Association of atopic dermatitis with depression, anxiety, and suicidal ideation in children and adults: A systematic review and meta-analysis.

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Association of atopic dermatitis with depression, anxiety, and suicidal ideation in children and adults: A systematic review and meta-analysis.

Authors:
Rønnstad ATM, Halling-Overgaard AS, Hamann CR, Skov L, Egeberg A; Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Hellerup, Denmark; Copenhagen Research Group for Inflammatory Skin, Herlev and Gentofte Hospital, Hellerup, Denmark.
Thyssen JP;  Department of Dermatology and Allergy, Herlev and Gentofte Hospital, Hellerup, Denmark; Copenhagen Research Group for Inflammatory Skin, Herlev and Gentofte Hospital, Hellerup, Denmark; National Allergy Research Centre, Herlev and Gentofte Hospital, Hellerup, Denmark. Electronic address: jacob.p.thyssen@regionh.dk.

Abstract: 
BACKGROUND:
Atopic dermatitis (AD) has been associated with anxiety and depression, but the magnitude of the alleged association is unknown.
OBJECTIVE:
To perform a systematic review and meta-analysis of the association between AD in children and adults and, respectively, depression, anxiety, and suicidal behavior.
METHODS:
The medical databases PubMed, Embase, and PsychINFO were searched.
RESULTS:
There was a significant association between adult AD and, respectively, depression (pooled odds ratio [OR], 2.19; 95% confidence interval [CI], 1.87-2.57) and anxiety (pooled OR, 2.19; 95% CI, 1.75-2.73). AD was also associated with depression in children (pooled OR, 1.27; 95% CI, 1.12-1.45); few data were available for anxiety. A positive association was found between AD in adults and adolescents and suicidal ideation (pooled OR, 4.32; 95% CI, 1.93-9.66). Only a few studies examined the risk of completed suicide, but the majority showed a positive association between completed suicide and AD.
LIMITATIONS:
Included studies used different definitions of depression and anxiety, and few studies examined the severity of AD.
CONCLUSION:
Depression, anxiety, and suicidal ideation should be considered by doctors when treating patients with AD. Because AD disease improvement appears to reduce these risks, this should be a priority.

DOI: doi.org/10.1016/j.jaad.2018.03.017


Comentarios

  1. Catalina López 16 de octubre de 2018, 19:06

    La dermatitis atópica es una patología que afecta al paciente en varios aspectos de su vida, siendo uno muy importante el de su apariencia física con las consecuencias emocionales que ello conlleva. La valoración de los pacientes afectados por esta entidad debe ser multidisciplinaria teniendo en cuenta los trastornos de ansiedad y depresión, así como la ideación suicida, que guardan relación con este tipo de dermatitis. Considero que los profesionales que tratamos esta patología, como alergólogos, dermatólogos, pediatras, internistas, médicos generales, entre otros, debemos indagar y estar atentos sobre signos que nos hagan sospechar una de estas complicaciones para realizar la intervención pertinente y derivar al paciente lo antes posible para un manejo psicológico y psiquiátrico, y con ello evitar consecuencias inclusive fatales.

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