Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis

There is a lack of knowledge concerning loneliness and psychiatric disorders other than anxiety and depression in patients with atopic dermatitis. This cross-sectional study was conducted within the Lifelines Cohort Study, in the Netherlands, by sending an atopic dermatitis questionnaire to adult pa...

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Main Authors: Junfen Zhang, Laura Loman, Jantje M. Oldhoff, Marie L.A. Schuttelaar
Format: Article
Language:English
Published: Medical Journals Sweden 2023-08-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access:https://medicaljournalssweden.se/actadv/article/view/9378
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author Junfen Zhang
Laura Loman
Jantje M. Oldhoff
Marie L.A. Schuttelaar
author_facet Junfen Zhang
Laura Loman
Jantje M. Oldhoff
Marie L.A. Schuttelaar
author_sort Junfen Zhang
collection DOAJ
description There is a lack of knowledge concerning loneliness and psychiatric disorders other than anxiety and depression in patients with atopic dermatitis. This cross-sectional study was conducted within the Lifelines Cohort Study, in the Netherlands, by sending an atopic dermatitis questionnaire to adult participants (n = 135,950) in 2020. Psychiatric disorders were measured with a self-reported question and validated instrument (Mini International Neuropsychiatric Interview; M.I.N.I.), and loneliness was assessed with the validated 6-item De Jong Gierveld Loneliness Scale. In total, 56,896 subjects (mean age 55.8 years, 39.7% males) were included. Atopic dermatitis showed positive associations with self-reported chronic fatigue syndrome, burnout, depression, social phobia, panic disorder, attention deficit hyperactivity disorder, and eating disorder in the participants’ lifetimes. Based on the M.I.N.I., atopic dermatitis was positively associated with panic disorder and at least 1 anxiety disorder. In addition, subjects with atopic dermatitis were more likely to experience loneliness compared with those without atopic dermatitis. These associations were observed only in the moderate-to-severe, but not mild, atopic dermatitis group. This study raises awareness that a significant proportion of adults with atopic dermatitis feel lonely and are affected by several psychiatric disorders, especially those severely affected by atopic dermatitis. Further studies are required to evaluate if interdisciplinary care, such as the collaboration between dermatologists and psychiatrists, could optimize medical care for this vulnerable patient group.
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spelling doaj.art-14ec8306c025402abac2b05646e725742023-08-22T08:22:26ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572023-08-0110310.2340/actadv.v103.9378Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic DermatitisJunfen Zhang0Laura Loman1Jantje M. Oldhoff2Marie L.A. Schuttelaar3Department of Dermatology, University of Groningen, University Medical Centre Groningen, the NetherlandsDepartment of Dermatology, University of Groningen, University Medical Centre Groningen, the NetherlandsDepartment of Dermatology, University of Groningen, University Medical Centre Groningen, the NetherlandsDepartment of Dermatology, University of Groningen, University Medical Centre Groningen, the NetherlandsThere is a lack of knowledge concerning loneliness and psychiatric disorders other than anxiety and depression in patients with atopic dermatitis. This cross-sectional study was conducted within the Lifelines Cohort Study, in the Netherlands, by sending an atopic dermatitis questionnaire to adult participants (n = 135,950) in 2020. Psychiatric disorders were measured with a self-reported question and validated instrument (Mini International Neuropsychiatric Interview; M.I.N.I.), and loneliness was assessed with the validated 6-item De Jong Gierveld Loneliness Scale. In total, 56,896 subjects (mean age 55.8 years, 39.7% males) were included. Atopic dermatitis showed positive associations with self-reported chronic fatigue syndrome, burnout, depression, social phobia, panic disorder, attention deficit hyperactivity disorder, and eating disorder in the participants’ lifetimes. Based on the M.I.N.I., atopic dermatitis was positively associated with panic disorder and at least 1 anxiety disorder. In addition, subjects with atopic dermatitis were more likely to experience loneliness compared with those without atopic dermatitis. These associations were observed only in the moderate-to-severe, but not mild, atopic dermatitis group. This study raises awareness that a significant proportion of adults with atopic dermatitis feel lonely and are affected by several psychiatric disorders, especially those severely affected by atopic dermatitis. Further studies are required to evaluate if interdisciplinary care, such as the collaboration between dermatologists and psychiatrists, could optimize medical care for this vulnerable patient group. https://medicaljournalssweden.se/actadv/article/view/9378atopic dermatitismental disorderlonelinessdisease severityepidemiology
spellingShingle Junfen Zhang
Laura Loman
Jantje M. Oldhoff
Marie L.A. Schuttelaar
Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
Acta Dermato-Venereologica
atopic dermatitis
mental disorder
loneliness
disease severity
epidemiology
title Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
title_full Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
title_fullStr Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
title_full_unstemmed Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
title_short Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
title_sort beyond anxiety and depression loneliness and psychiatric disorders in adults with atopic dermatitis
topic atopic dermatitis
mental disorder
loneliness
disease severity
epidemiology
url https://medicaljournalssweden.se/actadv/article/view/9378
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