Karadoğan Serap Köran, Ulgen Altay Berna
İzmir Metropolitan Municipality Esrefpasa Hospital, Konak/İzmir, Turkey.
Department of Dermatology, Izmir Democracy University Medical Faculty, Buca Seyfi Demirsoy Training and Research Hospital, Konak/İzmir, Turkey.
Dermatol Pract Concept. 2024 Apr 1;14(2):e2024112. doi: 10.5826/dpc.1402a112.
Scabies is a pruritic skin infestation with a globally increasing prevalence. Sleep problems and impaired social and personal interactions, mainly due to itching, have been reported.
We aimed to determine the influence of scabies on quality of life and psychosocial health using Dermatology Life Quality Index (DLQI) and Depression Anxiety and Stress Scale-42 (DASS-42) and analyze whether there is a correlation between the two scales and any sociodemographic and clinical characteristic.
Scabies patients (>16 years) who presented to our outpatient clinics were enrolled. Age, sex, occupation, marital status, and education level and clinical features were recorded. DLQI and DASS-42 were used. Possible influence of demographic and clinical characteristics on total scores were analyzed. The Spearman coefficient analysis was performed to determine whether there is a correlation between these scores.
Of 92 patients (mean age:37.76±15.355, Female/Male: 1.09/1), 63% were married and 35.9% were high-school graduates; 27.2% and 23.9% were housewives and officers, respectively. Disease was generalized in 57.6% and duration of disease was mostly <4 weeks. Mean DLQI and DASS-42 scores were 13.16±7.638 and 42.10±30.644, respectively. Symptoms/feelings were affected predominantly. DLQI was affected 'severely' in 41.3% of patients.
Impairment of DLQI is a significant predictive parameter for higher DASS levels. Scabies is not only associated with impairment in DLQI but may also lead to psychosocial problems. All scabies patients should be evaluated and consulted-if needed-for possible problems of psychosocial status, including depression, anxiety, and stress, as well as clinical symptoms and secondary complications.
疥疮是一种瘙痒性皮肤感染，在全球范围内患病率呈上升趋势。据报道，主要由于瘙痒，患者存在睡眠问题以及社交和个人互动受损的情况。
我们旨在使用皮肤病生活质量指数（DLQI）和抑郁焦虑压力量表-42（DASS-42）来确定疥疮对生活质量和心理社会健康的影响，并分析这两个量表之间以及与任何社会人口统计学和临床特征之间是否存在相关性。
纳入到我们门诊就诊的疥疮患者（年龄>16岁）。记录年龄、性别、职业、婚姻状况、教育水平和临床特征。使用DLQI和DASS-42。分析人口统计学和临床特征对总分的可能影响。进行Spearman系数分析以确定这些分数之间是否存在相关性。
92例患者（平均年龄：37.76±15.355，女性/男性：1.09/1）中，63%已婚，35.9%为高中毕业生；家庭主妇和职员分别占27.2%和23.9%。57.6%的患者病情呈全身性，病程大多<4周。DLQI和DASS-42的平均得分分别为13.16±7.638和42.10±30.644。症状/感受受到的影响最为显著。41.3%的患者DLQI受到“严重”影响。
DLQI受损是DASS水平升高的一个重要预测参数。疥疮不仅与DLQI受损有关，还可能导致心理社会问题。所有疥疮患者都应接受评估，并在必要时就心理社会状况的可能问题进行咨询，包括抑郁、焦虑和压力，以及临床症状和继发性并发症。
