Anxiety, depression, and stress in Korean patients with chronic urticaria

Bibliographic Details
Title: Anxiety, depression, and stress in Korean patients with chronic urticaria
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
More Details
ISSN:12263303
20056648
DOI:10.3904/kjim.2019.320
Published in:The Korean Journal of Internal Medicine
Language:English