Psychological Components and the Role of Adjunct Interventions in Chronic Idiopathic Urticaria

Sperber, Jay; Shaw, Janine A.; Bruce, Suzanne

doi:10.1159/000288147

Cited by 41 publications

(39 citation statements)

References 18 publications

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“…These findings are in agreement with previous findings of Engin B et al, [13] Chung MC et al and Sperber J et al as they observed anxiety as prominent psychiatric disorder in chronic urticaria patients. [14,15] In contrast to the present study Ozkan M et al and Zachariae R et al recorded depression more prevalent psychological disorders instead of anxiety in chronic urticairia patients. [16,17] These lesions appeared during chronic urticaria produce decrease of self-confidence and alter the self-image of the patients.…”

Section: Discussioncontrasting

confidence: 97%

A Study of Psychiatric Disorders and Chronic Urticaria

Narayan¹,

Gupta²

2018

AIMDR

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Section: Discussioncontrasting

confidence: 97%

A Study of Psychiatric Disorders and Chronic Urticaria

Narayan¹,

Gupta²

2018

AIMDR

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“…In a psychological assessment it was shown that urticaria patients had significantly higher scores on the scales of somatization, obsessive-compulsive behavior, interpersonal sensitivity, depression, and anxiety than controls [Sperber et al, 1989]. In this study urticaria patients were quite anxious and experienced significant discomfort in interpersonal relationships.…”

Section: Copingmentioning

confidence: 49%

“…However, no studies on psychological support, psychotherapies, behavioral therapies, biofeedback techniques and group therapies have been published so far for urticaria treatment [Buffet, 2003]. Still, a complementary psychological treatment in a subgroup of patients with chronic urticaria and a high frequency of psychological symptoms such as increased anxiety might be helpful [Sperber et al, 1989].…”

Section: Relaxation Psychosomatic or Psychoanalytic And Behavior Thementioning

confidence: 99%

Urticaria

Raap

Gieler²,

Schmid-Ott

2004

Dermatol Psychosom

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DefinitionUrticaria (ICD 10: L50.8 -possibly F54) is divided into several subtypes (e.g. acute, chronic, physical, and autoimmune urticaria) and represents one of the most frequent skin diseases. The traditional definition of chronic urticaria is the occurrence of daily or almost daily hives for more than 6 weeks, in contrast to acute urticaria which disappears within less than 6 weeks. Physical urticarias, such as pressure and cold urticaria, or urticaria factitia also frequently occur concurrently with chronic urticaria. In addition, urticaria is associated in about 40% with angioedema. In general, hives persist less than 24 h, whereas in urticaria vasculitis, which in former times was included in urticaria subtypes due to historical reasons, hives persist more than 24 h. The trigger factors for urticaria are manifold. In more than 80% of cases urticaria is triggered by an inflammatory focus, a subclinical infection, or autoimmune actions. Additionally, non-specific pharmacological or toxin-mediated release of inflammatory mediators of basophils and mast cells can trigger urticaria. Psychodermatologically, chronic urticaria is seen as a multifactorial dermatologic disorder which can be substantially influenced by psychological factors [Schneider and Gieler, 2001]. Various studies report an association between stress, anxiety, or depressive symptoms and chronic urticaria [Sheehan-Dare et al., 1990;Brahler et al., 1994], however, not assuming a causality as reviewed recently [Buffet, 2003]. In daily practice, however, stress is an important trigger factor for urticaria. Urticaria symptoms affect everyday life, limiting and impairing physical and emotional functioning, and act as an indirect burden on life satisfaction underlining the major impact on quality of life [Baiardini et al., 2003]. With regard to the subtype of urticaria the impact on quality of life is different, as physical urticaria such as delayed pressure urticaria was shown to have a higher impact with decreased quality of life than other types [O'Donnell et al., 1997]. Dermatological DiagnosticsThe clinical assessment of urticaria includes taking the patient's history as well as physical examination. Urticaria is divided into the acute (symptoms less than 6 weeks) and the chronic type (symptoms more than 6 weeks), which is identifiable by exact acquisition of data on urticaria symptoms. For the detection of specific trigger factors, such as pressure, cold contact, or autoimmune interactions, specific tests, e.g. pressure test, cold arm bath, cold-cylinder test, and/or autologous serum skin test, are recommended . As more than 80% of chronic urticarias are triggered by chronic infections or subclinical foci specific laboratory tests are helpful: e.g. CRP (c-reactive protein), differential hemogram, serology for streptococcus, staphylococcus, and yersinia, careful testing for helicobacter pylori infection, and autologous serum skin test . In acute urticaria however, no specific dermatological investigations are recommended, as acute urticaria gener...

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“…In comparison to healthy controls, patients with chronic urticarial had higher scores on the scales somatizationobsessivecompulsive behaviour, interpersonal sensitivity, depression and anxiety [43]. In contrast to those specific comorbidities, it remains unclear if stigmatization that is relevant in atopic eczema or psoriasis also is a burden in urticaria patients [44].…”

Section: Urticaria and Psychosomatic Comorbiditiesmentioning

confidence: 99%

Quality of Life and Comorbidities in Urticaria: What Is Known?

Gieler

Schut

et al. 2015

Curr Derm Rep

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Quality of life is highly impaired in urticaria patients. Comorbidities like affective disorders (e.g. depression and anxiety disorders) are common. Besides, other psychiatric and psychosomatic disorders like post-traumatic stress disorders often occur in urticaria. The scientific knowledge about the impairment of quality of life in urticaria patients is still small, but should be recognized. Psychotherapeutic therapies should be offered to the patients as additive therapy.

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Psychological Components and the Role of Adjunct Interventions in Chronic Idiopathic Urticaria

Cited by 41 publications

References 18 publications

A Study of Psychiatric Disorders and Chronic Urticaria

A Study of Psychiatric Disorders and Chronic Urticaria

Urticaria

Quality of Life and Comorbidities in Urticaria: What Is Known?

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