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过敏性疾病中的情绪困扰与生活质量

Emotional distress and quality of life in allergic diseases.

作者信息

Jarosz Marcin, Syed Sadia, Błachut Michał, Badura Brzoza Karina

机构信息

Medical University of Silesia in Katowice, School of Medicine with the Division of Dentistry in Zabrze, Zabrze, Poland, Department of Psychiatry in Tarnowskie Góry, Tarnowskie Gory, Poland.

出版信息

Wiad Lek. 2020;73(2):370-373.

Abstract

Emotional disorders accompany many somatic diseases, especially ones with severe or chronic course, and such are allergic diseases. Long-term course of the disease, the need for chronic treatment and repeated exacerbations as well as symptoms of depression or anxiety have a significant impact on the quality of life of patients, constituting a serious burden both from the point of view of the individual and the society. The data evaluating emotional disturbances and their impact on the quality of life in three atopic diseases: bronchial asthma, atopic dermatitis and seasonal rhinitis were analysed. Mood disorders as well as mental and behavioral disorders due to alcohol abuse are the most common psychiatric disorders observed in patients with bronchial asthma. There are data indicating a relationship between the occurrence of allergic rhinitis and mood disorders, anxiety disorders and suicidal tendencies. Atopic dermatitis is associated with an increased risk of depressive and anxiety disorders and sleep disorders, and in children with more prevalence of behavioral disorders. Most studies highlighted the relationship between emotional disorders and quality of life in the above-mentioned patient groups. In addition to physical ailments, patients suffering from allergic diseases also report emotional problems that can adversely affect the course of the disease, the treatment process, and reduce quality of life. Therefore, these patients require a holistic approach with a more accurate assessment of emotional disorders.

摘要

情绪障碍伴随许多躯体疾病,尤其是那些病程严重或慢性的疾病,过敏性疾病便是如此。疾病的长期病程、慢性治疗的需求、反复加重以及抑郁或焦虑症状对患者的生活质量有重大影响,从个人和社会角度来看都构成了沉重负担。分析了评估三种特应性疾病(支气管哮喘、特应性皮炎和季节性鼻炎)中情绪障碍及其对生活质量影响的数据。情绪障碍以及酒精滥用所致的精神和行为障碍是支气管哮喘患者中最常见的精神疾病。有数据表明变应性鼻炎的发生与情绪障碍、焦虑症和自杀倾向之间存在关联。特应性皮炎与抑郁和焦虑障碍以及睡眠障碍的风险增加相关,并且在儿童中行为障碍更为普遍。大多数研究强调了上述患者群体中情绪障碍与生活质量之间的关系。除了身体疾病外,患有过敏性疾病的患者还报告有情绪问题,这些问题可能对疾病进程、治疗过程产生不利影响,并降低生活质量。因此,这些患者需要一种更全面的方法,对情绪障碍进行更准确的评估。

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