Barilla Steven, Felix Kayla, Jorizzo Joseph L
Department of Dermatology, Wake Forest University School of Medicine, Winston Salem, NC, USA.
Adv Exp Med Biol. 2017;1027:71-77. doi: 10.1007/978-3-319-64804-0_7.
As with other inflammatory skin disorders, atopic dermatitis has a tendency to cause stress and also be exacerbated by it. Patients with atopic dermatitis have several disease-associated stressors, some of which include physical discomfort due to itching and altered appearance due to flare-ups. These stressors have been shown to effect patients psychosocially by altering sleep patterns, decreasing self-esteem and interfering with interpersonal relationships. In combination with its direct effect on patients, atopic dermatitis also causes stress for parents and caregivers. Studies suggest that atopic dermatitis is strongly correlated with co-sleeping habits, which can negatively impact the health and mood of parents or caregivers. It has also been reported to interfere with the formation of a strong mother-child relationship. In order to optimize treatment for patients with atopic dermatitis, it is important to note the impact that it has on quality of life. By implementing patient counseling, sleep-targeted therapies, and the use of quality of life (QoL) indices, atopic dermatitis patients and caregivers have the potential to experience greater satisfaction with treatment.
与其他炎症性皮肤病一样，特应性皮炎往往会导致压力，同时也会因压力而加重。特应性皮炎患者有多种与疾病相关的压力源，其中一些包括瘙痒引起的身体不适以及皮疹发作导致的外观改变。这些压力源已被证明会通过改变睡眠模式、降低自尊以及干扰人际关系对患者的心理社会产生影响。除了对患者有直接影响外，特应性皮炎还会给父母和照顾者带来压力。研究表明，特应性皮炎与同睡习惯密切相关，这可能会对父母或照顾者的健康和情绪产生负面影响。据报道，它还会干扰牢固的母婴关系的形成。为了优化特应性皮炎患者的治疗，重要的是要注意它对生活质量的影响。通过实施患者咨询、针对睡眠的治疗以及使用生活质量（QoL）指标，特应性皮炎患者和照顾者有可能对治疗体验到更高的满意度。
