A Study on Scratching Behavior Characteristics in Patients With Various Types of Chronic Pruritus.

IF 4.1 2区 医学 Q2 ALLERGY
Ji Hyun Lee, Chan Ho Na, Ji Hoon Ryoo, Soo Yuhl Chae, Jin Ho Kim, Do Young Park, Jin Seon Bang, Esther Kim, Jun Ho Kwak, Da Hyun Kang, Bark-Lynn Lew, Yong Hyun Jang
{"title":"A Study on Scratching Behavior Characteristics in Patients With Various Types of Chronic Pruritus.","authors":"Ji Hyun Lee, Chan Ho Na, Ji Hoon Ryoo, Soo Yuhl Chae, Jin Ho Kim, Do Young Park, Jin Seon Bang, Esther Kim, Jun Ho Kwak, Da Hyun Kang, Bark-Lynn Lew, Yong Hyun Jang","doi":"10.4168/aair.2025.17.3.371","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>In the 'Itch-Scratch cycle', scratching manifests in various ways and further provokes skin inflammation and alteration of the skin microbiota. However, there is an unmet demand for classifying and interpreting scratching behavior. We analyze patterns of scratching behavior expressed by patients with chronic pruritus.</p><p><strong>Methods: </strong>A survey was conducted on 206 adult patients with chronic pruritus for more than six weeks. Participants responded to a questionnaire about pruritus, including standard unidimensional-scale questions, as well as individualistic questions about sensory expression and quality of life. For scratching behavior, all patients answered questions about patterns, tools, situations, time spent, and scratched areas. Exploratory factor analysis was conducted to classify scratching behavior. Descriptive and exploratory factor analyses were used to identify the structure of the underlying factors measured by the questionnaire items.</p><p><strong>Results: </strong>Among pruritic descriptors, 'unbearable' was the most common (84.5%). Of 206 participants, 190 (92.2%) responded that they scratched. The most common itch resolution methods were 'applying moisturizer', 'rubbing', and 'applying ointment'. The fingernails (89.3%) were the most frequently reported tool used for scratching. Participants reported most frequent scratching during sleep or rest. Among the pruritus-specific quality-of-life indicators, 'Lifelong' was the most stressful item related to all scratching behaviors. Regarding scratching differences by disease, patients with prurigo showed shorter scratching time with abnormal and aggressive behavior.</p><p><strong>Conclusions: </strong>We analyzed scratching behavior patterns in patients with chronic pruritus. Our findings support the need for education on the importance of applying moisturizer before sleep. The results are also important for helping patients with prurigo correct their abnormal and aggressive scratching behavior patterns, which can reduce quality of life and worsen symptoms.</p>","PeriodicalId":7547,"journal":{"name":"Allergy, Asthma & Immunology Research","volume":"17 3","pages":"371-383"},"PeriodicalIF":4.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117484/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Allergy, Asthma & Immunology Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4168/aair.2025.17.3.371","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ALLERGY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: In the 'Itch-Scratch cycle', scratching manifests in various ways and further provokes skin inflammation and alteration of the skin microbiota. However, there is an unmet demand for classifying and interpreting scratching behavior. We analyze patterns of scratching behavior expressed by patients with chronic pruritus.

Methods: A survey was conducted on 206 adult patients with chronic pruritus for more than six weeks. Participants responded to a questionnaire about pruritus, including standard unidimensional-scale questions, as well as individualistic questions about sensory expression and quality of life. For scratching behavior, all patients answered questions about patterns, tools, situations, time spent, and scratched areas. Exploratory factor analysis was conducted to classify scratching behavior. Descriptive and exploratory factor analyses were used to identify the structure of the underlying factors measured by the questionnaire items.

Results: Among pruritic descriptors, 'unbearable' was the most common (84.5%). Of 206 participants, 190 (92.2%) responded that they scratched. The most common itch resolution methods were 'applying moisturizer', 'rubbing', and 'applying ointment'. The fingernails (89.3%) were the most frequently reported tool used for scratching. Participants reported most frequent scratching during sleep or rest. Among the pruritus-specific quality-of-life indicators, 'Lifelong' was the most stressful item related to all scratching behaviors. Regarding scratching differences by disease, patients with prurigo showed shorter scratching time with abnormal and aggressive behavior.

Conclusions: We analyzed scratching behavior patterns in patients with chronic pruritus. Our findings support the need for education on the importance of applying moisturizer before sleep. The results are also important for helping patients with prurigo correct their abnormal and aggressive scratching behavior patterns, which can reduce quality of life and worsen symptoms.

不同类型慢性瘙痒症患者抓挠行为特征的研究。
目的:在“痒-抓循环”中,抓挠表现为多种方式,并进一步引起皮肤炎症和皮肤微生物群的改变。然而,对抓挠行为的分类和解释还没有得到满足。我们分析了慢性瘙痒患者的抓挠行为模式。方法:对206例持续6周以上的成人慢性瘙痒症患者进行调查。参与者回答了一份关于瘙痒的问卷,包括标准的单维度问题,以及关于感官表达和生活质量的个人问题。对于抓伤行为,所有患者都回答了关于抓伤模式、工具、情况、时间和抓伤区域的问题。探索性因子分析对抓伤行为进行分类。描述性和探索性因素分析用于确定问卷项目测量的潜在因素的结构。结果:在瘙痒描述中,“难以忍受”是最常见的(84.5%)。在206名参与者中,有190人(92.2%)回答说他们挠了。最常见的解决瘙痒的方法是“涂润肤霜”、“摩擦”和“涂药膏”。指甲(89.3%)是最常用的抓挠工具。参与者报告说,在睡觉或休息时抓挠最频繁。在与瘙痒相关的生活质量指标中,“终生”是与所有抓挠行为相关的压力最大的项目。不同疾病抓挠差异方面,痒疹患者抓挠时间较短,行为异常,具有攻击性。结论:我们分析了慢性瘙痒患者的抓挠行为模式。我们的研究结果支持了对睡前涂抹保湿霜重要性的教育的必要性。研究结果对于帮助痒疹患者纠正其异常和攻击性抓痒行为模式也很重要,这些行为模式会降低生活质量并使症状恶化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.10
自引率
6.80%
发文量
53
审稿时长
>12 weeks
期刊介绍: The journal features cutting-edge original research, brief communications, and state-of-the-art reviews in the specialties of allergy, asthma, and immunology, including clinical and experimental studies and instructive case reports. Contemporary reviews summarize information on topics for researchers and physicians in the fields of allergy and immunology. As of January 2017, AAIR do not accept case reports. However, if it is a clinically important case, authors can submit it in the form of letter to the Editor. Editorials and letters to the Editor explore controversial issues and encourage further discussion among physicians dealing with allergy, immunology, pediatric respirology, and related medical fields. AAIR also features topics in practice and management and recent advances in equipment and techniques for clinicians concerned with clinical manifestations of allergies and pediatric respiratory diseases.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信