Symptom Difficulties and Needs in Adults with Moder-ate-to-Severe Atopic Dermatitis: A Qualitative Approach, with a Predominance of Severe Cases | Zendy

Shuang Xu | Zendy; Yanting Wang | Zendy; Zining Guo | Zendy; Xiaoli Yu | Zendy; Yuling Shi | Zendy; Xiaoping Zhu | Zendy

Open Access

Symptom Difficulties and Needs in Adults with Moder-ate-to-Severe Atopic Dermatitis: A Qualitative Approach, with a Predominance of Severe Cases

Author(s) -

Shuang Xu,

Yanting Wang,

Zining Guo,

Xiaoli Yu,

Yuling Shi,

Xiaoping Zhu

Publication year - 2025

Publication title -

ieee access

Language(s) - English

Resource type - Magazines

SCImago Journal Rank - 0.587

H-Index - 127

eISSN - 2169-3536

DOI - 10.1109/access.2025.3615775

Subject(s) - aerospace , bioengineering , communication, networking and broadcast technologies , components, circuits, devices and systems , computing and processing , engineered materials, dielectrics and plasmas , engineering profession , fields, waves and electromagnetics , general topics for engineers , geoscience , nuclear engineering , photonics and electrooptics , power, energy and industry applications , robotics and control systems , signal processing and analysis , transportation

Background: Atopic Dermatitis (AD), often termed eczema, is a long-term skin disorder defined by non-infectious inflammatory reactions, with chronic itching being its primary clinical manifestation. The persistent and relapsing nature of this condition significantly diminishes the quality of life for affected individuals and places a burden on their families due to the long and complex treatment process. Methods: This study employed a phe-nomenological qualitative methodology and conducted in-depth semi-structured interviews with 15 adults with severe AD, recruited from the Atopic Dermatitis Treatment Centre in Shanghai, China, from November 2023 to April 2024. These interviews were conducted at the Atopic Dermatitis Treatment Centre in Shanghai, China from November 2023 to April 2024. Data was analyzed using Colaizzi’s seven-step analysis to identify salient themes. Results: 11 sub-themes were categorized into two main themes. Difficulties: symptom experience (pain and itching, polymorphic sleep disorders), functional limita-tions (social restricted, sexual relationship restricted), and emotional management (emo-tional stress, economic pressures, stigma stress). Needs: resources/help with AD (family support, support from patients with the same disease, healthcare system support), capaci-ty building (self-regulation). Conclusion: Improvement of self-regulation skills and healthcare professionals are crucial in mitigating the physical and psychological issues experienced by adults with moderate-to-severe AD (MSAD).

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