The psychosocial burden of hand eczema: Data from a European dermatological multicentre study

Servando E Marron; Lucia Tomas-Aragones; Jorge Navarro-Lopez; Uwe Gieler; Jörg Kupfer; Florence J Dalgard; Lars Lien; Andrew Y Finlay; Françoise Poot; Dennis Linder; Jacek C Szepietowski; Laurent Misery; Gregor B E Jemec; Dmitry Romanov; Francesca Sampogna; Csanad Szabo; Ilknur K Altunay; Saskia Spillekom-van Koulil; Flora Balieva; Faraz M Ali; Jon A Halvorsen; Pedro C Marijuan

doi:10.1111/cod.12973

The psychosocial burden of hand eczema: Data from a European dermatological multicentre study

Servando E Marron, Lucia Tomas-Aragones, Jorge Navarro-Lopez, Uwe Gieler, Jörg Kupfer, Florence J Dalgard, Lars Lien, Andrew Y Finlay, Françoise Poot, Dennis Linder, Jacek C Szepietowski, Laurent Misery, Gregor B E Jemec, Dmitry Romanov, Francesca Sampogna, Csanad Szabo, Ilknur K Altunay, Saskia Spillekom-van Koulil, Flora Balieva, Faraz M AliJon A Halvorsen, Pedro C Marijuan

Department of Clinical Medicine

9 Citations (Scopus)

Abstract

Background: The essential physical role, visibility and social importance of the hands place a major psychological burden on patients with hand eczema. Objectives: The aim of this study was to identify the psychological, social and clinical characteristics of patients with hand eczema, in particular the prevalences of depression, anxiety, suicidal ideation, and comorbidities. Materials and methods: Data on patients with hand eczema were analysed from a large European multicentre study conducted with dermatology outpatients from 13 countries. Groups of patients and controls were compared to analyse the psychological burden of hand eczema. Results: Female patients with hand eczema had higher Hospital Anxiety and Depression Scale (HADS) scores for anxiety (n = 86, median = 7.0) than controls (n = 900, median = 5.0, P =.02), and for depression (median = 4.0) than controls (3.0, P <.001). Patients with high suicidal ideation, with low socioeconomic status and who were widowed or divorced were more likely to fulfil the HADS criteria for anxiety [odds ratio (OR) > 1, P =.038, P <.001, and P <.001, respectively]. The median Dermatology Life Quality Index score was 7.0 (n = 68). Discussion: This study identifies a specific psychological burden experienced by hand eczema patients, highlighting the need for focused psychosocial interventions. Physicians in particular should be aware of the need to identify anxiety and depression in female patients.

Original language	English
Journal	Contact Dermatitis
Volume	78
Issue number	6
Pages (from-to)	406-412
ISSN	0105-1873
DOIs	https://doi.org/10.1111/cod.12973
Publication status	Published - Jun 2018

Keywords

Adult
Anxiety/psychology
Depression/psychology
Dermatitis, Allergic Contact/psychology
Eczema/psychology
Europe
Female
Hand Dermatoses/psychology
Humans
Male
Middle Aged
Quality of Life/psychology
Self Concept
Sex Distribution
Suicidal Ideation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/cod.12973

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Marron, S. E., Tomas-Aragones, L., Navarro-Lopez, J., Gieler, U., Kupfer, J., Dalgard, F. J., Lien, L., Finlay, A. Y., Poot, F., Linder, D., Szepietowski, J. C., Misery, L., Jemec, G. B. E., Romanov, D., Sampogna, F., Szabo, C., Altunay, I. K., Spillekom-van Koulil, S., Balieva, F., ... Marijuan, P. C. (2018). The psychosocial burden of hand eczema: Data from a European dermatological multicentre study. Contact Dermatitis, 78(6), 406-412. https://doi.org/10.1111/cod.12973

Marron, SE, Tomas-Aragones, L, Navarro-Lopez, J, Gieler, U, Kupfer, J, Dalgard, FJ, Lien, L, Finlay, AY, Poot, F, Linder, D, Szepietowski, JC, Misery, L, Jemec, GBE, Romanov, D, Sampogna, F, Szabo, C, Altunay, IK, Spillekom-van Koulil, S, Balieva, F, Ali, FM, Halvorsen, JA & Marijuan, PC 2018, 'The psychosocial burden of hand eczema: Data from a European dermatological multicentre study', Contact Dermatitis, vol. 78, no. 6, pp. 406-412. https://doi.org/10.1111/cod.12973

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title = "The psychosocial burden of hand eczema: Data from a European dermatological multicentre study",

abstract = "Background: The essential physical role, visibility and social importance of the hands place a major psychological burden on patients with hand eczema. Objectives: The aim of this study was to identify the psychological, social and clinical characteristics of patients with hand eczema, in particular the prevalences of depression, anxiety, suicidal ideation, and comorbidities. Materials and methods: Data on patients with hand eczema were analysed from a large European multicentre study conducted with dermatology outpatients from 13 countries. Groups of patients and controls were compared to analyse the psychological burden of hand eczema. Results: Female patients with hand eczema had higher Hospital Anxiety and Depression Scale (HADS) scores for anxiety (n = 86, median = 7.0) than controls (n = 900, median = 5.0, P =.02), and for depression (median = 4.0) than controls (3.0, P <.001). Patients with high suicidal ideation, with low socioeconomic status and who were widowed or divorced were more likely to fulfil the HADS criteria for anxiety [odds ratio (OR) > 1, P =.038, P <.001, and P <.001, respectively]. The median Dermatology Life Quality Index score was 7.0 (n = 68). Discussion: This study identifies a specific psychological burden experienced by hand eczema patients, highlighting the need for focused psychosocial interventions. Physicians in particular should be aware of the need to identify anxiety and depression in female patients.",

keywords = "Adult, Anxiety/psychology, Depression/psychology, Dermatitis, Allergic Contact/psychology, Eczema/psychology, Europe, Female, Hand Dermatoses/psychology, Humans, Male, Middle Aged, Quality of Life/psychology, Self Concept, Sex Distribution, Suicidal Ideation",

author = "Marron, {Servando E} and Lucia Tomas-Aragones and Jorge Navarro-Lopez and Uwe Gieler and J{\"o}rg Kupfer and Dalgard, {Florence J} and Lars Lien and Finlay, {Andrew Y} and Fran{\c c}oise Poot and Dennis Linder and Szepietowski, {Jacek C} and Laurent Misery and Jemec, {Gregor B E} and Dmitry Romanov and Francesca Sampogna and Csanad Szabo and Altunay, {Ilknur K} and {Spillekom-van Koulil}, Saskia and Flora Balieva and Ali, {Faraz M} and Halvorsen, {Jon A} and Marijuan, {Pedro C}",

note = "{\textcopyright} 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.",

year = "2018",

month = jun,

doi = "10.1111/cod.12973",

language = "English",

volume = "78",

pages = "406--412",

journal = "Contact Dermatitis",

issn = "0105-1873",

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TY - JOUR

T1 - The psychosocial burden of hand eczema

T2 - Data from a European dermatological multicentre study

AU - Marron, Servando E

AU - Tomas-Aragones, Lucia

AU - Navarro-Lopez, Jorge

AU - Gieler, Uwe

AU - Kupfer, Jörg

AU - Dalgard, Florence J

AU - Lien, Lars

AU - Finlay, Andrew Y

AU - Poot, Françoise

AU - Linder, Dennis

AU - Szepietowski, Jacek C

AU - Misery, Laurent

AU - Jemec, Gregor B E

AU - Romanov, Dmitry

AU - Sampogna, Francesca

AU - Szabo, Csanad

AU - Altunay, Ilknur K

AU - Spillekom-van Koulil, Saskia

AU - Balieva, Flora

AU - Ali, Faraz M

AU - Halvorsen, Jon A

AU - Marijuan, Pedro C

PY - 2018/6

Y1 - 2018/6

N2 - Background: The essential physical role, visibility and social importance of the hands place a major psychological burden on patients with hand eczema. Objectives: The aim of this study was to identify the psychological, social and clinical characteristics of patients with hand eczema, in particular the prevalences of depression, anxiety, suicidal ideation, and comorbidities. Materials and methods: Data on patients with hand eczema were analysed from a large European multicentre study conducted with dermatology outpatients from 13 countries. Groups of patients and controls were compared to analyse the psychological burden of hand eczema. Results: Female patients with hand eczema had higher Hospital Anxiety and Depression Scale (HADS) scores for anxiety (n = 86, median = 7.0) than controls (n = 900, median = 5.0, P =.02), and for depression (median = 4.0) than controls (3.0, P <.001). Patients with high suicidal ideation, with low socioeconomic status and who were widowed or divorced were more likely to fulfil the HADS criteria for anxiety [odds ratio (OR) > 1, P =.038, P <.001, and P <.001, respectively]. The median Dermatology Life Quality Index score was 7.0 (n = 68). Discussion: This study identifies a specific psychological burden experienced by hand eczema patients, highlighting the need for focused psychosocial interventions. Physicians in particular should be aware of the need to identify anxiety and depression in female patients.

AB - Background: The essential physical role, visibility and social importance of the hands place a major psychological burden on patients with hand eczema. Objectives: The aim of this study was to identify the psychological, social and clinical characteristics of patients with hand eczema, in particular the prevalences of depression, anxiety, suicidal ideation, and comorbidities. Materials and methods: Data on patients with hand eczema were analysed from a large European multicentre study conducted with dermatology outpatients from 13 countries. Groups of patients and controls were compared to analyse the psychological burden of hand eczema. Results: Female patients with hand eczema had higher Hospital Anxiety and Depression Scale (HADS) scores for anxiety (n = 86, median = 7.0) than controls (n = 900, median = 5.0, P =.02), and for depression (median = 4.0) than controls (3.0, P <.001). Patients with high suicidal ideation, with low socioeconomic status and who were widowed or divorced were more likely to fulfil the HADS criteria for anxiety [odds ratio (OR) > 1, P =.038, P <.001, and P <.001, respectively]. The median Dermatology Life Quality Index score was 7.0 (n = 68). Discussion: This study identifies a specific psychological burden experienced by hand eczema patients, highlighting the need for focused psychosocial interventions. Physicians in particular should be aware of the need to identify anxiety and depression in female patients.

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KW - Anxiety/psychology

KW - Depression/psychology

KW - Dermatitis, Allergic Contact/psychology

KW - Eczema/psychology

KW - Europe

KW - Female

KW - Hand Dermatoses/psychology

KW - Humans

KW - Male

KW - Middle Aged

KW - Quality of Life/psychology

KW - Self Concept

KW - Sex Distribution

KW - Suicidal Ideation

U2 - 10.1111/cod.12973

DO - 10.1111/cod.12973

M3 - Journal article

C2 - 29464713

SN - 0105-1873

VL - 78

SP - 406

EP - 412

JO - Contact Dermatitis

JF - Contact Dermatitis

IS - 6

ER -

The psychosocial burden of hand eczema: Data from a European dermatological multicentre study

Abstract

Keywords

UN SDGs

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