Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families

BackgroundPain is an underappreciated symptom of atopic dermatitis that can affect the health-related quality of life (HRQL) of patients. ObjectiveThe aim of this study is to understand the effect of pain on patients with atopic dermatitis and their family members...

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Main Authors: Ashley M Snyder, Vanina L Taliercio, Adelheid U Brandenberger, Bianca E Rich, Lisa B Webber, Abram P Beshay, Joshua E Biber, Rachel Hess, Jamie L W Rhoads, Aaron M Secrest
Format: Article
Language:English
Published: JMIR Publications 2021-10-01
Series:JMIR Dermatology
Online Access:https://derma.jmir.org/2021/2/e29826
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author Ashley M Snyder
Vanina L Taliercio
Adelheid U Brandenberger
Bianca E Rich
Lisa B Webber
Abram P Beshay
Joshua E Biber
Rachel Hess
Jamie L W Rhoads
Aaron M Secrest
author_facet Ashley M Snyder
Vanina L Taliercio
Adelheid U Brandenberger
Bianca E Rich
Lisa B Webber
Abram P Beshay
Joshua E Biber
Rachel Hess
Jamie L W Rhoads
Aaron M Secrest
author_sort Ashley M Snyder
collection DOAJ
description BackgroundPain is an underappreciated symptom of atopic dermatitis that can affect the health-related quality of life (HRQL) of patients. ObjectiveThe aim of this study is to understand the effect of pain on patients with atopic dermatitis and their family members and to recognize how this symptom affects HRQL. MethodsWe conducted focus groups and interviews with patients with atopic dermatitis and their family members. Researchers independently coded the transcripts and reached a consensus on the major themes. ResultsA total of 33 adult participants, consisting of 21 patients with atopic dermatitis (median age 47 years, range 22-77) and 12 family members (median age 50, range 22-72), attended either focus groups (23/33, 70%) or interviews (10/33, 30%), where we assessed their experiences of pain. Four themes emerged in our study. Itchiness and pain can be intertwined: pain was often caused by or otherwise associated with itchiness and could result from open sores and excoriated skin. Characteristics of pain: pain was most often described as burning. Other descriptors included mild, persistent discomfort; stinging; and stabbing. Effects of pain: pain negatively affected various aspects of daily life, including choice of clothing, sleep, social activities, and relationships. The location of painful areas could also limit physical activity, including sex. Pain management: pain from atopic dermatitis could be managed to varying degrees with different over-the-counter and prescription treatments. Systemic agents that cleared the skin also resolved the pain associated with atopic dermatitis. ConclusionsPain can be a significant factor in the HRQL of patients with atopic dermatitis and should be considered by clinicians when caring for patients with atopic dermatitis.
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spelling doaj.art-9fd1a49ee1314291814d4b069c11fcbe2024-02-03T04:56:37ZengJMIR PublicationsJMIR Dermatology2562-09592021-10-0142e2982610.2196/29826Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their FamiliesAshley M Snyderhttps://orcid.org/0000-0002-1980-2092Vanina L Talierciohttps://orcid.org/0000-0001-6226-3576Adelheid U Brandenbergerhttps://orcid.org/0000-0001-7817-9774Bianca E Richhttps://orcid.org/0000-0002-8519-8428Lisa B Webberhttps://orcid.org/0000-0002-0988-7782Abram P Beshayhttps://orcid.org/0000-0001-5859-0603Joshua E Biberhttps://orcid.org/0000-0003-3996-1063Rachel Hesshttps://orcid.org/0000-0003-2545-8504Jamie L W Rhoadshttps://orcid.org/0000-0002-2859-4168Aaron M Secresthttps://orcid.org/0000-0001-9297-0941 BackgroundPain is an underappreciated symptom of atopic dermatitis that can affect the health-related quality of life (HRQL) of patients. ObjectiveThe aim of this study is to understand the effect of pain on patients with atopic dermatitis and their family members and to recognize how this symptom affects HRQL. MethodsWe conducted focus groups and interviews with patients with atopic dermatitis and their family members. Researchers independently coded the transcripts and reached a consensus on the major themes. ResultsA total of 33 adult participants, consisting of 21 patients with atopic dermatitis (median age 47 years, range 22-77) and 12 family members (median age 50, range 22-72), attended either focus groups (23/33, 70%) or interviews (10/33, 30%), where we assessed their experiences of pain. Four themes emerged in our study. Itchiness and pain can be intertwined: pain was often caused by or otherwise associated with itchiness and could result from open sores and excoriated skin. Characteristics of pain: pain was most often described as burning. Other descriptors included mild, persistent discomfort; stinging; and stabbing. Effects of pain: pain negatively affected various aspects of daily life, including choice of clothing, sleep, social activities, and relationships. The location of painful areas could also limit physical activity, including sex. Pain management: pain from atopic dermatitis could be managed to varying degrees with different over-the-counter and prescription treatments. Systemic agents that cleared the skin also resolved the pain associated with atopic dermatitis. ConclusionsPain can be a significant factor in the HRQL of patients with atopic dermatitis and should be considered by clinicians when caring for patients with atopic dermatitis.https://derma.jmir.org/2021/2/e29826
spellingShingle Ashley M Snyder
Vanina L Taliercio
Adelheid U Brandenberger
Bianca E Rich
Lisa B Webber
Abram P Beshay
Joshua E Biber
Rachel Hess
Jamie L W Rhoads
Aaron M Secrest
Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families
JMIR Dermatology
title Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families
title_full Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families
title_fullStr Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families
title_full_unstemmed Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families
title_short Effects of Pain From Atopic Dermatitis: Interview and Focus Group Study With Patients and Their Families
title_sort effects of pain from atopic dermatitis interview and focus group study with patients and their families
url https://derma.jmir.org/2021/2/e29826
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