The influence of weather on the course of bipolar disorder: A systematic review

Background and objectives: Several studies have addressed the relationship between bipolar disorder and meteorological variables, but no previous review focusing on the influence of a wide range of meteorological variables on bipolar disorder has been published. The aim of this study is to conduct a systematic review about the influence of weather on the clinical course of bipolar disorder patients.MethodsFollowing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, the main electronic medical databases were searched in February 2020, and studies were screened based on the eligibility criteria. 24 studies were selected for qualitative synthesis. Most of them were observational retrospective studies based in medical records.ResultsThe most studied meteorological variables were temperature and sunlight, and the most studied clinical outcomes were hospital admissions. Significant correlations were found between temperature and sunlight and clinical outcomes, although the findings were heterogeneous. Higher temperatures may trigger bipolar disorder relapses that require hospital admission, and higher expositions to sunlight may increase the risk of manic episodes.ConclusionMeteorological variables seem to have an influence in the course of bipolar disorder, especially temperature and sunlight, although further studies are needed to clarify this possible relationship. (AU)

Impacto de la intervención psicológica en mujeres con alopecia areata universal: un estudio piloto / Impact of Psychological Intervention in Women with Alopecia Areata Universalis: a Pilot Study

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Impact on Quality of Life in Dermatology Patients Attending an Emergency Department / Calidad de vida en pacientes dermatológicos valorados en urgencias

INTRODUCTION: Dermatological complaints have been estimated to represent up to 5-10% of all the visits to emergency departments. The main objective of our study was to determine how affected is the Health related Quality of Life (HRQL) in a series of patients attending an emergency department due to skin symptoms. PATIENTS AND METHODS: A prospective study during one month (July 2016) was conducted in a hospital with full-time on-call dermatologists. The Short-Form SF-12v2 Health Survey and the Dermatology Life Quality Index (DLQI) were offered to all the patients over 18 years old attending the emergency department with cutaneous complaints. Clinical and epidemiological characteristics were also collected. RESULTS: In total 108 patients completed the study. Mean age found was 45.1 ± 16.1 years. Mean DLQI score found was 10.56 ± 6.12. Fifty-three patients (49%) had a score of 11 or higher in the DLQI questionnaire. Most affected subscales were "Symptoms and Feelings" in DLQI scale and "Overall Health" and "Vitality" for the SF-12. A very significant difference (p < 0.0001) was found between women's (12.4 ± 5.7) and men's (7.5 ± 5.6) DLQI mean score (mean difference of 4.9; 95% confidence interval of the difference: 2.7-7.1). CONCLUSIONS: Patients visiting emergency units with cutaneous complaints seem to feel a moderate-large impact on their quality of life which is mainly related to the symptoms and feelings that they are experiencing. This impact is significantly higher among women

INTRODUCCIÓN: Los problemas dermatólogicos suponen hasta un 5-10% de todas las visitas a los servicios de urgencias. El principal objetivo de nuestro estudio fue determinar la calidad de vida relacionada con la salud en una serie amplia de pacientes que acudieron a un servicio de urgencias por sintomatología cutánea. PACIENTES Y MÉTODOS: Se realizó un estudio prospectivo de un mes de duración (julio de 2016) en un hospital terciario con dermatólogo de guardia a tiempo completo. La versión corta del Cuestionario de Salud SF-12v2 y del cuestionario DLQI fueron entregados a todos los pacientes mayores de edad que acudieron al servicio de urgencias con problemas dermatológicos. Se recogió información clínica y epidemiológica de todos los pacientes. RESULTADOS: En total, 108 pacientes completaron el estudio. La edad media de nuestra muestra fue de 45,1±16,1 años. La puntuación media del DLQI fue 10,56±6,12. Del total, 33 pacientes (49%) tuvieron una puntuación de 11 o más en el DLQI. Las subescalas más afectadas fueron la de «síntomas y sentimientos» para el DLQI y las de «salud general» y «vitalidad» para el SF-12. Se encontró una diferencia muy significativa (p < 0,0001) entre las puntuaciones totales del DLQI en mujeres (12,4±5,7) y hombres (7,5±5,6), con una diferencia media de 4,9 (intervalo de confianza al 95%: 2,7-7,1). CONCLUSIONES: Los pacientes que acuden a los servicios de urgencias con problemas dermatológicos parecen tener una afectación moderada-grave en su calidad de vida, debido principalmente a los síntomas que están experimentando. Este impacto es significativamente mayor en las mujeres

Impact on Quality of Life in Dermatology Patients Attending an Emergency Department.

INTRODUCTION: Dermatological complaints have been estimated to represent up to 5-10% of all the visits to emergency departments. The main objective of our study was to determine how affected is the Health related Quality of Life (HRQL) in a series of patients attending an emergency department due to skin symptoms. PATIENTS AND METHODS: A prospective study during one month (July 2016) was conducted in a hospital with full-time on-call dermatologists. The Short-Form SF-12v2 Health Survey and the Dermatology Life Quality Index (DLQI) were offered to all the patients over 18 years old attending the emergency department with cutaneous complaints. Clinical and epidemiological characteristics were also collected. RESULTS: In total 108 patients completed the study. Mean age found was 45.1±16.1 years. Mean DLQI score found was 10.56±6.12. Fifty-three patients (49%) had a score of 11 or higher in the DLQI questionnaire. Most affected subscales were "Symptoms and Feelings" in DLQI scale and "Overall Health" and "Vitality" for the SF-12. A very significant difference (p<0.0001) was found between women's (12.4±5.7) and men's (7.5±5.6) DLQI mean score (mean difference of 4.9; 95% confidence interval of the difference: 2.7-7.1). CONCLUSIONS: Patients visiting emergency units with cutaneous complaints seem to feel a moderate-large impact on their quality of life which is mainly related to the symptoms and feelings that they are experiencing. This impact is significantly higher among women.