BŘEZINOVÁ, Eva, Miroslav NEČAS and Vladimír VAŠKŮ. Quality of life and psychological disturbances in adults with atopic dermatitis in the Czech Republic. Journal of biological regulators and homeostatic agents. Silva Marina: Biolife SAS, 2017, vol. 31, 2, Suppl. 2, p. 227-233. ISSN 0393-974X.
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Basic information
Original name Quality of life and psychological disturbances in adults with atopic dermatitis in the Czech Republic
Name in Czech Kvalita života a psychické poruchy dospělých pacientů s atopickou dermatitidou v České republice
Authors BŘEZINOVÁ, Eva (203 Czech Republic, guarantor, belonging to the institution), Miroslav NEČAS (203 Czech Republic, belonging to the institution) and Vladimír VAŠKŮ (203 Czech Republic, belonging to the institution).
Edition Journal of biological regulators and homeostatic agents, Silva Marina, Biolife SAS, 2017, 0393-974X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30216 Dermatology and venereal diseases
Country of publisher Italy
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.397
RIV identification code RIV/00216224:14110/17:00097927
Organization unit Faculty of Medicine
Keywords (in Czech) atopická dermatitida; kvalita života; psychické poruchy; Dermatologický index kvality života; Stručný dotazník vnímání nemoci; Dermatologický index kvality života rodiny
Keywords in English atopic dermatitis; Brief Illness Perception Questionnaire; Dermatology Life Quality Index; Family Dermatology Life Quality Index; psychological disturbances; quality of life
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 21/3/2018 17:41.
Abstract
Atopic dermatitis (AD) leads to severe psychosocial disturbances that are quite frequently underestimated. We evaluate the quality of life (QoL) of adult patients with AD and their family members using DLQI, B-IPQ, FDLQI questionnaires, observe psychopathological features with CAQ II questionnaire and evaluate correlations between QoL, psychological disturbances and objective/subjective parameters of disease severity. A reduction in QoL has been proven by all questionnaires with statistically significant relationships between all of them. The QoL of the patient (DLQI, B-IPQ) was found to be correlated to FDLQI. We also confirmed statistically significant relationships between DLQI, FDLQI, B-IPQ and objective severity of AD, as evaluated by SCORAD, in DLQI and FDLQI also by TEWL, in B-IPQ also by IgE. All the QoL questionnaires have statistically significant relationship to subjective symptoms (pruritus and sleep disturbance). Interestingly, no significant relationship between QoL and age and extent of eczema in visible localizations was found. CAQ II revealed high numbers of psychological disturbances - the most often paranoia, hypochondria, suicidal depression, anxiety and depression - and high prevalence of suicidal thoughts (10.9%). Although AD is not life-threatening, its negative impact on the QoL of adult patients and their family members/partners can be further influenced by pathological personality traits of the patients.
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