Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling
Patients with chronic itch describe their pruritus in a wide variety of ways. However, these subjective descriptions are often not taken into consideration by physicians. This study aimed to validate patients’ descriptions of pruritus, and to investigate the relationship between various descriptions...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2022-11-01
|
| Series: | Acta Dermato-Venereologica |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/actadv/article/view/2527 |
| _version_ | 1828176697962266624 |
|---|---|
| author | Ji Hoon Ryoo Seon Hwa Lee Dae-Lyong Ha Kyung Duck Park Jaehee Rho Gyeong-Hun Park Byung-Soo Kim Kapsok Li Chang Ook Park Hye One Kim Hei Sung Kim Min Soo Jang Dong Hun Lee Yang Won Lee Do Won Kim Yong Hyun Jang Seong-Jin Kim |
| author_facet | Ji Hoon Ryoo Seon Hwa Lee Dae-Lyong Ha Kyung Duck Park Jaehee Rho Gyeong-Hun Park Byung-Soo Kim Kapsok Li Chang Ook Park Hye One Kim Hei Sung Kim Min Soo Jang Dong Hun Lee Yang Won Lee Do Won Kim Yong Hyun Jang Seong-Jin Kim |
| author_sort | Ji Hoon Ryoo |
| collection | DOAJ |
| description | Patients with chronic itch describe their pruritus in a wide variety of ways. However, these subjective descriptions are often not taken into consideration by physicians. This study aimed to validate patients’ descriptions of pruritus, and to investigate the relationship between various descriptions of pruritus and the patient burden of chronic pruritus by examining the mediating effects of sleep disturbance and sexual dysfunction on patient’s quality of life, as predicted by various descriptions of pruritus. Exploratory and confirmatory factor analyses were performed to identify the factor structure measured by 11 descriptions of pruritus. The study then analysed differences in the degree of sleep disturbance, sexual dysfunction, and quality of life deterioration factors using a structural equation modelling method. Using data from 419 patients with chronic pruritus, 11 descriptions of pruritus were classified into 2 groups: (i) sensory pruritus (i.e. stinging, stabbing, burning, painful, formication, throbbing, and cold) that are linked with descriptions of pruritus patterns; and (ii) affective pruritus (i.e. annoying, unbearable, worrisome, and warm) from patient reports of psychological or emotional distress. The study found that affective pruritus decreases patient’s quality of life either directly or indirectly through sleep disturbance. In conclusion, clues about a patients’ sleep disturbance or poor quality of life can be obtained through their descriptions of pruritus.
|
| first_indexed | 2024-04-12T04:48:33Z |
| format | Article |
| id | doaj.art-d9666865c2ce4c519d54d6cf3c0b4c15 |
| institution | Directory Open Access Journal |
| issn | 0001-5555 1651-2057 |
| language | English |
| last_indexed | 2024-04-12T04:48:33Z |
| publishDate | 2022-11-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Dermato-Venereologica |
| spelling | doaj.art-d9666865c2ce4c519d54d6cf3c0b4c152022-12-22T03:47:24ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572022-11-0110210.2340/actadv.v102.2527Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation ModellingJi Hoon Ryoo0Seon Hwa Lee1Dae-Lyong Ha2Kyung Duck Park3Jaehee Rho4Gyeong-Hun Park5Byung-Soo Kim6Kapsok Li7Chang Ook Park8Hye One Kim9Hei Sung Kim10Min Soo Jang11Dong Hun Lee12Yang Won Lee13Do Won Kim14Yong Hyun Jang15Seong-Jin Kim16Department of Education, Yonsei University, Seoul, Republic of KoreaDepartment of Dermatology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of KoreaDepartment of Dermatology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of KoreaDepartment of Dermatology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of KoreaDepartment of Education, Yonsei University, Seoul, Republic of KoreaDepartment of Dermatology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of KoreaDepartment of Dermatology, Pusan National University School of Medicine, Busan, Republic of KoreaDepartment of Dermatology, College of Medicine, Chung-Ang University, Seoul, Republic of Korea6Department of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Dermatology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of KoreaDepartment of Dermatology, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Republic of Korea9Department of Dermatology, Kosin University College of Medicine, Busan, Republic of KoreaDepartment of Dermatology, Seoul National University College of Medicine, Seoul, Republic of KoreaDepartment of Dermatology, Konkuk University School of Medicine, Seoul, Republic of KoreaDepartment of Dermatology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of KoreaDepartment of Dermatology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Republic of KoreaDepartment of Dermatology, Chonnam National University Medical School, Gwangju, Republic of KoreaPatients with chronic itch describe their pruritus in a wide variety of ways. However, these subjective descriptions are often not taken into consideration by physicians. This study aimed to validate patients’ descriptions of pruritus, and to investigate the relationship between various descriptions of pruritus and the patient burden of chronic pruritus by examining the mediating effects of sleep disturbance and sexual dysfunction on patient’s quality of life, as predicted by various descriptions of pruritus. Exploratory and confirmatory factor analyses were performed to identify the factor structure measured by 11 descriptions of pruritus. The study then analysed differences in the degree of sleep disturbance, sexual dysfunction, and quality of life deterioration factors using a structural equation modelling method. Using data from 419 patients with chronic pruritus, 11 descriptions of pruritus were classified into 2 groups: (i) sensory pruritus (i.e. stinging, stabbing, burning, painful, formication, throbbing, and cold) that are linked with descriptions of pruritus patterns; and (ii) affective pruritus (i.e. annoying, unbearable, worrisome, and warm) from patient reports of psychological or emotional distress. The study found that affective pruritus decreases patient’s quality of life either directly or indirectly through sleep disturbance. In conclusion, clues about a patients’ sleep disturbance or poor quality of life can be obtained through their descriptions of pruritus. https://medicaljournalssweden.se/actadv/article/view/2527Chronic itchDescriptionsSexual dysfunctionSleep disturbanceQuality of life |
| spellingShingle | Ji Hoon Ryoo Seon Hwa Lee Dae-Lyong Ha Kyung Duck Park Jaehee Rho Gyeong-Hun Park Byung-Soo Kim Kapsok Li Chang Ook Park Hye One Kim Hei Sung Kim Min Soo Jang Dong Hun Lee Yang Won Lee Do Won Kim Yong Hyun Jang Seong-Jin Kim Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling Acta Dermato-Venereologica Chronic itch Descriptions Sexual dysfunction Sleep disturbance Quality of life |
| title | Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling |
| title_full | Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling |
| title_fullStr | Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling |
| title_full_unstemmed | Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling |
| title_short | Validation of Relationship between Patients’ Descriptions of Pruritus and Patient-burden of Chronic Pruritus using Structural Equation Modelling |
| title_sort | validation of relationship between patients descriptions of pruritus and patient burden of chronic pruritus using structural equation modelling |
| topic | Chronic itch Descriptions Sexual dysfunction Sleep disturbance Quality of life |
| url | https://medicaljournalssweden.se/actadv/article/view/2527 |
| work_keys_str_mv | AT jihoonryoo validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT seonhwalee validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT daelyongha validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT kyungduckpark validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT jaeheerho validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT gyeonghunpark validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT byungsookim validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT kapsokli validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT changookpark validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT hyeonekim validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT heisungkim validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT minsoojang validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT donghunlee validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT yangwonlee validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT dowonkim validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT yonghyunjang validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling AT seongjinkim validationofrelationshipbetweenpatientsdescriptionsofpruritusandpatientburdenofchronicpruritususingstructuralequationmodelling |