Type D Personality Is Associated with Poorer Quality of Life in Patients with Chronic Spontaneous Urticaria: A Cross-sectional Study

Sánchez‐Díaz, Manuel; Salazar-Nievas, Maria-Carmen; Molina‐Leyva, Alejandro; Arias‐Santiago, Salvador

doi:10.2340/actadv.v102.676

Cited by 10 publications

(12 citation statements)

References 32 publications

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“…First of all, worse disease control has been associated with poorer quality of life among cohabitants in a variety of medical conditions, such as inflammatory bowel disease [ 31 ], psoriasis [ 16 ] and hidradenitis suppurativa [ 17 ]. On the other hand, the diseases themselves can cause alterations in the mood and personality traits of the patients [ 5 , 18 , 32 ], which could favor the negative impact on the social network close to the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Although it is usually self-limiting, generally lasting 2 to 5 years, a prolonged course for a longer time is possible. Since CSU skin lesions are visible and often accompanied by intense pruritus, CSU has a profound impact on the patient’s quality of life [ 3 , 4 , 5 ], particularly in terms of higher rates of mood status disturbances, difficulties in social relationships and poorer personal self-esteem [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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The Burden on Cohabitants of Patients with Chronic Spontaneous Urticaria: A Cross-Sectional Study

Sánchez‐Díaz

Salazar-Nievas²,

Molina-Leyva³

et al. 2022

JCM

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Chronic Spontaneous Urticaria (CSU) has been associated with patients’ poor quality of life. Despite being a chronic disease that could alter the quality of life of the people who live with patients, the potential burden on their cohabitants has not been studied to date. The aim of this study is to analyze the relationship between the patient’s quality of life, disease control, disease duration and family quality of life and the cohabitant’s mood disturbances, sexual dysfunction, type D personality and sleep quality. A cross-sectional study including patients suffering from CSU and their cohabitants was performed. Sociodemographic variables and disease activity, quality of life, sleep, sexual disfunction, anxiety, depression and type D personality were collected using validated questionnaires. Sixty-two subjects, 31 CSU patients and 31 cohabitants, were included in the study. Worse disease control and poorer quality of life in patients were associated with poorer family quality of life and higher rates of anxiety among the cohabitants (p < 0.05). Patients’ poor quality of life was associated with reduced sexual satisfaction among the cohabitants (p < 0.05). Long disease duration (>10 years) was associated with an increased prevalence of type D personality among the cohabitants (prevalence ratio: 2.59, CI 95% 1.03–7.21). CSU seems to have an impact on the quality of life of cohabitants, especially in terms of increased rates of anxiety, poorer quality of life and reduced sexual satisfaction. The prolonged course of the disease could be associated with the increased presence of non-adaptative personality traits.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Burden on Cohabitants of Patients with Chronic Spontaneous Urticaria: A Cross-Sectional Study

Sánchez‐Díaz

Salazar-Nievas²,

Molina-Leyva³

et al. 2022

JCM

Self Cite

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“…Moreover, a worse sleep quality has also been associated with a poor quality of life and with higher rates of anxiety and depression in different skin diseases, including psoriasis [ 15 ], atopic dermatitis [ 10 ] or chronic spontaneous urticaria [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Sleep Quality on Mood Status and Quality of Life in Patients with Alopecia Areata: A Comparative Study

Sánchez‐Díaz

Díaz-Calvillo²,

Soto-Moreno³

et al. 2022

IJERPH

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Alopecia Areata (AA) is a chronic condition which has been associated with poor quality of life and mood status disturbances. The aim of this study is to compare the sleep quality between AA patients and controls, and to analyze the impact of poor sleep quality on patients with AA regarding mood status disturbances, quality of life and sexuality. A cross-sectional study including patients suffering from mild-to-severe AA and sex- and age-matched healthy controls was performed. Socio-demographic and clinical variables, sleep quality, quality of life, sexual disfunction, anxiety, depression and personality were collected using validated questionnaires. A total of 120 participants (60 patients and 60 controls) were included. Patients with AA showed worse sleep scores than controls (p = 0.003), as well as higher rates of anxiety and depression (p < 0.05). After a multivariate analysis, a worse sleep quality was found to be linked to anxiety, depression, a poorer quality of life and a type D personality score independently of the disease severity. In light of the results, patients with AA have a worse sleep quality than healthy controls. A poor sleep quality is associated with anxiety, depression and a worse quality of life, therefore being a general marker of a poor quality of life. Screening for sleep disturbances in specialized units could be useful to detect patients who could benefit from additional psychological support.

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“…The CU can affect approximately 1% of the world's population of all ages, mainly young and middle-aged women [ 4 ]. CU can cause anxiety, depression, sleep and sexuality disturbances, and severely impair quality of life [ 5 – 8 ]. According to the evidence, patients with CSU can experience a significant loss of productivity at work, school, or in daily activities [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…e CU can a ect approximately 1% of the world's population of all ages, mainly young and middle-aged women [4]. CU can cause anxiety, depression, sleep and sexuality disturbances, and severely impair quality of life [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Acupuncture and Related Therapies for Chronic Urticaria: A Critical Overview of Systematic Reviews

Shi

Cao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Chronic urticaria (CU) can severely impair the quality of life. Acupuncture and related therapies have been widely used in the treatment of CU in China. This study aimed to summarize and critically evaluate the methodological and reporting quality of relevant systematic reviews (SRs) and present objective and comprehensive evidence on the effectiveness and safety of acupuncture and related therapies for CU. Methods. Eight electronic databases were searched from inception to October 2021 for SRs examining acupuncture and related therapies for CU, and gray literature was manually searched. Two authors independently identified SRs and extracted data. The methodological and reporting quality of these SRs were assessed by the Assessment of Multiple Systematic Reviews 2 (AMSTAR 2) tool and preferred reporting items for SRs and meta-analyses (PRISMA, 2020), respectively. In addition, the risk of bias in systematic reviews (ROBIS) was used to evaluate the risk of bias. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework was applied to evaluate the quality of evidence for outcome measures. Results. In total, 23 SRs, including a total of 11 outcome indicators, were published before October 2021. The AMSTAR-2 results showed that the methodological quality of all SRs was critically low; items 2, 3, 7, 9, 10, and 16 were found to have particularly low quality. For PRISMA, the reporting quality of the included SRs was unsatisfactory, and major reporting flaws were observed in the search strategy, synthesis method, certainly assessment, reporting biases, registrations, and financial support of the included SRs. For ROBIS, 22 SRs (95.65%) had a high risk of bias. Among the 55 outcomes assessed using the GRADE framework, there were 3 (5.45%) outcomes with moderate-quality evidence, 6 (10.91%) outcomes with low-quality evidence, and 46 (83.64%) outcomes with very low-quality evidence. We found the moderate quality of evidence indicating that the total effective rate and curing rate of the acupuncture group were higher than those of the western medicine group, and the recurrence rate was lower than that of the western medicine group. Conclusions. Acupuncture and related therapies for the treatment of CU are supported by low-quality evidence-based medicine. However, considering the poor quality of these SRs, we suggest that studies with more rigorous designs, larger sample sizes, and higher methodological and reporting quality are necessary to provide stronger evidence. Registration. The protocol for this study has been registered (PROSPERO registration number: CRD42021259131).

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Type D Personality Is Associated with Poorer Quality of Life in Patients with Chronic Spontaneous Urticaria: A Cross-sectional Study

Cited by 10 publications

References 32 publications

The Burden on Cohabitants of Patients with Chronic Spontaneous Urticaria: A Cross-Sectional Study

The Burden on Cohabitants of Patients with Chronic Spontaneous Urticaria: A Cross-Sectional Study

The Impact of Sleep Quality on Mood Status and Quality of Life in Patients with Alopecia Areata: A Comparative Study

Acupuncture and Related Therapies for Chronic Urticaria: A Critical Overview of Systematic Reviews

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