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Association between chronic pruritus, depression, and insomnia: A cross-sectional studyCapsule Summary

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Title: Association between chronic pruritus, depression, and insomnia: A cross-sectional studyCapsule Summary
Authors: Jaein Lee, MD, Hyunyi Suh, MD, Hyejung Jung, MD, Miyoun Park, MD, PhD, Jiyoung Ahn, MD, PhD
Source: JAAD International, Vol 3, Iss , Pp 54-60 (2021)
Publisher Information: Elsevier, 2021.
Publication Year: 2021
Collection: LCC:Dermatology
Subject Terms: chronic pruritus, depression, insomnia, visual analog scale, Dermatology, RL1-803
More Details: Background: Skin diseases that cause chronic pruritus can have negative effects on a patient's quality of life. Objective: We evaluated the associations between chronic pruritus and psychological conditions including insomnia and depression. Methods: This study included responses from 91 participants with chronic pruritus (response rate: 74.6%). A survey including questionnaires regarding data on demographic characteristics, intensity of pruritus using the visual analog scale (VAS) and the 4-item itch questionnaire, and the degrees of insomnia and depression measured by the Insomnia Severity Index and Beck Depression Inventory, respectively. Results: Patients with symptoms of insomnia or depression had significantly more intense pruritus than patients without psychological symptoms (insomnia, VAS median [interquartile range]: 7.0 [5.0-8.25] vs. 5.0 [3.0-7.5]; depression, VAS median [interquartile range]: 7.5 [5.0-8.25] vs. 5.0 [3.0-7.0]). Multivariable analyses revealed that patients with moderate to severe pruritus were more likely to have depression than those with mild pruritus (odds ratio: 10.95; 95% confidence interval: 2.24-53.06). There were no differences in the severity of insomnia and depression among skin diseases. Limitations: This study had a cross-sectional design and limited generalizability. Conclusion: Chronic pruritus is significantly associated with insomnia and depression, regardless of the etiology.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2666-3287
Relation: http://www.sciencedirect.com/science/article/pii/S2666328721000122; https://doaj.org/toc/2666-3287
DOI: 10.1016/j.jdin.2021.02.004
Access URL: https://doaj.org/article/16ea62d3ab724a669e625a56105b4a97
Accession Number: edsdoj.16ea62d3ab724a669e625a56105b4a97
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  Data: JAAD International, Vol 3, Iss , Pp 54-60 (2021)
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  Data: <searchLink fieldCode="DE" term="%22chronic+pruritus%22">chronic pruritus</searchLink><br /><searchLink fieldCode="DE" term="%22depression%22">depression</searchLink><br /><searchLink fieldCode="DE" term="%22insomnia%22">insomnia</searchLink><br /><searchLink fieldCode="DE" term="%22visual+analog+scale%22">visual analog scale</searchLink><br /><searchLink fieldCode="DE" term="%22Dermatology%22">Dermatology</searchLink><br /><searchLink fieldCode="DE" term="%22RL1-803%22">RL1-803</searchLink>
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  Data: Background: Skin diseases that cause chronic pruritus can have negative effects on a patient's quality of life. Objective: We evaluated the associations between chronic pruritus and psychological conditions including insomnia and depression. Methods: This study included responses from 91 participants with chronic pruritus (response rate: 74.6%). A survey including questionnaires regarding data on demographic characteristics, intensity of pruritus using the visual analog scale (VAS) and the 4-item itch questionnaire, and the degrees of insomnia and depression measured by the Insomnia Severity Index and Beck Depression Inventory, respectively. Results: Patients with symptoms of insomnia or depression had significantly more intense pruritus than patients without psychological symptoms (insomnia, VAS median [interquartile range]: 7.0 [5.0-8.25] vs. 5.0 [3.0-7.5]; depression, VAS median [interquartile range]: 7.5 [5.0-8.25] vs. 5.0 [3.0-7.0]). Multivariable analyses revealed that patients with moderate to severe pruritus were more likely to have depression than those with mild pruritus (odds ratio: 10.95; 95% confidence interval: 2.24-53.06). There were no differences in the severity of insomnia and depression among skin diseases. Limitations: This study had a cross-sectional design and limited generalizability. Conclusion: Chronic pruritus is significantly associated with insomnia and depression, regardless of the etiology.
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