The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis

The aim of the study was to assess the influence of general and dermatitis-specific psychological and clinical factors on quality of life in adults with atopic dermatitis (AD). A total of 125 adults recruited through the National Eczema Society of U.K. (NES) completed a number of psychological and d...

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Veröffentlicht in:Journal of psychosomatic research 2004-08, Vol.57 (2), p.195-200
Hauptverfasser: Wittkowski, Anja, Richards, Helen L., Griffiths, Christopher E.M., Main, Chris J.
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container_issue 2
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container_title Journal of psychosomatic research
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creator Wittkowski, Anja
Richards, Helen L.
Griffiths, Christopher E.M.
Main, Chris J.
description The aim of the study was to assess the influence of general and dermatitis-specific psychological and clinical factors on quality of life in adults with atopic dermatitis (AD). A total of 125 adults recruited through the National Eczema Society of U.K. (NES) completed a number of psychological and dermatological questionnaires, including the Dermatology Life Quality Index (DLQI), the Stigmatisation and Eczema Questionnaire (SEQ), the Hospital Anxiety and Depression Scale (HADS), the Fear of Negative Evaluation Scale (FNE) and the Rosenberg Self-Esteem Scale (RSE). Pearson's correlational analyses suggested that perceptions of stigma were significantly associated with psychological factors as well as quality of life ( Ps
doi_str_mv 10.1016/S0022-3999(03)00572-5
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A total of 125 adults recruited through the National Eczema Society of U.K. (NES) completed a number of psychological and dermatological questionnaires, including the Dermatology Life Quality Index (DLQI), the Stigmatisation and Eczema Questionnaire (SEQ), the Hospital Anxiety and Depression Scale (HADS), the Fear of Negative Evaluation Scale (FNE) and the Rosenberg Self-Esteem Scale (RSE). Pearson's correlational analyses suggested that perceptions of stigma were significantly associated with psychological factors as well as quality of life ( Ps&lt;.01). An association was also found between perceived stigma and disease severity (−.28, P&lt;.01). Almost 46% of participants were identified as having probable mood disorder. Regression analysis indicated that perceptions of stigma and depression accounted for 44.5% of the variance in quality of life in this sample [ F(3,121)=34.18, P&lt;.001], when disease severity was controlled for. Psychological factors and disease severity were strong predictors of quality of life in adults with AD. AD-related perceptions of stigma were of particular importance in predicting AD-related quality of life over and above more general psychological factors, such as depression. These findings have important implications for the psychological and clinical management of AD.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/S0022-3999(03)00572-5</identifier><identifier>PMID: 15465076</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adult ; Adult and adolescent clinical studies ; Allergic diseases ; Atopic dermatitis ; Attitude to Health ; Biological and medical sciences ; Depression ; Dermatitis ; Dermatitis, Atopic - psychology ; Female ; Humans ; Immunopathology ; Male ; Medical sciences ; Mood disorders ; Psychological aspects ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Quality of Life ; Questionnaires ; Self Concept ; Skin allergic diseases. 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A total of 125 adults recruited through the National Eczema Society of U.K. (NES) completed a number of psychological and dermatological questionnaires, including the Dermatology Life Quality Index (DLQI), the Stigmatisation and Eczema Questionnaire (SEQ), the Hospital Anxiety and Depression Scale (HADS), the Fear of Negative Evaluation Scale (FNE) and the Rosenberg Self-Esteem Scale (RSE). Pearson's correlational analyses suggested that perceptions of stigma were significantly associated with psychological factors as well as quality of life ( Ps&lt;.01). An association was also found between perceived stigma and disease severity (−.28, P&lt;.01). Almost 46% of participants were identified as having probable mood disorder. Regression analysis indicated that perceptions of stigma and depression accounted for 44.5% of the variance in quality of life in this sample [ F(3,121)=34.18, P&lt;.001], when disease severity was controlled for. Psychological factors and disease severity were strong predictors of quality of life in adults with AD. AD-related perceptions of stigma were of particular importance in predicting AD-related quality of life over and above more general psychological factors, such as depression. These findings have important implications for the psychological and clinical management of AD.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Allergic diseases</subject><subject>Atopic dermatitis</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Dermatitis</subject><subject>Dermatitis, Atopic - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mood disorders</subject><subject>Psychological aspects</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Self Concept</subject><subject>Skin allergic diseases. Stinging insect allergies</subject><subject>Stereotyping</subject><subject>Stigmatisation</subject><subject>Stigmatization</subject><subject>Surveys and Questionnaires</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU2LFDEQhoMo7rj6E5RcFD20VpJOp3MSWfyCBQ-u55DJh1PS3elNelbm35ueGdzjQiCEet6qyvsS8pLBewas-_ATgPNGaK3fgngHIBVv5COyYb3SDRMdPCab_8gFeVbKHwDoNJdPyQWTbSdBdRuCN7tAcZytW2iKdC4Ht0tD-o3ODtROnroBp-MjViTlQtNEb_d2wOWwCgaMVT_V4_EOfS0U-heXHbVLmtFRH_JoF1ywPCdPYq2GF-f7kvz68vnm6ltz_ePr96tP141rOV_qukJJrt2WASihtAImuetYL4GHPvaBeyEda1kM2xZEz6SLXa995KyVrfPikrw59Z1zut2HspgRiwvDYKeQ9sV0nW6ZEvAgKBXoHvgKyhPociolh2jmjKPNB8PArGGYYxhmddqAMMcwjKy6V-cB--0Y_L3q7H4FXp8BW6rFMdvJYbnn1l_37dro44kL1bc7DNkUh2FywWMObjE-4QOr_AN7lKWn</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Wittkowski, Anja</creator><creator>Richards, Helen L.</creator><creator>Griffiths, Christopher E.M.</creator><creator>Main, Chris J.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis</title><author>Wittkowski, Anja ; Richards, Helen L. ; Griffiths, Christopher E.M. ; Main, Chris J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-3937529cb100737970152c618502e8f8e2d35c141feb403815cf689df21454cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Allergic diseases</topic><topic>Atopic dermatitis</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Dermatitis</topic><topic>Dermatitis, Atopic - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Immunopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mood disorders</topic><topic>Psychological aspects</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Self Concept</topic><topic>Skin allergic diseases. Stinging insect allergies</topic><topic>Stereotyping</topic><topic>Stigmatisation</topic><topic>Stigmatization</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wittkowski, Anja</creatorcontrib><creatorcontrib>Richards, Helen L.</creatorcontrib><creatorcontrib>Griffiths, Christopher E.M.</creatorcontrib><creatorcontrib>Main, Chris J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wittkowski, Anja</au><au>Richards, Helen L.</au><au>Griffiths, Christopher E.M.</au><au>Main, Chris J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>57</volume><issue>2</issue><spage>195</spage><epage>200</epage><pages>195-200</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>The aim of the study was to assess the influence of general and dermatitis-specific psychological and clinical factors on quality of life in adults with atopic dermatitis (AD). 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Psychological factors and disease severity were strong predictors of quality of life in adults with AD. AD-related perceptions of stigma were of particular importance in predicting AD-related quality of life over and above more general psychological factors, such as depression. These findings have important implications for the psychological and clinical management of AD.</abstract><cop>Amsterdam</cop><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15465076</pmid><doi>10.1016/S0022-3999(03)00572-5</doi><tpages>6</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Adult and adolescent clinical studies
Allergic diseases
Atopic dermatitis
Attitude to Health
Biological and medical sciences
Depression
Dermatitis
Dermatitis, Atopic - psychology
Female
Humans
Immunopathology
Male
Medical sciences
Mood disorders
Psychological aspects
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Quality of Life
Questionnaires
Self Concept
Skin allergic diseases. Stinging insect allergies
Stereotyping
Stigmatisation
Stigmatization
Surveys and Questionnaires
title The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis
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