Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic

Background During the coronavirus disease 2019 (COVID-19) pandemic, individuals especially those with chronic diseases face various problems like psychological distress. Aim To evaluate anxiety and depression among morphea patients taking immunosuppressants compared with controls during the COVID-19...

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Main Authors: Mohammad Shahidi Dadras, Zohreh Ahmadzadeh, Shima Younespour, Fahimeh Abdollahimajd
Format: Article
Language:English
Published: Taylor & Francis Group 2022-04-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2020.1819528
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author Mohammad Shahidi Dadras
Zohreh Ahmadzadeh
Shima Younespour
Fahimeh Abdollahimajd
author_facet Mohammad Shahidi Dadras
Zohreh Ahmadzadeh
Shima Younespour
Fahimeh Abdollahimajd
author_sort Mohammad Shahidi Dadras
collection DOAJ
description Background During the coronavirus disease 2019 (COVID-19) pandemic, individuals especially those with chronic diseases face various problems like psychological distress. Aim To evaluate anxiety and depression among morphea patients taking immunosuppressants compared with controls during the COVID-19 pandemic. Methods In this case-control study, electronic data of 42 eligible morphea patients and 42 age- and sex-matched healthy subjects were extracted. All participants were asked about adherence to the health protocols and the symptoms of COVID-19. To investigate anxiety and depression, we provided the participants with an online version of the Hospital Anxiety and Depression Scale (HADS) Questionnaire. In this standard questionnaire, a score ≥ 11 represents a significant psychological disorder. Results The two groups did not differ significantly in the mean HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D) scores (p= .08 and p= .79, respectively). HADS-A and HADS-D scores were ≥ 11 in 16.67% and 11.90% of the patients, respectively. Among the morphea patients, those with sleeping problems during COVID-19 had a significantly higher mean HADS-D score (p= .048). Notably, 21.43% of patients discontinued their treatment due to fear of COVID-19 and experienced disease recurrence. Adherence to health protocols was higher in patients compared with controls. The rate of COVID-19 occurrence was not significantly different between the groups. Conclusions Although there was no significant difference in anxiety and depression between the groups, it is recommended to provide psychiatric counseling opportunities to morphea patients to improve treatment outcomes during this pandemic.
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spelling doaj.art-5200e285a52a4a3d9d9260cfe62e37422023-09-15T14:28:49ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-04-013331406141210.1080/09546634.2020.18195281819528Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemicMohammad Shahidi Dadras0Zohreh Ahmadzadeh1Shima Younespour2Fahimeh Abdollahimajd3Skin Research Center, Shahid Beheshti University of Medical SciencesSkin Research Center, Shahid Beheshti University of Medical SciencesDentistry Research Institute, Tehran University of Medical SciencesSkin Research Center, Shahid Beheshti University of Medical SciencesBackground During the coronavirus disease 2019 (COVID-19) pandemic, individuals especially those with chronic diseases face various problems like psychological distress. Aim To evaluate anxiety and depression among morphea patients taking immunosuppressants compared with controls during the COVID-19 pandemic. Methods In this case-control study, electronic data of 42 eligible morphea patients and 42 age- and sex-matched healthy subjects were extracted. All participants were asked about adherence to the health protocols and the symptoms of COVID-19. To investigate anxiety and depression, we provided the participants with an online version of the Hospital Anxiety and Depression Scale (HADS) Questionnaire. In this standard questionnaire, a score ≥ 11 represents a significant psychological disorder. Results The two groups did not differ significantly in the mean HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D) scores (p= .08 and p= .79, respectively). HADS-A and HADS-D scores were ≥ 11 in 16.67% and 11.90% of the patients, respectively. Among the morphea patients, those with sleeping problems during COVID-19 had a significantly higher mean HADS-D score (p= .048). Notably, 21.43% of patients discontinued their treatment due to fear of COVID-19 and experienced disease recurrence. Adherence to health protocols was higher in patients compared with controls. The rate of COVID-19 occurrence was not significantly different between the groups. Conclusions Although there was no significant difference in anxiety and depression between the groups, it is recommended to provide psychiatric counseling opportunities to morphea patients to improve treatment outcomes during this pandemic.http://dx.doi.org/10.1080/09546634.2020.1819528anxietycoronavirus disease 2019covid-19depressionimmunosuppressive treatmentsars-cov-2
spellingShingle Mohammad Shahidi Dadras
Zohreh Ahmadzadeh
Shima Younespour
Fahimeh Abdollahimajd
Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic
Journal of Dermatological Treatment
anxiety
coronavirus disease 2019
covid-19
depression
immunosuppressive treatment
sars-cov-2
title Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic
title_full Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic
title_fullStr Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic
title_full_unstemmed Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic
title_short Evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the COVID-19 pandemic
title_sort evaluation of anxiety and depression in patients with morphea taking immunosuppressive drugs during the covid 19 pandemic
topic anxiety
coronavirus disease 2019
covid-19
depression
immunosuppressive treatment
sars-cov-2
url http://dx.doi.org/10.1080/09546634.2020.1819528
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