Psychological burden of COVID-19 on mild and moderate chronic spontaneous urticaria
| Autor: | Sengul Beyaz, Suna Büyüköztürk, Aslı Gelincik, Bahauddin Colakoglu, Semra Demir, Pelin Karadag, Raif Coskun, Nida Oztop |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Turkey Cross-sectional study Anxiety Young Adult 03 medical and health sciences 0302 clinical medicine Cost of Illness Risk Factors Internal medicine Humans Immunology and Allergy Medicine Chronic Urticaria Longitudinal Studies Prospective Studies 030212 general & internal medicine Young adult Prospective cohort study Depression (differential diagnoses) Retrospective Studies Psychiatric Status Rating Scales Depression business.industry Medical record COVID-19 Retrospective cohort study Fear General Medicine Middle Aged Mental health Cross-Sectional Studies Mental Health 030228 respiratory system Female medicine.symptom business Stress Psychological |
| Zdroj: | Allergy and Asthma Proceedings. 42:e107-e115 |
| ISSN: | 1088-5412 |
| Popis: | Background: The impact of coronavirus disease 2019 (COVID-19) related mental health status on chronic spontaneous urticaria (CSU) has not been addressed before. Objective: The aim of this study was to evaluate the depression, anxiety and stress levels, and the fear of COVID-19 in patients with mild-to-moderate CSU and to determine their impact on urticaria activity during the pandemic. Methods: A total of 509 patients with mild-to-moderate CSU were prospectively evaluated with validated scales, the Depression Anxiety Stress Scale 21 (DASS-21) and the Fear of COVID-19 Scale (FCV-19S) during the lockdown period (LP) and the return to normal period (RTNP). CSU activity was determined with the urticaria activity score summed over 7 days (UAS7) and medication scores (MS). UAS7 and MS before the pandemic were retrospectively collected from medical records. Results: The median UAS7 and MS were both significantly higher in the LP than in the median of related scores during the prepandemic period (p < 0.0001) and the RTNP (p < 0.0001). The mean FCV-19S and DASS-21 scores were both significantly higher in the LP than in the RTNP (p < 0.0001). The FCV-19S and the DASS-21 anxiety and stress subscales were significantly higher in women. The UAS7s were positively correlated with the FCV-19S and depression, anxiety, and stress subscale scores. Conclusion: Fear of COVID-19, anxiety, depression, and stress during the COVID-19 pandemic, especially when strict isolation measures are taken, have a significant impact on mental health and urticaria activity in patients with mild-to-moderate CSU, even though they are not infected. Psychological support for patients with CSU seems to be important to control disease activity during the pandemic. |
| Databáze: | OpenAIRE |
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