791 Bochum, Germany.
Acta Derm Venereol. 2017 Nov 15;97(10):1189-1195. doi: 10.2340/00015555-2741.
A cross-sectional study was performed to assess symptoms of suicidality, depression and anxiety in adult patients with atopic dermatitis. The study describes the relationships between these psychiatric symptoms and skin-specific factors, such as atopic dermatitis severity and skin satisfaction. A sample of 181 German patients with atopic dermatitis was compared with a control group of 64 persons with healthy skin with a similar age and sex distribution. Standardized questionnaires were used to assess suicidality (Pöldinger's Scale), depression and anxiety (Hospital Anxiety and Depression Scale; HADS), quality of life (Dermatology Life Quality Index; DLQI), atopic dermatitis severity (Patient-Oriented Scoring Atopic Dermatitis; PO-SCORAD) and skin satisfaction (Skin Satisfaction Questionnaire; SSQ). The prevalence of suicidal ideation among patients with atopic dermatitis was high (21.3%); 3.9% scored above the cut-off that might be an indicator for acute suicidality. Depression symptoms, high severity of atopic dermatitis, lower age, and little touching within the family were identified as significant factors to predict suicidality in atopic dermatitis. Psychiatric screening in dermatological treatment of atopic dermatitis is discussed.
一项横断面研究评估了特应性皮炎成年患者的自杀意念、抑郁和焦虑症状。该研究描述了这些精神症状与皮肤特异性因素之间的关系，如特应性皮炎严重程度和皮肤满意度。对 181 名患有特应性皮炎的德国患者与具有相似年龄和性别分布的 64 名皮肤健康的对照组进行了比较。使用标准化问卷评估自杀意念（波林格量表）、抑郁和焦虑（医院焦虑和抑郁量表；HADS）、生活质量（皮肤病生活质量指数；DLQI）、特应性皮炎严重程度（患者导向的特应性皮炎评分；PO-SCORAD）和皮肤满意度（皮肤满意度问卷；SSQ）。特应性皮炎患者的自杀意念发生率很高（21.3%）；3.9%的患者得分高于可能提示急性自杀的临界值。抑郁症状、特应性皮炎严重程度高、年龄较小、家庭内接触较少被确定为特应性皮炎自杀的显著预测因素。讨论了在特应性皮炎的皮肤科治疗中进行精神筛查。
