ABSTRACT
Chronic pruritus seriously affects the quality of life of patients, which is closely related to stress, anxiety and depression. Prolonged and repeated pruritus can induce negative emotions such as anxiety and depression, while continued increased negative emotions can also promote exacerbation of pruritus, which drives the itch scratch cycle, thereby further aggravating skin damage. More and more studies have explored the mechanism of pruritus, anxiety and depression. This article mainly reviews the clinical relationship between pruritus and anxiety, depression and the new progress of its possible mechanism, providing reference for the prevention, control and effective treatment of chronic pruritus, anxiety and depression.
Subject(s)
Humans , Depression , Quality of Life , Anxiety , Pruritus/psychologyABSTRACT
Abstract: Background: Pruritus is the most commonly occurring subjective symptom of dermatological disease. Published data on both prevalence and intensity of pruritus in psoriasis is limited. Objective: In this study we aimed to investigate the prevalence of pruritus and its relation with psoriasis area severity index, body mass index and presence of systemic disease in patients with psoriasis. Methods: We analyzed data of psoriatic patients diagnosed in our psoriasis outpatient clinic between March 2013 and June 2014 collected retrospectively from PSR-TR registration system. Results: In total, 880 patients were analyzed. Pruritus was more prominent in female patients. This difference was statistically significant. No significant associations were found between age of patients, clinical type of disease and pruritus. The itching was more common in patients with higher body mass index. Presence of pruritus was correlated significantly with severity of psoriasis. Five hundred and sixty of 880 patients had no systemic disease. The presence of pruritus was not related with presence of systemic disease. Existence of systemic disease with psoriasis has minimal effect on pruritus. Study Limitations: We did not evaluate intensity of pruritus. Conclusions: Pruritus is not mentioned within the classical symptoms of psoriasis. Pruritus in psoriasis is a very unpleasant symptom with great potential to impair patient's quality of life and may exacerbate psoriasis as a Koebner phenomenon.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Pruritus/epidemiology , Psoriasis/complications , Pruritus/etiology , Pruritus/psychology , Psoriasis/psychology , Quality of Life , Turkey/epidemiology , Severity of Illness Index , Body Mass Index , Prevalence , Cross-Sectional Studies , Regression AnalysisABSTRACT
OBJETIVO: Avaliar o impacto da dermatite atópica (DA) sobre a qualidade de vida de pacientes pediátricos e de seus familiares, estabelecendo correlações com escores de severidade da doença. MÉTODOS: Estudo observacional com correlação entre indicador clínico de gravidade e dois questionários sobre qualidade de vida: o Índice de Qualidade de Vida da Dermatite Atópica em Crianças (IDQOL) e o Impacto da Dermatite Atópica na Família (DFI). O estudo incluiu também um escore de gravidade do eczema (Índice de Gravidade do Eczema por Área). Foram investigadas 42 crianças com DA e 44 crianças com outras dermatoses em relação ao impacto do eczema na qualidade de vida. Na análise de correlação, utilizou-se o teste de correlação de Pearson, e a comparação entre os dois grupos foi realizada através do teste de Mann-Whitney. RESULTADOS: A análise dos dados demonstrou significativa diferença entre a pontuação dos dois grupos. A média de pontuação no grupo com DA foi de 9,2 (variando de 1 a 19) para o IDQOL e de 8,5 (variando de 0 a 17) para o DFI. Os domínios mais comprometidos no IDQOL foram os relativos ao prurido, alterações de humor e problemas com o tratamento. Quanto ao DFI, os domínios de maior impacto foram os relacionados a despesas com o tratamento e a perturbação do sono de membros da família. CONCLUSÕES: A DA interfere negativamente na qualidade de vida dos pacientes pediátricos e dos seus familiares. Dados obtidos nos estudos de qualidade de vida em DA devem nortear a prática clínica de modo a individualizar as estratégias de tratamento e levar à adoção de medidas que possam minimizar o impacto da doença sobre pacientes e familiares.
OBJECTIVE: To measure the impact of atopic dermatitis (AD) on the quality of life of pediatric patients and their families, establishing correlations with scores of disease severity. METHODS: This was an observational study of the correlations between clinical indicators of severity and two questionnaires on quality of life: IDQOL and DFI. The study also included scoring of eczema severity - EASI. Forty-two children with AD, fulfilling established diagnostic criteria, and 44 children with other dermatologic diseases were investigated for the effect of eczema on quality of life. Pearson's correlation was used for the correlation analysis and the comparison between the groups was carried out using the Mann-Whitney test. RESULTS: Data analysis demonstrated significant differences between the scores for the two groups. The mean score in the eczema group was 9.2 (range 1-19) for IDQOL and 8.5 (range 0-17) for DFI. The highest scoring questions for IDQOL referred to itching and scratching, mood changes and problems caused by treatment. For the FDI, the highest impact domains were treatment-related expenditure and sleep disturbance affecting family members. CONCLUSIONS: AD has a negative impact on the quality of life of pediatric patients and their families. Data obtained in studies of quality of life in AD should be used to guide clinical practice in order to identify individual treatment strategies and should lead to the adoption of measures to reduce the impact of the disease on patients and their families.
Subject(s)
Child, Preschool , Female , Humans , Male , Dermatitis, Atopic/psychology , Quality of Life , Cost of Illness , Epidemiologic Methods , Family/psychology , Pruritus/psychology , Sleep Deprivation , Skin Diseases/psychologyABSTRACT
Se describe la interrelación entre el sistema nervioso y la etiopatogenia y fisiopatología del prurito, lo que se denomina la neurobiología cutánea. Se describe los últimos estudios sobre los diferentes mecanismos patogénicos de la producción del prurito entre los cuales se describe una serie de vías, receptores, neurotransmisores y además se discute el papel de los aspectos psicológicos en el prurito especialmente el relacionado con los diversos tipos de eccema.
Interrelation between nervous system and etiopathogeny and pathophysiologyis described, this is known as cutaneous neurobiology. The last studies about the pathogenic mechanisms of production of pruritus like receptors, neurtransmisors and psicological aspects are described, specially pruritus associated to diverse kinds of eczema.
Subject(s)
Humans , Male , Female , Eczema , Pruritus , Pruritus/physiopathology , Pruritus/psychology , Pruritus/therapyABSTRACT
El prurito ( del latin: comezón) es el síntoma dermatológico más comun y en ocasiones puede representar por si sólo toda una enfermedad. Se exterioriza por una sensación especial a nivel del tegumento que obliga imperiosamente a rascarse. Constituye una zona dentro del espectro sensorial que se define por su característica de provocar el reflejo del rascado. Es tan universal como el dolor y se observa tambien en aves y mamíferos. Sin enbargo, no es una sensación dominante pues desaparece frente a otros estímulos sensoriales. En Dermatología es el síntoma más importante por su frecuencia, por su naturaleza intratable y por la posibilidad de ser un signo de afectación de otros sistemas. sin embargo es socialmente percibido como síntoma menor e inclñuso ser considerado con humor,pudiendo en algunos casos ser m,uy severo e intratable causando gran sufrimiento e incluso inclinación al suicidio
Subject(s)
Humans , Pruritus/pathology , Pruritus/psychologyABSTRACT
Se presenta el tratamiento de un caso con neurodermatitis congénita, de una profesional psicóloga de 30 años, quien no podía controlar su conducta de rascarse, produciéndose permanentemente escoriaciones en su piel. Se aplicó el entrenamiento autógeno de Schultz, abreviado en ocho, registrándose los valores electromiográficos, a nivel frontal, y la temperatura de ambas manos, durante la práctica del procedimiento. Los resultados del tratamiento fueron exitosos en lo inmediato, con posterioridad a dicho tratamiento y a los tres meses de seguimiento. El éxito se operacionalizó en términos de lograr controlar la conducta de rascarse y posibilitar la cicatrización de las escoriaciones