A Cohort Study of the Relationship Between Anger and Chronic Spontaneous Urticaria

Altınöz, Ali Ercan; Taşkıntuna, Nilgün; Altınöz, Şengül Tosun; Ceran, Selvi

doi:10.1007/s12325-014-0152-6

Cited by 21 publications

(20 citation statements)

References 14 publications

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“…Symptoms and thoughts of anger, and situations that cause anger were significantly more common in the group with CSU compared to the alopecia areata group and the healthy group [13].…”

Section: Discussionmentioning

confidence: 99%

Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria

Tat

2019

Med Sci Monit

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BackgroundChronic urticaria (CU) is a common disease, characterized by the development of wheals, angioedema, or both. CU reduces quality of life and can also cause emotional distress. Studies addressing depression and anxiety in such patients are rare in the literature. The aim of this study was to determine the relationship between urticaria symptoms and depression and anxiety in patients with CU.Material/MethodsThe Hospital Anxiety-Depression Scale (HADS) was used to evaluate depression and anxiety in patients with CU. We included 50 patients with CU and a control group of 60 healthy volunteers. Urticaria activity score, medications, age, sex, comorbidities, occupation, and income of patients were recorded. Depression and anxiety scores were evaluated between the patient and the healthy groups.ResultsThe HADS questionnaire showed that 24 (48%) subjects in the patient group had depressive symptoms and 24 (48%) had anxiety, and both of these conditions were significantly more frequent than in controls (p=0.002 and p=0.001). The mean anxiety and depression scores ±SD were 10.82±4.29 and 7.74±4.49 in the patient group and 6.42±3.02 and 4.85±3.26, in the control group respectively (p=0.001). The mean score of the UAS ±SD was 23.14±13.40 and a significant positive correlation between UAS and the anxiety and depression scores was observed (r=0.400; p=0.004 and r=0.373; p=0.004, respectively).ConclusionsOur data demonstrated that depression and anxiety symptoms are more common in patients with CU than in the control group. Therefore, we should pay attention to the potential of mental comorbidities while managing patients with CU.

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“…Symptoms and thoughts of anger, and situations that cause anger were significantly more common in the group with CSU compared to the alopecia areata group and the healthy group [13].…”

Section: Discussionmentioning

confidence: 99%

Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria

Tat

2019

Med Sci Monit

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“…Interestingly, ‘state anger’ measured using the State trait anger expression inventory correlated significantly with levels of pruritis [68]. High levels of anger were also reported by Altınöz et al [69]. Overall, there is increasing evidence that continued stress can perpetuate and aggravate CSU.…”

Section: Aetiological and Associated Factors In Csumentioning

confidence: 93%

Stress, pseudoallergens, autoimmunity, infection and inflammation in chronic spontaneous urticaria

Bansal

2019

Allergy Asthma Clin Immunol

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Chronic spontaneous urticaria (CSU) is often associated with organ specific autoimmunity but is rarely caused by food allergy. Colourings and preservatives in pre-packaged foods, so called pseudoallergens, have also been implicated. Factors that promote inflammation or reduce anti-inflammatory mechanisms may however, predispose susceptible individuals to CSU. Chronic underlying infection and mental and emotional stress can sometimes precede the onset of CSU and once established can exacerbate the symptoms. There is early evidence of dysbiosis within the gastrointestinal tract in people with CSU and reduced levels of vitamin D are also evident. The latter may be related to the importance of vitamin D3 in increasing T regulatory function which can control a tendency to autoimmunity. It is quite possible that a state of on-going chronic inflammation with reduced anti-oxidant mechanisms may underlie the not infrequent association between CSU and metabolic syndrome. Effective treatment of CSU should involve the use of anti-histamines, intermittent steroids and anti-IgE therapy. For recalcitrant disease immune modulatory therapy has a place. However, talking therapies that reduce stress and anxiety, vitamin D3 supplementation, correction of intestinal dysbiosis and treatment of any chronic infection should also be considered.

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“…Standart hazırlanan "Saç Dökülmesi Hasta Ta (31,7), TE (17,9) ve AGA (19,9) hastalarının ortalamalarından daha yüksek olduğu saptandı.…”

Section: Yöntemlerunclassified

Diffüz alopesili kadınlarda öfke, anksiyete ve depresyon

Aldemir¹,

Erpolat²,

Dalbudak³

et al. 2015

Dicle Med J

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Objective: Present study aims to compare control group patients and patients with diffuse alopecia in order to understand the nature of the relationship between symptoms and level of anger and to see whether patient group has higher number of symptoms than control group. Methods: 43 female patients who were diagnosed diffuse alopecia in dermatology clinic and 52 age-andgender-matched control participants were included in the study. 20% of patients (n=19) with androgenetic alopecia, 10.5% of patients (n=10) with diffuse alopecia areata and 14.7% of patients (n=14) with telogen effluvium participated in study. Hospital Anxiety and Depression Scale (HADS) and The Trait Anger and Anger Expression Scale (TAAES) were filled by the participants. Also patients were followed up by a standard hospital form recording alopecia. Results: It was found that patients with alopecia revealed significantly more depression (p<0,001) and anxiety (p<0,001) scores than control group. Also trait anger (β = 0,216, Wald Z = 3,697, Exp(B)= 1,241, p<0,05) and anxiety (β =-0.466, Wald Z = 5,008, Exp(B)= 0.628, p<0,05) scores significantly predicted alopecia group. Additionally total time period for alopecia significantly and positively correlated with depression (r= 0,402, p<0.01) and anxiety (r=0,393, p<0,01) scores. Comparing patient groups with each other, trait anger and expressed anger were significantly different across groups. Conclusion: Patient group reported more anxiety and depressive symptoms than control group. In treatment of patients with alopecia, bidirectional relationship between alopecia and psychological symptoms should be in consideration. Collaboration with psychiatry is suggested in order to improve treatment efficacy and patients' life satisfaction. In addition anger management seems essential in treatment of patients with diffuse alopecia.

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A Cohort Study of the Relationship Between Anger and Chronic Spontaneous Urticaria

Abstract: More of the CSU patients were observed to respond with excessive anger to most situations, to have high levels of anxiety anger and passive aggressive interpersonal relationships.

Cited by 21 publications

References 14 publications

Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria

Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria

Stress, pseudoallergens, autoimmunity, infection and inflammation in chronic spontaneous urticaria

Diffüz alopesili kadınlarda öfke, anksiyete ve depresyon

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