A psychological assessment (Symptom Checklist-90) was performed on 19 patients with chronic idiopathic urticaria. Compared to the control group, the urticaria patients had significantly higher scores on the scales of somatization, obsessive-compulsive, interpersonal sensitivity, depression, and anxiety. In general, the urticaria patients were quite anxious and experienced significant discomfort in interpersonal relationships. Based on the results of this study and other similar reports in the literature, it is suggested that adjunctive treatment of urticaria patients should focus primarily on stress management training aimed at relieving anxiety and group therapy which focuses on an exploration of interpersonal issues.
When deciding on whether to surgically close a wound or allow granulation and epithelialization to occur, it is necessary to evaluate each patient individually. The patient's needs and desires, along with cost effectiveness, immediate versus delayed gratification, and convalescent time must all be considered. Also, the skill of the surgeon and the resources available to both the surgeon and the patient must be taken into consideration.
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