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Psychosomatic factors of atopic dermatitis exacerbation
Author(s) -
Maksimovic Natasa,
Zaric Milica,
Bjelica Suncica,
Eric Marinkovic Jelena,
Jankovic Slavenka
Publication year - 2018
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.14076
Subject(s) - medicine , atopic dermatitis , social support , exacerbation , anxiety , logistic regression , disease , clinical psychology , multivariate analysis , univariate analysis , psychiatry , demography , dermatology , psychology , psychotherapist , sociology
Background The aim of this study was to estimate whether the stress, lack of social support, and poor emotional relationships influence the recurrence of AD in adults. Methods Case–control study comprised 66 outpatients with AD and 132 controls with different skin diseases believed to be slightly influenced by psychosomatic factors. Participants were treated at the Department of Dermatology – Military Medical Academy and City Department for Skin and Venereal Diseases from January to June 2014. Stressful life events were assessed using the Paykel's Interview for Recent Life Events. The attachment relationship and perceived social support were assessed with the Experiences in Close Relationships Scale and with the Multidimensional Scale of Perceived Social Support, respectively. Univariate and multivariate logistic regression analyses were applied. Results AD patients had significantly higher anxiety scores when initiating a close emotional relationship and when avoiding an affective attachment ( OR = 1.49; CI = 1.13‐1.97; P = 0.005 and OR = 1.63; CI = 1.16–2.30; P = 0.005, respectively). Perceived social support from family and friends was significantly lower among cases compared to controls ( OR = 0.93; CI = 0.88–0.98; P = 0.009 and UO = 0.94; CI = 0.89–0.99; P = 0.027, respectively). Conclusions AD patients had higher anxiety scores, and those with low social support tended to have more frequent disease recurrence. The number of stressful life events did not differ between studied groups.