Đánh giá tình trạng lo âu - trầm cảm trên bệnh nhân viêm da cơ địa người lớn tại Bệnh viện Da liễu Thành phố Hồ Chí Minh

Abstract

Objective: To identify the proportion of atopic dermatitis adult patients having anxiety - depression disorder; to identify the relationship between anxiety - depression disorder and age, gender, stage and severity of atopic dermatitis. Subject and method: A cross-sectional study with convenient sampling, 208 atopic dermatitis patients at the Ho Chi Minh City Hospital of Dermatology and Venereology during the period September 2019 to September 2020 were enrolled in this study, diagnostic criteria for atopic dermatitis was based on modified Hanifin and Raijka criteria and the severity of anxiety - depression disorder was evaluated by using HADS score. Result: Mean age was 41.3 (17.4). 59.1% of patients were female, most of patients (41.3%) had allergic-immunological diseases. 79.4% patients were in acute and subacute stage of atopic dermatitis. The rate of patients with near anxiety and near depression was 34.1% and 39.4%, respectively. 11.1% patients had anxiety and 5.3% patients suffered from depression. The proportion of patients having neither depression nor anxiety was 25%. Atopic dermatitis along with allergic-immunological diseases and SCORAD C were two independent risk factors of near depression. Wheal and scratching were two independent risk factors relating anxiety. Scratching were independent risk factors of depression. Conclusion: 25% atopic dermatitis patients had anxiety disorder or depression. Allergic-immunological diseases, pruritus, scratching and insomnia had a relationship with anxiety - depression disorder.