[Psychiatric comorbidities in hidradenitis suppurativa/acne inversa].
Psychiatrische Komorbidität bei Hidradenitis suppurativa/Acne inversa.
Anxiety disorders
Chronic inflammatory diseases of the skin
Depression
Mental disorders
Psychosocial impairment
Journal
Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete
ISSN: 1432-1173
Titre abrégé: Hautarzt
Pays: Germany
ID NLM: 0372755
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
accepted:
03
12
2020
pubmed:
6
1
2021
medline:
7
5
2021
entrez:
5
1
2021
Statut:
ppublish
Résumé
The findings of most studies suggest that depression and anxiety disorders are the most common psychiatric comorbidities in patients with hidradenitis suppurativa/acne inversa (HS/AI). In a prospective study, 51 patients with HS/AI were further examined for psychiatric comorbidity using a standardized interview and questionnaires. In psychiatric examination, 29.4% of HS/AI patients had additional mental symptoms, mainly manifested as depressive disorder. The HS/AI patients were rather young and female, and they showed a high incidence of nicotine and alcohol use, and a positive family history of paternal alcohol dependence. In addition, HS/AI patients experienced more severe psychosocial impairments in the form of lack of partnership and lower school attainment. Acne inversa is a severe chronic inflammatory skin disease that, like other inflammatory dermatoses, is associated with mental comorbidity and psychosocial impairments. Since especially young patients are affected, a psychiatric-psychotherapeutic cotreatment should be considered already at an early stage. HINTERGRUND: Die Befunde der vereinzelten durchgeführten Studien legen nahe, dass v. a. Depressionen und Angststörungen als häufigste psychiatrische Komorbiditäten bei Patienten mit einer Hidradenitis suppurativa/Acne inversa (HS/AI) vorkommen. Im Rahmen einer prospektiven Studie wurden 51 Patienten mit einer HS/AI hinsichtlich einer psychiatrischen Komorbidität mittels eines standardisierten Interviews und Fragebögen näher untersucht. Bei der fachpsychiatrischen Untersuchung fand sich bei 29,4 % der HS/AI-Patienten eine zusätzliche psychische Symptomatik, die sich v. a. in Form einer depressiven Störung manifestierte. Die HS/AI-Patienten waren eher jung, eher Frauen und wiesen ein häufiges Vorkommen von Nikotin- und Alkoholkonsum und eine positive Familienanamnese für eine paternale Alkoholabhängigkeit auf. Darüber hinaus bestanden bei den HS/AI-Patienten deutlicher psychosoziale Einschränkungen in Form von fehlender Partnerschaft und eine durch die vorhandenen Symptome deutliche psychische Belastung. Die Acne inversa ist eine schwere chronische entzündliche Hauterkrankung, die ähnlich wie andere inflammatorische Dermatosen mit psychischer Komorbidität und psychosozialen Beeinträchtigungen einhergeht. Da v. a. junge Patienten betroffenen sind, sollte frühzeitig eine psychiatrisch-psychotherapeutische Mitbehandlung erwogen werden.
Sections du résumé
BACKGROUND
BACKGROUND
The findings of most studies suggest that depression and anxiety disorders are the most common psychiatric comorbidities in patients with hidradenitis suppurativa/acne inversa (HS/AI).
METHODS
METHODS
In a prospective study, 51 patients with HS/AI were further examined for psychiatric comorbidity using a standardized interview and questionnaires.
RESULTS
RESULTS
In psychiatric examination, 29.4% of HS/AI patients had additional mental symptoms, mainly manifested as depressive disorder. The HS/AI patients were rather young and female, and they showed a high incidence of nicotine and alcohol use, and a positive family history of paternal alcohol dependence. In addition, HS/AI patients experienced more severe psychosocial impairments in the form of lack of partnership and lower school attainment.
CONCLUSIONS
CONCLUSIONS
Acne inversa is a severe chronic inflammatory skin disease that, like other inflammatory dermatoses, is associated with mental comorbidity and psychosocial impairments. Since especially young patients are affected, a psychiatric-psychotherapeutic cotreatment should be considered already at an early stage.
ZUSAMMENFASSUNG
UNASSIGNED
HINTERGRUND: Die Befunde der vereinzelten durchgeführten Studien legen nahe, dass v. a. Depressionen und Angststörungen als häufigste psychiatrische Komorbiditäten bei Patienten mit einer Hidradenitis suppurativa/Acne inversa (HS/AI) vorkommen.
METHODIK
METHODS
Im Rahmen einer prospektiven Studie wurden 51 Patienten mit einer HS/AI hinsichtlich einer psychiatrischen Komorbidität mittels eines standardisierten Interviews und Fragebögen näher untersucht.
ERGEBNISSE
UNASSIGNED
Bei der fachpsychiatrischen Untersuchung fand sich bei 29,4 % der HS/AI-Patienten eine zusätzliche psychische Symptomatik, die sich v. a. in Form einer depressiven Störung manifestierte. Die HS/AI-Patienten waren eher jung, eher Frauen und wiesen ein häufiges Vorkommen von Nikotin- und Alkoholkonsum und eine positive Familienanamnese für eine paternale Alkoholabhängigkeit auf. Darüber hinaus bestanden bei den HS/AI-Patienten deutlicher psychosoziale Einschränkungen in Form von fehlender Partnerschaft und eine durch die vorhandenen Symptome deutliche psychische Belastung.
SCHLUSSFOLGERUNG
UNASSIGNED
Die Acne inversa ist eine schwere chronische entzündliche Hauterkrankung, die ähnlich wie andere inflammatorische Dermatosen mit psychischer Komorbidität und psychosozialen Beeinträchtigungen einhergeht. Da v. a. junge Patienten betroffenen sind, sollte frühzeitig eine psychiatrisch-psychotherapeutische Mitbehandlung erwogen werden.
Autres résumés
Type: Publisher
(ger)
HINTERGRUND: Die Befunde der vereinzelten durchgeführten Studien legen nahe, dass v. a. Depressionen und Angststörungen als häufigste psychiatrische Komorbiditäten bei Patienten mit einer Hidradenitis suppurativa/Acne inversa (HS/AI) vorkommen.
Identifiants
pubmed: 33398389
doi: 10.1007/s00105-020-04742-9
pii: 10.1007/s00105-020-04742-9
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
426-434Références
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