Impact of Atopic Dermatitis on the Psychological State and Social Adaptation of Patients
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Keywords

atopic dermatitis
pathogenesis
psychological state
social adaptation
dermatology life quality index

Abstract

The article presents the results of investigation of the impact of atopic dermatitis (AD) on the psychological state and social adaptation of patients.  Different ways of AD treatment were discussed. Modern data on AD clinical course and its manifestations were presented. The objective of the research        was to study the impact of AD on the quality of life in patients. The dermatology life quality index, assessment of situational and personal anxiety levels and degree of stress resistance in 45 patients with AD were offered and the necessity of this research has been proven. Patients with AD in the acute phase of the disease and a scoring atopic dermatitis (SCORAD) index of 40 – 90 were included into the study. The level of situational anxiety in patients with AD was (59.8 ± 1.16) points, and was significantly different from that of healthy individuals (43.7 ± 1.21) points, p <0.001. The level of personal anxiety in patients with AD was (79.8 ± 0.24) points and was significantly different from that of healthy individuals (54.6 ± 0.19), p <0.001. The degree of stress resistance in patients with AD was (293.4 ± 9.5) points while in healthy individuals it was (173.6 ± 19.9) points, p <0.001. Conclusion. Quality of life in AD patients is significantly worse than in healthy people. People with atopic dermatitis are physically and psychologically dependent on many factors of external and social environment, as even the smallest stimulus can trigger acute stage of the disease causing intense itching and psychological discomfort. 
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