Emotional Burden of Patients With Work-Related Hand Eczema: Results of an Exploratory Study in a Tertiary Individual Prevention Setting in Germany.

IF 4.8 1区医学 Q2 ALLERGY

Contact Dermatitis Pub Date : 2025-06-01 DOI:10.1111/cod.14819

Marc Rocholl, Richard Brans, Annika Wilke, Julia Meyer, Swen Malte John, Michaela Ludewig

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引用次数: 0

Abstract

Background: Work-related hand eczema (WRHE) is a prevalent skin condition associated with reduced health-related quality of life (HRQoL), sleep disturbances or depression. While prior studies primarily explored emotional effects as part of HRQoL, emotions have been less studied separately.

Objectives: To evaluate the psychometric properties of the 'Atopic Eczema Score of Emotional Consequences' (AESEC) in patients with WRHE and to investigate the emotional impact of WRHE.

Methods: Self-reported sociodemographic data as well as self-reported and clinically assessed disease severity of 223 patients (55.6% female; mean age: 48.1 ± 12.0 years) taking part in a tertiary prevention program for WRHE were included in the analysis. The factor structure was checked using an exploratory factor analysis. The emotional burden was determined using the AESEC.

Results: The three underlying facets of emotional consequences, as previously described in the validation study of the AESEC, could not be replicated in patients with WRHE. Positive emotions were emphasised by items such as optimism, balance and self-confidence. Emotional burden was most evident in worries about life, sadness, lack of control, feelings of constraint and disturbance by itch.

Conclusions: Patients with WRHE face a significant emotional burden indicating a great need for psychological support. Further studies on the psychometric properties of the AESEC in patients with WRHE are warranted.

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与工作相关的手部湿疹患者的情绪负担：德国三级个体预防设置的探索性研究结果。

背景：与工作相关的手湿疹（WRHE）是一种普遍的皮肤状况，与健康相关的生活质量（HRQoL）降低、睡眠障碍或抑郁有关。虽然之前的研究主要是将情绪影响作为HRQoL的一部分进行探索，但对情绪的单独研究较少。目的：评价WRHE患者“特应性湿疹情绪后果评分”（AESEC）的心理测量特征，探讨WRHE对患者情绪的影响。方法：223例患者自我报告的社会人口统计资料以及自我报告和临床评估的疾病严重程度(女性55.6%；平均年龄：48.1±12.0岁)参加WRHE三级预防规划的患者纳入分析。采用探索性因子分析对因子结构进行检验。采用AESEC测定情绪负担。结果：正如之前在AESEC的验证研究中所描述的，情绪后果的三个潜在方面不能在WRHE患者中重复。乐观、平衡和自信等项目强调了积极情绪。情绪负担最明显的表现为对生活的担忧、悲伤、缺乏控制、拘束感和瘙痒感。结论：WRHE患者面临显著的情绪负担，需要大量的心理支持。WRHE患者AESEC的心理测量特性的进一步研究是有必要的。

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

Contact Dermatitis 医学-过敏

CiteScore

4.60

自引率

30.90%

发文量

227

审稿时长

4-8 weeks

期刊介绍： Contact Dermatitis is designed primarily as a journal for clinicians who are interested in various aspects of environmental dermatitis. This includes both allergic and irritant (toxic) types of contact dermatitis, occupational (industrial) dermatitis and consumers" dermatitis from such products as cosmetics and toiletries. The journal aims at promoting and maintaining communication among dermatologists, industrial physicians, allergists and clinical immunologists, as well as chemists and research workers involved in industry and the production of consumer goods. Papers are invited on clinical observations, diagnosis and methods of investigation of patients, therapeutic measures, organisation and legislation relating to the control of occupational and consumers".