Anxiety, depression, psychosomatic symptoms and autonomic nervous function in patients with chronic urticaria

Hashiro, Makoto; Okumura, Mutsuko

doi:10.1016/0923-1811(94)90007-8

Cited by 55 publications

(36 citation statements)

References 8 publications

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“…Consistent with the natural course of AD, patients tended to be younger and incidence decreased with age [42, 43]. Most other studies [9, 11, 12] were case-control studies with small-sized study population. In addition, unlike other studies, we used self-reported ‘had depression symptoms’, not depression diagnosed by a physician.…”

Section: Discussionmentioning

confidence: 83%

“…Additionally, people often comment on their appearance, and many of these patients feel socially isolated, all of which may decrease their quality of life [10]. It has been reported that AD patients feel relatively high levels of anxiety and depressive symptoms [11], and chronic dermatologic illnesses can be associated with depression and suicide ideation [12]. In the late 1990s, a case-control study reported that children aged 5-15 years with moderate or severe AD scored twice as high as children without AD on a psychological disturbances scale.…”

Section: Introductionmentioning

confidence: 99%

“…[9]. In another study, patients aged 16-56 years scored higher than normal controls on a self-reported depression scale, and their scores increased according to the severity of their AD [11]. Several cross-sectional, population-based studies of adult women and men have consistently reported an elevated risk for depression among participants with AD, and the strengths of the associations varied depending on the severity of AD symptoms (odds ratios [ORs]: 1.31-6.28) [13–15].…”

Section: Introductionmentioning

confidence: 99%

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Association of atopic dermatitis with depressive symptoms and suicidal behaviors among adolescents in Korea: the 2013 Korean Youth Risk Behavior Survey

Lee

Shin

2017

BMC Psychiatry

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BackgroundAtopic dermatitis (AD) is a chronic skin disease which has been known to negatively influence the mental health of patients. However, only a few studies have explored the prevalence of psychiatric problems among AD patients, particularly among adolescents. In this study, we aimed to assess the association of AD with depressive symptoms and suicidal behaviors among adolescents by analyzing data from the 2013 Korean Youth Risk Behavior Survey, a nationwide web-based survey.MethodsData from 72,435 adolescent middle and high school students in Korea were analyzed. Students self-reported AD diagnosed by a doctor and yes-or-no answers to questions about depressive symptoms and suicide ideation, suicide planning, and suicide attempts were analyzed. Relationships between AD and depressive symptoms or suicidal behaviors were tested by logistic regression models after controlling for potential confounding factors.ResultsThe proportion of adolescents who had AD was 6.8%. The proportion of adolescents reporting depressive feelings was 31.0%, suicide ideation was 16.3%, suicide planning was 5.8%, and suicide attempts was 4.2%. Compared to adolescents without AD, adolescents with AD were significantly more likely to experience depressive feelings (odds ratio [OR]: 1.27, 95% confidence interval [Cl]: 1.19-1.36), suicide ideation (OR: 1.34, 95% Cl: 1.24-1.45), suicide planning (OR: 1.46, 95% Cl: 1.32-1.65), and suicide attempts (OR: 1.51, 95% Cl: 1.33-1.72). In the multivariate model, the relationships between AD and suicide ideation (OR: 1.26, 95% Cl:1.16-1.36), suicide planning (OR: 1.28, 95% Cl:1.14-1.44), and suicide attempt (OR: 1.29, 95% Cl:1.13-1.49) were statistically significant.ConclusionAdolescents who have AD are associated with a higher prevalence of depression symptoms and suicidal behaviors. Adolescent AD patients may need interventions from clinicians and caregivers that use a holistic approach to prevent psychological comorbidities, although further research is needed to clarify this relationship.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association of atopic dermatitis with depressive symptoms and suicidal behaviors among adolescents in Korea: the 2013 Korean Youth Risk Behavior Survey

Lee

Shin

2017

BMC Psychiatry

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“…[3839] Patients with this disorder may have symptoms of depression and anxiety, and the severity of pruritus appears to increase as the severity of depression increases. [4041] Cold urticaria may be associated with hypomania during winter and recurrent idiopathic urticaria with panic disorder. [42]…”

Section: Urticariamentioning

confidence: 99%

Relevance of psychiatry in dermatology: Present concepts

Basavaraj

Navya

Rashmi

2010

Indian J Psychiatry

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Skin is an organ that has a primary function in tactile receptivity and reacts directly upon emotional stimuli. Dermatological practice involves a psychosomatic dimension. A relationship between psychological factors and skin diseases has long been hypothesized. Psychodermatology addresses the interaction between mind and skin. It is divided into three categories according to the relationship between skin diseases and mental disorders. This article reviews different dermatological conditions under each of the three categories namely psychosomatic disorders, dermatological conditions due to primary and secondary psychiatric disorders. Dermatological conditions resulting from psychiatric conditions like stress/depression and those caused by psychiatric disorders are discussed. This review intends to present the relationship between the ‘skin’ and the ‘mind’ specifically from the dermatology point of view. The effects on the quality of life as a result of psychodermatological conditions are highlighted. A multidisciplinary approach for treatment from both dermatologic and psychiatric viewpoints are suggested.

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“…Most treatments use oral antihistaminics or antiallergics; psychosomatic care is rare. Recently, our group reported that patients with chronic urticaria tend to be more anxious, depressive, and psychosomatic symptom prone than normal controls (2). It was therefore suggested that chronic urticaria patients should be treated both dermatologically and psychologically.…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic Treatment of a Case of Chronic Urticaria

Hashiro

1995

The Journal of Dermatology

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A 35-year-old Japanese woman presented with urticaria in January of 1992. As her symptoms gradually became worse, she came to our hospital in March of that year. I treated her with various combinations of antihistaminics and antiallergics. However, her symptoms did not respond and continued to deteriorate. Although her blood was analyzed in an attempt to identify antigenic or physical factors, no positive data were obtained. Because three kinds of psychological tests showed that the patient was highly anxious and depressive, I additionally treated her with psychotropics and psychotherapy in May of 1994. After a month, the symptoms began to disappear. She has since been free from the symptoms while taking medicine only twice a week. Our group recently presented the efficacy of psychotropics in patients with chronic urticaria. This case suggests that highly anxious or depressive cases with chronic urticaria should be treated not only dermatologically, but also psychologically.

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Anxiety, depression, psychosomatic symptoms and autonomic nervous function in patients with chronic urticaria

Cited by 55 publications

References 8 publications

Association of atopic dermatitis with depressive symptoms and suicidal behaviors among adolescents in Korea: the 2013 Korean Youth Risk Behavior Survey

Association of atopic dermatitis with depressive symptoms and suicidal behaviors among adolescents in Korea: the 2013 Korean Youth Risk Behavior Survey

Relevance of psychiatry in dermatology: Present concepts

Psychosomatic Treatment of a Case of Chronic Urticaria

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