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焦虑抑郁情绪对特应性皮炎患者皮肤症状的影响

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目的 探讨特应性皮炎患者焦虑抑郁情绪对皮肤症状的影响.方法 本研究选择2022年1月~2023年4月蚌埠地区82例特应性皮炎患者为研究对象,均进行焦虑抑郁情绪评估,根据评估结果设为焦虑抑郁组以及对照组.评估患者瘙痒视觉模拟评分(VAS)、特应性皮炎评分(SCORAD),并分析焦虑抑郁与VAS评分、ISGA评分的相关性.结果 82例患者检出焦虑9例,抑郁7例,焦虑合并抑郁20例;焦虑抑郁组患者汉密尔顿抑郁、焦虑评分(HAMD)、(HAMA)或儿童抑郁、焦虑障碍自评量表(DSRSC)、(SCARED)评分均显著高于对照组(P<0.05);焦虑抑郁组VAS评分、SCORAD评分均显著高于对照组(P<0.05);焦虑抑郁组焦虑、抑郁评分与VAS评分、SCORAD评分呈正相关关系(P<0.05).结论 特应性皮炎患者焦虑抑郁情绪较为常见,并且焦虑抑郁情绪可能加重患者皮疹症状及瘙痒症状,应重视患者的心理健康.
The influence of anxiety and depression on skin symptoms in patients with atopic dermatitis
Objective To investigate the effect of anxiety and depression on skin symptoms in patients with atopic dermatitis.Methods Eighty-two patients with atopic dermatitis from January 2022to April 2023 were selected for the study objects in this study,and all of them were assessed for anxiety and depression.Based on the assessment results there were set into anxiety-depression group as well as control group.Patients were assessed for pruritus visual analog score(VAS),rash severity score(ISGA).The correlation between anxiety and depression and VAS score and ISGA score was also analyzed.Results 9 cases with anxiety,7 cases with depression,and 28 cases with anxiety combined with depression was detected in 82 patients.The Hamilton depression and anxiety scores(HAMD),(HAMA)or Self-Rating Scale for Depression and Anxiety Disorders in Children(DSRSC),(SCARED)scores were significantly higher in the anxious-depressed group than in the control group(P<0.05).VAS scores and ISGA scores were signifi-cantly higher in the anxious-depressed group than in the control group(P<0.05).Anxiety and depression scores were positively correlated with VAS scores and ISGA scores in the anxious-depressed group.Conclusion Anxiety and de-pression are more common in patients with atopic dermatitis,and anxiety and depression may aggravate patients'rash symptoms and pruritus symptoms,so attention should be paid to patients'mental health.

Atopic dermatitisAnxietyDepressionSkin symptoms

梁正娟、葛鑫、贾婷

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解放军联勤保障部队第902医院皮肤科(蚌埠,233000)

蚌埠医学院第一附属医院皮肤科

蚌埠市第二人民医院皮肤科

特应性皮炎 焦虑 抑郁 皮肤症状

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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