From the National Eczema Association, San Rafael, California, USA.
University of Illinois College of Medicine, Chicago, Illinois, USA.
Dermatitis. 2024 Jul-Aug;35(4):386-391. doi: 10.1089/derm.2023.0365. Epub 2024 Mar 14.
Atopic Dermatitis (AD) patients have increased likelihood of developing depression and anxiety. The patient and caregiver's perceptions of the correlation of mental health (MH) and AD symptoms are not well understood. To evaluate patient-reported MH symptoms and their correlation with AD disease severity and understand patient-perceived associations of AD with impacts to their MH. Adult AD patients (18+ years) or caregivers of AD patients (8-17 years) were recruited to complete a survey about MH and their perception of its relationship with AD. Of 1496 respondents, 954 met inclusion criteria and completed the survey. Respondents were primarily adults (83.3%) with moderate AD (31.4%). In total, 26.0% reported MH symptoms >10 days per month, and most adults (65.5%) scored in the borderline/abnormal range on the Hospital Anxiety and Depression Scale. Most (70.6%) respondents perceived their MH was negatively affected by AD in the past 12 months. AD severity impacted the perception of the relationship between AD and MH; respondents were more likely to believe MH was impacted by AD when they/their child had severe AD. Our study highlights patient and caregiver awareness of the detrimental impact of AD on MH. Addressing MH in AD care settings early in the disease journey may be beneficial.
特应性皮炎（AD）患者发生抑郁和焦虑的可能性增加。患者和照护者对心理健康（MH）与 AD 症状相关性的认知尚不清楚。本研究旨在评估患者报告的 MH 症状及其与 AD 严重程度的相关性，并了解患者对 AD 对 MH 影响的认知。
招募了成年 AD 患者（18 岁及以上）或 AD 患者的照护者（8-17 岁）来完成关于 MH 及其与 AD 相关性的认知的调查。在 1496 名应答者中，有 954 名符合纳入标准并完成了调查。应答者主要为成年人（83.3%），AD 中度（31.4%）。总计，26.0%的应答者报告 MH 症状每月＞10 天，大多数成年人（65.5%）在医院焦虑和抑郁量表上的得分处于边界/异常范围。大多数（70.6%）应答者认为过去 12 个月 AD 对其 MH 产生了负面影响。AD 严重程度影响对 AD 与 MH 之间关系的认知；当患者/其子女患有严重 AD 时，他们更有可能认为 MH 受到 AD 的影响。
我们的研究强调了患者和照护者对 AD 对 MH 产生不利影响的认识。在疾病早期在 AD 护理环境中解决 MH 问题可能是有益的。
