A Meta-Analysis of Observational Studies on the Association of Chronic Urticaria With Symptoms of Depression and Anxiety

Huang, Yuzhou; Xiao, Yi; Zhang, Xingyu; Li, Jie; Chen, Xiang; Shen, Min

doi:10.3389/fmed.2020.00039

Cited by 17 publications

(14 citation statements)

References 48 publications

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“…In studies conducted during the COVID-19 pandemic, an increase has been reported in the incidence of diseases such as psoriasis and urticaria, and it has been stated that the increase in the adverse effects of the epidemic on the quality of life as well as social anxiety and stress may have caused the increase in these diseases. 4,[7][8][9][10] The results obtained in our study and the fact that these rates were increased during the period when the pandemic peaked in our country also support this. However, we believe that the decrease in the non-emergency admissions to outpatient clinics during the pandemic period when there were curfews, and the relative increase in admissions to outpatient clinics with diseases such as urticaria and psoriasis, which may cause emergency or stress, may have contributed to these changes.…”

Section: Discussionsupporting

confidence: 86%

“…In studies conducted during the COVID‐19 pandemic, an increase has been reported in the incidence of diseases such as psoriasis and urticaria, and it has been stated that the increase in the adverse effects of the epidemic on the quality of life as well as social anxiety and stress may have caused the increase in these diseases 4,7‐10 . The results obtained in our study and the fact that these rates were increased during the period when the pandemic peaked in our country also support this.…”

Section: Discussionsupporting

confidence: 85%

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Comparison of patients’ diagnoses in a dermatology outpatient clinic during the COVID‐19 pandemic period and pre‐pandemic period

et al. 2020

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Aim In this study, we compared the current diagnoses of patients admitted to the dermatology outpatient clinic with the diagnoses during the non‐pandemic period, and we examined the effect of COVID‐19 on the patient profile. Methods Diagnoses were compared by examining the patient files of the 3‐month period when the pandemic was influential in our country and the 2‐week non‐pandemic period corresponding to the same season a year ago. The outpatient diagnoses in the first month and the last month of the 3‐month pandemic period were also compared. Results During the 3‐month pandemic process, the most common reasons for applying to the outpatient clinic were acne, urticaria, psoriasis, and allergic/irritant contact dermatitis. Urticaria, psoriasis, allergic/irritant contact dermatitis, scabies, liken planus, mycosis fungoides, zona zoster, recurrent aphthous stomatitis and polymorph light eruption were statistically more common in the pandemic period. Moreover, acne, other eczematous dermatities, verruca, androgenic alopecia, and melanocytic nevus diagnoses were found to decrease statistically during the pandemic period when compared with the non‐pandemic period. Conclusion Unlike other studies, the present study evaluated the patient diagnoses during the pandemic period and the period a year before and discussed the possible reasons for the changes in patient profiles.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 85%

Comparison of patients’ diagnoses in a dermatology outpatient clinic during the COVID‐19 pandemic period and pre‐pandemic period

et al. 2020

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“…5 In this study, we found a strong inverse correlation between the number of eases such as psoriasis and urticaria. [6][7][8][9] Although the percentage of hospital visits for dermatological diseases decreased after the pandemic arose, the percentage of scabies-related visits increased during the COVID-19 outbreak.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the percentage of diseases such as irritant contact dermatitis, urticaria, psoriasis, and scabies increased. The increase in social anxiety and stress along with the negative impact on quality of life caused by the COVID‐19 pandemic may explain the proportional increase in diseases such as psoriasis and urticaria 6‐9 …”

Section: Discussionmentioning

confidence: 99%

The effect of the “stay‐at‐home” policy on requests for dermatology outpatient clinic visits after the COVID ‐19 outbreak

Kutlu

Güneş

Coerdt

et al. 2020

Dermatologic Therapy

103

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The Coronavirus Disease 2019 (COVID-19) emerged late in Turkey but it showed a rapid progression later. We aimed to investigate the changes in the number of patients who requested a dermatology outpatient clinic visit due to the increased social and medical burden caused by COVID-19 in Turkey during the first days of the pandemic. We also examined the most common dermatologic diseases diagnosed during the COVID-19 outbreak. A statistically significant negative correlation was found between the number of COVID-19 patients in the country and the number of patients requesting a dermatology outpatient clinic visit in the secondary and tertiary care hospitals during self-quarantine. In the first 10 days after the COVID-19 outbreak, acne (28.2%), urticaria (12.8%), scabies (12.8%), irritant contact dermatitis (10.3%), and xerosis cutis (10.2%) were the most common diseases seen in the dermatology clinic at the secondary care hospital, while acne (23.3%), warts (5.4%), seborrheic dermatitis (4.5%), urticaria (3.8%), and psoriasis (3.32%) were the most common diseases seen in the dermatology clinic at the tertiary care hospital. This is our first study on the frequency and nature of outpatient dermatology visits during this novel coronavirus pandemic. Understanding the trends and impacts of dermatologic diseases on patients and health systems during this pandemic will allow for better preparation of dermatologists in the future.

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“…The wide range of estimates of psychosocial factors among patients with CU was 16–96% ( 11 ). A recent meta-analysis found that CSU patients are six times more likely to suffer from anxiety and depression than healthy people ( 12 ). So, the psychiatric disorders associated with CSU should be taken seriously.…”

Section: Introductionmentioning

confidence: 99%

Association of Chronic Spontaneous Urticaria With Anxiety and Depression in Adolescents: A Mediation Analysis

et al. 2021

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Background: Chronic spontaneous urticaria (CSU) is related to psychiatric comorbidities. It is not clear whether the relationship is affected by modifiable factors.Objectives: To investigate whether the effect of CSU on anxiety and depression in adolescents is mediated by the symptoms of itching and sleep disturbance.Methods: Questionnaire survey was conducted among newly enrolled college students. Dermatologists diagnose skin diseases, including CSU, during health examination. Anxiety and depression were measured by the Generalized Anxiety Disorder Scale and Patient Health Questionnaire, respectively. Sleep quality was measured by the Pittsburgh Sleep Quality Index. The symptoms of itching were measured by the numeric rating scale. According to the hypothesis, the mediating effect model was put forward and the structural equation model is used to build the mediation effect model. The mediation effect model was proposed according to the hypothesis and established using a structural equation model.Results: A total of 2,358 students with no history of systemic disease and no pruritus disease (except CSU) were included in the analysis. A total of 393 CSU patients were included, and 1,965 healthy controls were selected based on age and sex matching. CSU was significantly associated with both anxiety and depression when the symptoms of itching and sleep quality were not modeled. A mediation model was proposed as CSU → itching → sleep disturbance → anxiety or depression. Itching and sleep quality mediated 65.4 and 77.6% of CSU's effects on anxiety and depression, respectively, and CSU had no significant direct effect on anxiety or depression in the mediation models.Conclusions: The associations of CSU with anxiety and depression were mediated by the symptoms of itching and sleep disturbance. Effectively reducing the symptoms of itching thereby could increase natural sleep, which can further treat the emotional disorders among patients with CSU.

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A Meta-Analysis of Observational Studies on the Association of Chronic Urticaria With Symptoms of Depression and Anxiety

Cited by 17 publications

References 48 publications

Comparison of patients’ diagnoses in a dermatology outpatient clinic during the COVID‐19 pandemic period and pre‐pandemic period

Comparison of patients’ diagnoses in a dermatology outpatient clinic during the COVID‐19 pandemic period and pre‐pandemic period

The effect of the “stay‐at‐home” policy on requests for dermatology outpatient clinic visits after the COVID ‐19 outbreak

Association of Chronic Spontaneous Urticaria With Anxiety and Depression in Adolescents: A Mediation Analysis

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