Chatrath Sheena, Loiselle Allison R, Johnson Jessica K, Begolka Wendy Smith
University of Illinois College of Medicine Chicago Illinois USA.
National Eczema Association Novato California USA.
Skin Health Dis. 2024 Jun 15;4(5):e408. doi: 10.1002/ski2.408. eCollection 2024 Oct.
Atopic dermatitis (AD) is associated with psychosocial symptoms, resulting in significant mental health burden and reduced quality of life.
To understand mental health support received by patients from their primary eczema provider.
We administered a cross-sectional survey ( = 954) to US caregivers and adult patients with AD.
The National Eczema Association (United States) conducted an online survey in October 2022 among self-selected patients and caregivers.
Patients and caregivers of AD patients reported on mental health conversations and types of mental health support received by their/their child's provider.
Many patients did not discuss (41.9%) or were not asked (50.5%) about their mental health by their eczema provider, and 64% reported not receiving a mental health referral. Patients were more likely to receive mental health support if they were male (2.00 [1.08-3.69]), low or middle education level (4.89 [2.10-11.36], 2.71 [1.36-5.40]), or had purchased insurance policies (4.43 [1.79-10.98]). Providers were most likely to refer patients to counseling services (22.5%), followed by alternative mental health therapy (14.9%), cognitive behavioural therapy (13.3%) and peer/social support groups (12.2%).
Despite the strong association between AD and mental health conditions, there is a significant proportion of patients that report not receiving mental health support from their/their child's primary eczema provider. Screening with validated measures may improve the identification of patients requiring additional support. Future research should evaluate the efficacy of mental health resources and barriers to accessing and referring patients for mental health care.
特应性皮炎（AD）与心理社会症状相关，会导致严重的心理健康负担并降低生活质量。
了解患者从其主要的湿疹治疗提供者那里获得的心理健康支持。
我们对美国的AD护理人员和成年患者进行了一项横断面调查（n = 954）。
美国国家湿疹协会于2022年10月对自行选择的患者和护理人员进行了一项在线调查。
AD患者的患者和护理人员报告了他们/其孩子的治疗提供者进行的心理健康谈话以及获得的心理健康支持类型。
许多患者未被其湿疹治疗提供者讨论（41.9%）或询问（50.5%）其心理健康状况，64%的患者报告未获得心理健康转诊。男性患者（2.00 [1.08 - 3.69]）、低或中等教育水平患者（4.89 [2.10 - 11.36]，2.71 [1.36 - 5.40]）或购买了保险政策的患者（4.43 [1.79 - 10.98]）更有可能获得心理健康支持。治疗提供者最有可能将患者转介至咨询服务（22.5%），其次是替代性心理健康治疗（14.9%）、认知行为疗法（13.3%）和同伴/社会支持小组（12.2%）。
尽管AD与心理健康状况之间存在密切关联，但仍有相当比例的患者报告未从其/其孩子的主要湿疹治疗提供者那里获得心理健康支持。使用经过验证的措施进行筛查可能会改善对需要额外支持的患者的识别。未来的研究应评估心理健康资源的疗效以及患者获得心理健康护理和被转介接受心理健康护理的障碍。
