Anxiety, depression, and stress in Korean patients with chronic urticaria
Title: | Anxiety, depression, and stress in Korean patients with chronic urticaria |
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Authors: | Gil-Soon Choi, Young-Hee Nam, Chan-Sun Park, Mi-Yeong Kim, Eun-Jung Jo, Hye-Kyung Park, Hee-Kyoo Kim |
Source: | The Korean Journal of Internal Medicine, Vol 35, Iss 6, Pp 1507-1516 (2020) |
Publisher Information: | The Korean Association of Internal Medicine, 2020. |
Publication Year: | 2020 |
Collection: | LCC:Medicine |
Subject Terms: | chronic urticaria, psychiatric disorders, depression, anxiety, stress, Medicine |
More Details: | Background/Aims Emotional distress is thought to cause or maintain chronic urticaria (CU). We aimed to investigate the presence of anxiety, depression, and stress in Korean adult CU patients and to explore their potential impact on treatment. Methods We enrolled 79 CU patients and a disease control group comprising 39 persistent asthma patients. The Hospital Anxiety and Depression Scale (HADS) was used to evaluate depression and anxiety. Stress and quality of life (QoL) were assessed by Stress Response Inventory and CU-QoL questionnaires. The sociodemographic and clinical data such as urticaria activity score (UAS-15, UAS-6) were obtained. Results The prevalence of depression and anxiety based on the HADS were 48.1% and 38.0%. Although the prevalence of anxiety didn’t differ between the CU and asthma patients, depression was significantly more prevalent in the CU patients (48.1% vs. 28.2%). Stress tended to be lower in CU patients. Anxiety, depression, and stress exhibited negative correlations with QoL. Anxiety showed significant correlation with UAS-6 and pruritus-visual analog scale (VAS; r = 0.256, r = 0.272, p < 0.05, respectively); depression correlated with sleep difficulty-VAS (r = 0.261, p < 0.05). Stress was associated with UAS-15, UAS-6, pruritus-VAS, and sleep difficulty-VAS (r = 0.251, r = 0.317, r = 0.302, r = 0.258, p < 0.05, respectively). Conclusions The current study first presented that Korean CU patients frequently have anxiety and depression, which affect their QoL and demonstrated that anxiety, depression, and stress had different effects on sleep difficulty, pruritus, and urticaria severity in Korean CU patients. |
Document Type: | article |
File Description: | electronic resource |
Language: | English |
ISSN: | 1226-3303 2005-6648 |
Relation: | http://www.kjim.org/upload/pdf/kjim-2019-320.pdf; https://doaj.org/toc/1226-3303; https://doaj.org/toc/2005-6648 |
DOI: | 10.3904/kjim.2019.320 |
Access URL: | https://doaj.org/article/f4934a63f0b842cfa34a571e735eb15c |
Accession Number: | edsdoj.f4934a63f0b842cfa34a571e735eb15c |
Database: | Directory of Open Access Journals |
ISSN: | 12263303 20056648 |
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DOI: | 10.3904/kjim.2019.320 |
Published in: | The Korean Journal of Internal Medicine |
Language: | English |