Sense of coherence, depression, and anger among adults with atopic dermatitis

Abstract

The prevalence of atopic disease (AD) in adults has significantly increased in industrialized countries. Psychological traits and lack of skills to cope with stress could be maintaining factors of AD. The first aim of the present study was to compare sense of coherence (SOC), depression, and anger among adult patients with AD, adults with remission from AD, and adults without AD. The second aim was to explore whether depression and anger have significant impacts on SOC. A cross-sectional survey was carried out from May to September of 2007. In total, 43 adult patients with AD, 32 adults with remission from AD, and 63 adults without AD participated. A one-way analysis of variance showed that adult patients with AD have significantly higher levels of depression than adults with remission from AD and adults without AD. Furthermore, structural equation modeling indicated a significant impact of depression on SOC across the three groups, along with a significant impact of anger suppression on depression, particularly in adult patients with AD. The findings of this study suggest that psychological traits have a negative impact on skills for coping with stress, and that this relationship might be a contributory factor for maintenance of AD.

Association of Perceived Stress with Atopic Dermatitis in Adults: A Population-Based Study in Korea

“…Compared with those in children or adolescents, few epidemiological studies have been conducted on relationships between AD and psychological stress in adults [29]. However, several studies reported that adult patients with AD have significantly higher levels of psychological stress, including depression, than adults without AD [29,30]. Notably, a recent study reported a strong association between psychological stress and AD among young Korean males around 20 years old [24].…”

Association of atopic dermatitis with depression, anxiety, and suicidal ideation in children and adults: A systematic review and meta-analysis

“…Studies were grouped into 3 categories according to the end points: (1) depression, (2) anxiety, and 3suicidal ideation. In the first category, 42 studies were included 7,9,10,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][34][35][36][37][38][39][40][41][42][44][45][46][47][48][49][50][51][52]54 ; in the second category, 44 studies were included 7,10,[13][14][15][16][17][18][19][23]<...>…”

“…23,25 A total of 19 studies were included in the qualitative analysis. [34][35][36][37][38][39][40][41][42][44][45][46][47][48][49][50][51][52]54 Most either found an association between patients with AD and depression 34,[36][37][38][39][40]44,[46][47][48][49][50] or reported a higher mean score 41,51,52,54 according to the assessment tool used to diagnose depression. A Korean cross-sectional study found a positive association between childhood AD and depression (N = 3192 [P = .0003]).…”

Aggression and its associations in patients with skin disease

“…In a cross‐sectional study they recruited 91 dermatology outpatient clinic patients and explored these patients’ psychological functioning within a theoretical model of appearance concern. A role for anger and aggression in maladaptive responses to skin disease has been suggested by previous research . Coneo et al .…”

“…Given the burden of psychological distress in patients with skin disease, provision of interventions to address this distress are vital . The complexity of the psychological constructs underlying this distress suggests that the characteristics of patients to be included and the primary targets of psychological interventions must be carefully chosen and the balance of psychological content in the interventions carefully constructed . The study by Coneo et al .…”