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Psychological burden of COVID-19 on mild and moderate chronic spontaneous urticaria
Beyaz, Sengul; Demir, Semra; Oztop, Nida; Karadag, Pelin; Coskun, Raif; Colakoglu, Bahauddin; Buyukozturk, Suna; Gelincik, Asli.
  • Beyaz S; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
  • Demir S; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
  • Oztop N; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
  • Karadag P; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
  • Coskun R; Division of Immunology and Allergic Diseases, Department of Internal Medicine, Okmeydani Training and Research Hospital, Istanbul, Turkey.
  • Colakoglu B; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
  • Buyukozturk S; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
  • Gelincik A; From the Division of Immunology and Allergic Diseases, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; and.
Allergy Asthma Proc ; 42(4): e107-e115, 2021 07 01.
Article in English | MEDLINE | ID: covidwho-1435924
ABSTRACT

Background:

The impact of coronavirus disease 2019 (COVID-19) related mental health status on chronic spontaneous urticaria (CSU) has not been addressed before.

Objective:

The aim of this study was to evaluate the depression, anxiety and stress levels, and the fear of COVID-19 in patients with mild-to-moderate CSU and to determine their impact on urticaria activity during the pandemic.

Methods:

A total of 509 patients with mild-to-moderate CSU were prospectively evaluated with validated scales, the Depression Anxiety Stress Scale 21 (DASS-21) and the Fear of COVID-19 Scale (FCV-19S) during the lockdown period (LP) and the return to normal period (RTNP). CSU activity was determined with the urticaria activity score summed over 7 days (UAS7) and medication scores (MS). UAS7 and MS before the pandemic were retrospectively collected from medical records.

Results:

The median UAS7 and MS were both significantly higher in the LP than in the median of related scores during the prepandemic period (p < 0.0001) and the RTNP (p < 0.0001). The mean FCV-19S and DASS-21 scores were both significantly higher in the LP than in the RTNP (p < 0.0001). The FCV-19S and the DASS-21 anxiety and stress subscales were significantly higher in women. The UAS7s were positively correlated with the FCV-19S and depression, anxiety, and stress subscale scores.

Conclusion:

Fear of COVID-19, anxiety, depression, and stress during the COVID-19 pandemic, especially when strict isolation measures are taken, have a significant impact on mental health and urticaria activity in patients with mild-to-moderate CSU, even though they are not infected. Psychological support for patients with CSU seems to be important to control disease activity during the pandemic.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / Cost of Illness / Chronic Urticaria / COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Etiology study / Observational study / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Allergy Asthma Proc Journal subject: Allergy and Immunology Year: 2021 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / Cost of Illness / Chronic Urticaria / COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Etiology study / Observational study / Prevalence study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Allergy Asthma Proc Journal subject: Allergy and Immunology Year: 2021 Document Type: Article