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Journal of Clinical and
Basic Psychosomatics Quality of life in patients with atopic dermatitis
people with a middle school education or below have to face is related to the psychosocial characteristics of parents and
multiple pressures, such as low wages, unsatisfactory working the severity of the disease. Given the importance of parents’
conditions, and difficulties in obtaining disease treatment and participation in children’s AD management, the provision
are more likely to engage in outdoor manual labor. In addition, of emotional support from parents can be valuable in the
the outdoor working environment is more susceptible to the long journey of disease management . This observation
[35]
influence of temperature, humidity, ultraviolet rays, pollen, indicates the importance of environmental support in
noise, etc. Compared with indoor workers, it also faces greater the management of AD. For clinicians, it is suggested to
interpersonal pressure. All these factors may aggravate the establish a multi-disciplinary and multi-system treatment
condition of AD. It is well known that the QOL of AD patients and management model as soon as possible to treat the
is closely related to the extent of anxiety and depression, and disease better and reduce the family and social burden
they are positively correlated in this study. The patient should caused by the disease. There is a strong indication that
be screened for mental health, and early intervention should psychological AD should be considered as a part of daily
be made when the disease affects the patient’s physical and management. Further research is needed to determine the
mental health. effectiveness of any psychological intervention. We suggest
This study also has several limitations. First, the research that the treatment plan for AD needs to be improved, and
subject is AD patients diagnosed in a hospital, the population psychological tests and subsequent psychotherapy should be
source is limited, and the number of questionnaires added to the standard diagnostic procedure.
collected is less than expected (we hope to get 200 – 300 Acknowledgments
questionnaires, but the final included questionnaire is
106). Second, we did not collect information about the Not applicable.
severity of the disease of AD patients, and there was no Funding
research on the influence of race, family, and marriage on
the disease. Third, we did not follow-up on the follow-up This work is supported by the development project of Special
patients’ treatment. After these patients received treatment Projects of Medical Education research of the Chinese
in the outpatient department, we do not know whether medical association (CMA) and China Association of Higher
they regularly used related drugs to control psychological Education (CAHE) (Grant number: 2020B-N04406).
problems such as AD or anxiety and depression. To solve
these problems, further research should be conducted to Conflict of interest
evaluate the risk factors as comprehensively as possible and The authors declare that they have no competing interests.
to investigate the interaction and causality among these
factors to better manage the diseases of AD patients. Author contributions
5. Conclusion Conceptualization: Yaping Tian, Huimin Wang, Bocheng
Li, Ziyang Bu
Research has increasingly supported the connection between Formal analysis: Ziyang Bu, Huimin Wang
AD and psychosocial comorbidities in recent years. AD Investigation: Haiping Zhang
causes significant stress and impaired QOL in patients and Methodology: Bocheng Li, Huimin Wang
their family members. Psychological and stress-reduction Writing – original draft: Huimin Wang
interventions were recently shown to improve patient well- Writing – review and editing: Yaping Tian, Haiping Zhang
being and significantly reduce cutaneous manifestations .
[34]
Because of the frequent occurrence of these diseases, we Ethics approval and consent to participate
should strictly screen depression, anxiety, and other mental
diseases to provide psychological support at the early stage Oral consent was obtained from all the patients to use their
of disease occurrence, which is essential to improve the life data.
span and overall health of AD patients. In addition, specialties Consent for publication
should participate in the treatment of these comorbidities
as soon as possible. To improve the QOL of AD patients, Oral consent was obtained from all the patients to use their
clinicians need to consider multi-disciplinary treatment data.
methods and psychological support strategies to create Availability of data
effective and patient-specific treatment programs, especially
on how the new AD treatment programs affect psychosocial Due to the nature of this research, participants of this
comorbidities. A survey at Renhe University Hospital shows study did not agree for their data to be shared publicly, so
that children with AD have a low quality of family life, which supporting data is not available.
Volume 1 Issue 1 (2023) 8 https://doi.org/10.36922/jcbp.0956

