Tertiary individual prevention improves mental health in patients with severe occupational hand eczema

Breuer, Kristine; John, Swen Malte; Finkeldey, F.; Boehm, Dana; Skudlik, Christoph; Wulfhorst, Britta; Dwinger, Christine; Werfel, Thomas; Diepgen, Thomas L.; Schmid-Ott, ­Gerhard

doi:10.1111/jdv.12975

Cited by 17 publications

(17 citation statements)

References 27 publications

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“…From the 369 articles identified in the literature search, 328 were excluded based on the exclusion criteria, leaving 41 publications for the final analysis 12‐52 . The list of included publications and their characteristics are given in Table .…”

Section: Resultsmentioning

confidence: 99%

“…For example, a study aimed to assess the efficacy of four weeks of 0.05% halometasone monohydrate in patients with occupational irritant and allergic contact dermatitis demonstrated significant improvement of QoL at week four 44 . Other studies on occupational skin diseases had follow‐up periods from three weeks to five years 12,13,15,17,18,25,35,39,42,45,47,52 . Significant QoL improvement was observed three weeks after a tertiary individual prevention programme that included dermatological therapy, detailed healthcare instruction and psychological treatment 13 …”

Section: Resultsmentioning

confidence: 99%

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Quality of life measurement in occupational skin diseases. Position paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Occupational Skin Disease

Chernyshov

John

Aragonés

et al. 2020

Acad Dermatol Venereol

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The European Academy of Dermatology and Venereology (EADV) has started the ‘Healthy Skin @ Work’ campaign aimed to raise awareness among the public and EU authorities on the frequency and impact of occupational skin diseases (OSDs). The EADV Task Forces (TFs) on Quality of Life and Patient Oriented Outcomes (QoL/PO) and on OSD present their mutual position statement on QoL assessment in OSDs. The EADV TFs recommend the use of the DLQI as a dermatology‐specific instrument and SF‐36 as a generic instrument in health‐related (HR) QoL studies on OSDs. The OSD‐specific questionnaire, LIOD, is not recommended for general use in its present form because of its three months recall period. The EADV TFs discourage the use of non‐validated and of non‐validated modifications of previously validated HRQoL instruments. The EADV TFs wish to encourage research into: the HRQoL impact of OSDs other than occupational contact dermatitis and hand eczema; comparisons between the effects of different treatments and other interventions on HRQoL in OSDs; and into the HRQoL impairment of patients with OSDs from different countries, and with different provoking factors, to predict if the results of successful therapeutic and educational interventions may be generalized across countries and between occupations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Quality of life measurement in occupational skin diseases. Position paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Occupational Skin Disease

Chernyshov

John

Aragonés

et al. 2020

Acad Dermatol Venereol

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“…11 Although our findings suggest there is no direct causal effect of onset of allergic disease on the onset of mental health phenotypes, there is some evidence that effectively treating skin disease can improve mental well-being. 41,42 A recent report by the All-Party Parliamentary Group on Skin has recommended that patients with a chronic skin condition should receive an annual assessment of the psychological impact of their condition. 43 In our study, the genetic instruments we used were identified in GWAS which looked at the onset of allergic disease or mental health phenotypes.…”

Section: Discussionmentioning

confidence: 99%

Clinical examination for hyperlinear palms to determine filaggrin genotype: A diagnostic test accuracy study

Bradshaw

Haines

Kim

et al. 2021

Clin Experimental Allergy

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Background: Observational studies have reported an association between allergic disease and mental health, but a causal relationship has not been established. Here, we use Mendelian randomization (MR) to investigate a possible causal relationship between atopic disease and mental health phenotypes. Methods:The observational relationship between allergic disease and mental health was investigated in UK Biobank. The direction of causality was investigated with bidirectional two-sample MR using summary-level data from published genome-wide association studies. A genetic instrument was derived from associated variants for a broad allergic disease phenotype to test for causal relationships with various mental health outcomes. We also investigated whether these relationships were specific to atopic dermatitis (AD), asthma or hayfever. Given the multiple testing burden, we applied a Bonferroni correction to use an individual test p-value threshold of .0016 (32 tests). Results:We found strong evidence of an observational association between the broad allergic disease phenotype and depression (OR self-report =1.45,

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“…Hand eczema in healthcare workers may promote the carriage of microorganisms on eczematous skin before transmission to patients (12,13). Healthcare workers have been shown to benefit from skin-care education and individual counseling (14) and in Denmark and Germany an evidencebased skin protection program has been carried out in hospitals (15)(16)(17)(18). While the prevalence rate of hand eczema in Harbin, Zhenjiang and Shijiazhuang cities has been reported to be 20% (19), 17.7% (20), and 22.3% (21) respectively, there is little data on its prevalence in health care workers, possibly because little attention is paid to the disease.…”

Section: Original Articlementioning

confidence: 99%

Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Huang¹,

Tang²,

Qiu³

et al. 2020

Ann Transl Med

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Background: Healthcare workers are at high risk of developing hand eczema. This study aimed to investigate the association between occupational hygiene and self-reported hand eczema among nurses and doctors in Guangzhou. Methods:A cross-sectional study using a self-administrated questionnaire sent to 740 health care workers in two tertiary hospitals between 1 st April and 1 st July 2019 was conducted.Results: In total, 521 healthcare workers responded (70.4%). The prevalence of self-reported hand eczema was 9.6% [95% confidence interval (CI): 7.1-12.1%], with 10.8% in nurses and 6.9% in doctors. According to multivariable logistic regression analysis, the prevalence was higher in those who were excessively exposed to hair dye (OR: 3.871, 95% CI: 1.106-13.549) and those having a history of food allergy were at 3.013 (95% CI: 1.314-6.907) times greater risk of having hand eczema than those who did not. The odds of having hand eczema were 4.863 (95% CI: 1.037-22.803) times greater in those who hand washed more than 50 times daily in comparison to those who washed hands less than 10 times per day. The symptoms of hand eczema were mild during the investigation period.Conclusions: Hand eczema is common among healthcare workers in Guangzhou. The prevention of hand eczema by educational programs is needed for Chinese healthcare workers.

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Tertiary individual prevention improves mental health in patients with severe occupational hand eczema

Abstract: Our data underscore the importance of psychological interventions in addition to dermatological treatment in the framework of prevention measures for OHE. These measures should be applied at an early stage of OHE prior to the occurrence of sick leave.

Cited by 17 publications

References 27 publications

Quality of life measurement in occupational skin diseases. Position paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Occupational Skin Disease

Quality of life measurement in occupational skin diseases. Position paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Occupational Skin Disease

Clinical examination for hyperlinear palms to determine filaggrin genotype: A diagnostic test accuracy study

Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

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