Rymaszewska Julia E, Krajewski Piotr K, Matusiak Łukasz, Maj Joanna, Szepietowski Jacek C
Department and Clinic of Dermatology, Allergology and Venerology, Wroclaw Medical University, 50-367 Wroclaw, Poland.
J Clin Med. 2023 Apr 7;12(8):2755. doi: 10.3390/jcm12082755.
Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory dermatosis with vast psychosocial burden. The objective of this study is to thoroughly analyze satisfaction with life (SWL) and coping strategies of HS patients in relation to the clinical and psychosocial factors.
114 HS patients (53.1% females; mean age 36.6 ± 13.1 years) were enrolled. Severity of the disease was measured using Hurley staging and International HS Score System (IHS4). Instruments utilized: Satisfaction with Life Scale (SWLS); Coping-Orientation to Problems-Experienced Inventory (Brief COPE); HS Quality of Life Scale (HiSQoL); Patient Health Questionnaire-9 (PHQ-9); Generalized Anxiety Disorder-7 (GAD-7); General Health Questionnaire (GHQ-28).
SWL was low in 31.6% of HS patients. No relation was found between SWL and Hurley staging and IHS4. SWL correlated with GHQ-28 (r = -0.579 < 0.001), PHQ-9 (r = -0.603 < 0.001), GAD-7 (r = -0.579 < 0.001), and HiSQoL (r = -0.449 < 0.001). Problem-focused coping strategies were most commonly used, followed by emotion-focused coping and avoiding coping strategies. Significant differences were found between the following coping strategies and SWL: self-distraction ( = 0.013), behavioral-disengagement ( = 0.001), denial ( = 0.003), venting ( = 0.019), and self-blame ( = 0.001).
HS patients present low SWL which correlates with psychosocial burden. Reducing anxiety-depression comorbidity and encouraging optimal coping strategies may be of great importance in holistic approach to HS patients.
化脓性汗腺炎（HS）是一种慢性复发性炎症性皮肤病，会带来巨大的心理社会负担。本研究的目的是全面分析HS患者的生活满意度（SWL）以及与临床和心理社会因素相关的应对策略。
招募了114名HS患者（女性占53.1%；平均年龄36.6±13.1岁）。使用Hurley分期和国际HS评分系统（IHS4）来衡量疾病的严重程度。使用的工具包括：生活满意度量表（SWLS）；问题应对取向量表（简易应对方式问卷）；HS生活质量量表（HiSQoL）；患者健康问卷-9（PHQ-9）；广泛性焦虑障碍量表-7（GAD-7）；一般健康问卷（GHQ-28）。
31.6%的HS患者SWL较低。未发现SWL与Hurley分期和IHS4之间存在关联。SWL与GHQ-28（r = -0.579，P < 0.001）、PHQ-9（r = -0.603，P < 0.001）、GAD-7（r = -0.579，P < 0.001）和HiSQoL（r = -0.449，P < 0.001）相关。最常用的应对策略是问题聚焦应对策略，其次是情绪聚焦应对策略和回避应对策略。在以下应对策略与SWL之间发现了显著差异：自我分心（P = 0.013）、行为脱离（P = 0.001）、否认（P = 0.003））、发泄（P = 0.019）和自责（P = 0.001）。
HS患者的SWL较低，这与心理社会负担相关。在对HS患者的整体治疗中，减少焦虑 - 抑郁共病并鼓励最佳应对策略可能非常重要。
