학술논문
Psychological well-being, quality of life and patient satisfaction among adults with chronic spontaneous urticaria in a multi-ethnic Asian population.
Document Type
Article
Author
Source
Subject
*PSYCHOLOGICAL stress
*CHRONIC diseases & psychology
*MENTAL depression risk factors
*WELL-being
*SICK leave
*STATISTICS
*CROSS-sectional method
*AGE distribution
*MULTIPLE regression analysis
*PATIENT satisfaction
*TERTIARY care
*FISHER exact test
*MANN Whitney U Test
*RISK assessment
*PSYCHOLOGICAL tests
*SEVERITY of illness index
*T-test (Statistics)
*SEX distribution
*QUALITY of life
*URTICARIA
*QUESTIONNAIRES
*CHI-squared test
*ANXIETY
*POVERTY
*DATA analysis software
*PSYCHOLOGICAL distress
*ADULTS
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Language
ISSN
1354-8506
Abstract
Patients with chronic spontaneous urticaria (CSU) have an increased risk of psychological distress. This cross-sectional study aimed to determine factors associated with psychological burden, quality of life (QoL) and patient satisfaction among adults living with CSU. Participants completed the self-administered Urticaria Activity Score-7 (UAS-7), Depression Anxiety Stress Scale (DASS 21), Dermatology Life Quality Index (DLQI), and Short Assessment Patient Satisfaction (SAPS) questionnaires. Multivariate logistic regression was used to determine the independent predictors of depression, anxiety, stress, QoL and patient satisfaction. From a total of 115 subjects with a median age of 42.6 years, range (19–89 years). 60.9% subjects reported moderate-to-severe CSU, 26.1% reported symptoms of depression, 54.8% had anxiety, 40.0% had stress, and 36.5% reported severely impaired QoL. The median UAS-7 score was 20 (IQR 11–27) while the median score of DLQI was 8 (IQR 4–13). The median score of SAPS was 20 (IQR 17–21). Low-income and severe disease were the significant predictors for depression while severe disease was predictive of impaired QoL and depression. Subjects who were diagnosed at older ages and those who required medical leave due to flares of CSU were less likely to be satisfied with their care. (192 words) [ABSTRACT FROM AUTHOR]