Anxiety, depression and impaired health-related quality of life in patients with occupational hand eczema

Autor(en): Boehm, Dana
Schmid-Ott, Gerhard
Finkeldey, Florence
John, Swen Malte 
Dwinger, Christine
Werfel, Thomas
Diepgen, Thomas L.
Breuer, Kristine
Stichwörter: Allergy; anxiety; depression; Dermatology; DISEASES; DLQI; HADS; health-related quality of life; HOSPITAL ANXIETY; IMPACT; mental disorders; MULTICENTER; occupational hand eczema; POPULATION; SCALE; SF-36; SKIN
Erscheinungsdatum: 2012
Herausgeber: WILEY
Enthalten in: CONTACT DERMATITIS
Band: 67
Ausgabe: 4
Startseite: 184
Seitenende: 192
Zusammenfassung: 
Background. Occupational hand eczema is one of the most frequent occupational diseases. Few data about the prevalence of mental comorbidities are available. Objectives. We aimed to investigate the prevalence of anxiety, depression symptoms, the impairment of health-related quality of life (HRQoL) and their correlates in patients with occupational hand eczema. Patients and methods. A test battery consisting of the German versions of the Hospital Anxiety and Depression Scale, the Dermatology Life Quality Index (DLQI) as a specific instrument and the Short Form Health Survey-36 (SF-36) as a generic instrument for HRQoL was applied in 122 patients. The severity of hand eczema was assessed with the Osnabrueck Hand Eczema Severity Index (OHSI). Results. Twenty per cent of patients had a positive anxiety score, and 14% had a positive depression score. Higher anxiety levels, a greater impairment in the SF-36 mental component summary score and a higher DLQI category score for symptoms and feelings was detected in females than in males. The OHSI correlated with the impairment in HRQoL, and an association of severe hand eczema with symptoms of anxiety and depression was found in males. Conclusions. We found a high prevalence of anxiety and depression in our study population of patients with occupational hand eczema. Preventive measures should consider the psychosocial implications of occupational hand eczema.
ISSN: 01051873
DOI: 10.1111/j.1600-0536.2012.02062.x

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