Page 42 - JCBP-1-1
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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
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