Chronic idiopathic urticaria and anxiety symptoms

Barbosa, Filipe; Freitas, João; Barbosa, António

doi:10.1177/1359105311398682

Cited by 58 publications

(63 citation statements)

References 28 publications

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“…According to other studies recording a decrease in the rate of alexithymia from childhood to adolescence (Gatta et al, 2011) and from early to mid adolescence (Joukamaa et al, 2007), this may be considered consistent with the gradually improving cognitive skills relating to emotion processing. This is the first study, as far as we know, investigating alexithymia among food-allergic patients; results are in line with studies on other atopic diseases (Baiardini et al, 2011b;Barbosa et al, 2011;Feldman et al, 2002;Maniaci et al, 2006), confirming an association between allergy and affect regulation. Alexithymia is not only an internal state but also associated with health outcomes.…”

Section: Discussionsupporting

confidence: 90%

Alexithymia in food-allergic versus healthy children and young adults

et al. 2016

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Alexithymia is a multifaceted personality construct associated with several medical illnesses. However, no studies have focused on food allergy. We investigated alexithymia among food-allergic youths, compared to a matched healthy sample. A total of 220 participants aged 9-25 years were assessed using the Toronto Alexithymia Scale and the Alexithymia Questionnaire for Children. Food-allergic patients reported higher levels of alexithymia compared to a matched healthy sample. Furthermore, an association between alexithymia and a clinical history of anaphylaxis was found among patients. Some possible hypotheses have been discussed considering physiological, psychological, developmental, and cognitive/behavioral factors.

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Section: Discussionsupporting

confidence: 90%

Alexithymia in food-allergic versus healthy children and young adults

et al. 2016

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“…However, taking into account the scale interpretation, it appeared that 15 people reported depressive symptoms (10 individuals evaluated them as mild, 4 as severe and 1 as very severe). Studies of the other researchers [4, 11, 13, 37–39] confirmed a higher depression level in CU patients. Moreover, recent literature data indicate that adolescents who suffer from non-infectious urticaria are at a higher risk of developing major depression [41].…”

Section: Discussionmentioning

confidence: 73%

Sense of coherence as a protective factor in chronic urticaria

Ograczyk¹,

Miniszewska²,

Pietrzak³

et al. 2017

pdia

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IntroductionChronic urticaria (CU) seems to be perceived as a psychodermatological disorder. Different psychological factors play an important role in CU triggering and course. One of them is a sense of coherence (SOC), which is believed to be a protective factor against anxiety and depression.AimTo investigate quality of life (QoL) in CU patients and to compare selected psychological parameters (anxiety, depression and sense of coherence) between CU individuals and the control group.Material and methodsThe study comprised 46 female patients with chronic urticaria and 33 healthy females as a control group. The following methods were employed: Urticaria Activity Score (UAS), Hospital Anxiety and Depression Scale (HADS), Sense of Coherence Questionnaire (SOC-29) and Dermatology Life Quality Index (DLQI).ResultsThe CU patients presented a significantly higher anxiety level in comparison to the control group (z = 4.488; p < 0.001). There were no statistically significant differences regarding depression intensity and SOC. In both groups anxiety and depression negatively correlated with global SOC and all its components. Disease severity positively correlated with QoL (ρ = 0.46, p < 0.01) and negatively with global SOC (ρ = –0.33, p < 0.05).ConclusionsBearing in mind higher prevalence of anxiety and depressive symptoms in our CU group, it would be useful to perform screening of these aspects in all CU patients and subsequently develop respective psychological interventions, based on enhancement of personal resources.

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“…CIU is not life-threatening, but has been demonstrated to have a substantial impact on the physical and psychological health of patients (5,6). Furthermore, symptoms last more than five years in up to 14% of patients, which suggests a long-term impact of this disorder (7) In the National Health and Wellness Survey (NHWS), United States and European patients with CU (survey did not evaluate CIU) treated with prescription medications were found to have substantially lower health-related quality of life (HRQL), greater work impairment and a greater prevalence of depression, anxiety and sleep problems when compared with matched controls who never experienced CU (8,9).…”

Section: Introductionmentioning

confidence: 99%

Patient-reported impact of chronic urticaria compared with psoriasis in theUnited States

Mendelson

Bernstein

Gabriel

et al. 2016

Journal of Dermatological Treatment

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Purpose: Data are lacking on the burden of chronic idiopathic urticaria (CIU) versus other dermatologic conditions. This analysis compared the burden of chronic urticaria (CU, proxy for CIU) with psoriasis. Methods: Data from CU (N ¼ 747) and psoriasis patients (N ¼ 5107) came from 2010 to 2012 US National Health and Wellness Surveys. Outcomes included SF-12v2/SF-36v2 mental and physical component summary scores (MCS and PCS, respectively) and other health/activity-related measures. Results: MCS score was 44.7 for CU, and 48.2, 44.7 and 44.3 for mild/moderate/severe psoriasis, respectively (US norm ¼ 50). PCS score was 43.8 for CU, and 46.5, 44.1 and 40.3 for mild/moderate/severe psoriasis. Health utility score was 0.67 for CU, and 0.72, 0.67 and 0.65 for mild/moderate/severe psoriasis. More CU patients reported depression (39%), anxiety (42%) and sleep difficulties (50%) than psoriasis patients (any severity). Overall work impairment was 29% for CU, and 19%, 26% and 31% for mild/moderate/severe psoriasis. Activities impairment was 39% for CU, and 28%, 37% and 43% for mild/moderate/severe psoriasis. CU and psoriasis patients had frequent healthcare visits. Conclusions: Patients with CU had impaired mental/physical health and work/non-work activities, similar to moderate-to-severe psoriasis patients. Results suggest that better disease management of CU is needed. This analysis should also reflect the significant burden of CIU. ARTICLE HISTORY

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Chronic idiopathic urticaria and anxiety symptoms

Cited by 58 publications

References 28 publications

Alexithymia in food-allergic versus healthy children and young adults

Alexithymia in food-allergic versus healthy children and young adults

Sense of coherence as a protective factor in chronic urticaria

Patient-reported impact of chronic urticaria compared with psoriasis in theUnited States

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