Mental Health, Psychological Features and Psychiatric Comorbidity of Adolescents with Atopic Dermatitis: A Review.

IF 1.4 Q3 PEDIATRICS
Liborija Lugović-Mihić, Dora Bukal, Lorena Dolački, Lucija Zanze, Ema Barac, Renata Tomašević, Maja Vilibić
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引用次数: 0

Abstract

Background/objectives: Adolescence is a sensitive period of development marked by significant changes. The quality of life (QoL) of adolescents with atopic dermatitis (AD) can be substantially impacted by the disease. The chronic nature of AD is particularly significant: due to recurring (relapsing) skin lesions, adolescents are likely exposed to greater stress and depressive symptoms than those experiencing transient or one-time symptoms. Aesthetic and functional AD skin lesions during adolescence lead to reduced happiness, high stress and depression.

Methods: In this review, we wanted to present the current knowledge on mental health, psychological features and psychiatric comorbidity of adolescents with AD, based on the previous studies/research on this topic presented in the PubMed database.

Results: Previous studies have confirmed that sleep disturbances, behavioral disorders, internalizing profiles, depression and anxiety, stress symptoms and suicidality represent the most prevalent psychiatric comorbidities and psychological features in adolescents with AD. According to research data, adolescents with AD also reported a tendency toward feelings of sadness and hopelessness, and even suicidal thoughts and attempts. The relationship between sleep disturbances, psychiatric disorders, and suicidality in adolescents with AD is complex and multifaceted.

Conclusions: Adequate social competencies are essential for healthy mental development, as their impairments may be associated with psychological alterations or psychiatric disorders in childhood and adolescence that potentially persist into adulthood. These findings highlight the need for continuous psychological evaluation and the implementation of intervention programs from an early age. Psychological interventions, such as cognitive behavioral therapy, accompanied by psychopharmaceuticals, such as selective serotonin reuptake inhibitors (when indicated), seem to be the most beneficial treatment options in AD patients who have the most frequent psychiatric comorbidities: depression and anxiety.

青少年特应性皮炎的心理健康、心理特征和精神共病:综述
背景/目的:青春期是一个敏感的发展时期,具有显著的变化。患有特应性皮炎(AD)的青少年的生活质量(QoL)会受到疾病的严重影响。阿尔茨海默病的慢性特征尤为显著:由于反复出现的皮肤损伤,青少年可能比经历过短暂或一次性症状的青少年面临更大的压力和抑郁症状。青春期审美和功能性AD皮肤损伤会导致幸福感降低、高压力和抑郁。方法:在这篇综述中,我们希望根据PubMed数据库中关于这一主题的先前研究,介绍目前关于青少年AD的心理健康、心理特征和精神共病的知识。结果:先前的研究已经证实,睡眠障碍、行为障碍、内化特征、抑郁和焦虑、压力症状和自杀是青少年AD患者最普遍的精神合并症和心理特征。根据研究数据,患有阿尔茨海默病的青少年也有悲伤和绝望的倾向,甚至有自杀的想法和企图。青少年AD患者睡眠障碍、精神障碍和自杀之间的关系是复杂和多方面的。结论:足够的社会能力对于健康的心理发展至关重要,因为他们的缺陷可能与儿童和青少年时期的心理改变或精神障碍有关,这些障碍可能持续到成年。这些发现强调了从早期开始进行持续的心理评估和实施干预计划的必要性。心理干预,如认知行为疗法,配合精神药物,如选择性血清素再摄取抑制剂(当有指示时),似乎是最有益的治疗选择,在阿尔茨海默病患者最常见的精神合并症:抑郁和焦虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Reports
Pediatric Reports PEDIATRICS-
CiteScore
2.10
自引率
0.00%
发文量
55
审稿时长
11 weeks
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