特应性皮炎对性健康的影响。
The impact of atopic dermatitis on sexual health.
机构信息
Department of Dermatology, University Hospital of Brest, Brest, France.
Laboratory Interactions Neurons-Keratinocytes (LINK), University of Western Brittany, Brest, France.
出版信息
J Eur Acad Dermatol Venereol. 2019 Feb;33(2):428-432. doi: 10.1111/jdv.15223. Epub 2018 Sep 23.
BACKGROUND
Sexual health is frequently affected by chronic diseases but has been poorly investigated in patients with atopic dermatitis (AD).
OBJECTIVE
To evaluate the risk factors for impaired sexual desire and its relationship with the burden and quality of life of patients with AD.
METHODS
A multicentre prospective transversal study in patients with AD. Socio-demographic and clinical data were obtained from all patients using a specifically developed questionnaire. In addition, patients were asked to answer validated scales, that is ABS-A, DLQI, SF-12 and EQ-5D.
RESULTS
A total of 1024 patients participated in the study. Severity of AD, sites involved and treatment type was found to negatively impact the sexual desire of patients and their partners. In addition, the involvement of the genital and visible areas was associated with a higher burden and more significant alterations in quality of life.
CONCLUSIONS
The results of this study are substantial and clearly demonstrate the deep impact of AD on sexual health, its relationship with disease-related burden and alterations to quality of life. Psychosociological as well as neurosensory phenomena could help to understand these data.
背景
性健康经常受到慢性疾病的影响，但在特应性皮炎（AD）患者中研究甚少。
目的
评估性欲受损的危险因素及其与 AD 患者负担和生活质量的关系。
方法
对 AD 患者进行多中心前瞻性横断面研究。使用专门开发的问卷从所有患者中获取社会人口统计学和临床数据。此外，要求患者回答经过验证的量表，即 ABS-A、DLQI、SF-12 和 EQ-5D。
结果
共有 1024 名患者参加了研究。AD 的严重程度、受累部位和治疗类型被发现会对患者及其伴侣的性欲产生负面影响。此外，生殖器和可见区域的受累与更大的负担和更显著的生活质量改变相关。
结论
这项研究的结果意义重大，清楚地表明 AD 对性健康的深刻影响，以及与疾病相关负担和生活质量改变的关系。心理社会学和神经感觉现象可能有助于解释这些数据。
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