Anxiety, depression, and stress in Korean patients with chronic urticaria
Open accessAbstract
BACKGROUND/AIMS: Emotional distress is thought to cause or maintain chronic urticaria (CU). We aimed to investigate the presence of anxiety, depression, and stress in Korean adult CU patients and to explore their potential impact on treatment. METHODS: We enrolled 79 CU patients and a disease control group comprising 39 persistent asthma patients. The Hospital Anxiety and Depression Scale (HADS) was used to evaluate depression and anxiety. Stress and quality of life (QoL) were assessed by Stress Response Inventory and CU-QoL questionnaires. The sociodemographic and clinical data such as urticaria activity score (UAS-15, UAS-6) were obtained. RESULTS: The prevalence of depression and anxiety based on the HADS were 48.1% and 38.0%. Although the prevalence of anxiety didn't differ between the CU and asthma patients, depression was significantly more prevalent in the CU patients (48.1% vs. 28.2%). Stress tended to be lower in CU patients. Anxiety, depression, and stress exhibited negative correlations with QoL. Anxiety showed significant correlation with UAS-6 and pruritus-visual analog scale (VAS; r = 0.256, r = 0.272, p < 0.05, respectively); depression correlated with sleep difficulty-VAS (r = 0.261, p < 0.05). Stress was associated with UAS-15, UAS-6, pruritus-VAS, and sleep difficulty-VAS (r = 0.251, r = 0.317, r = 0.302, r = 0.258, p < 0.05, respectively). CONCLUSION: The current study first presented that Korean CU patients frequently have anxiety and depression, which affect their QoL and demonstrated that anxiety, depression, and stress had different effects on sleep difficulty, pruritus, and urticaria severity in Korean CU patients.
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Choi et al. confirmed that patients with CU frequently develop psychiatric conditions, such as depression and anxiety.
“Choi et al. 30 confirmed that patients with CU frequently develop psychiatric conditions, such as depression and”
From Could distress tolerance levels be associated with the severity of chronic spontaneous urticaria? (2022) · cites this paper as [30]
Stress was associated with pruritus severity and urticarial activity.
“Moreover, stress was associated with pruritus severity and urticarial activity 30 .”
From Could distress tolerance levels be associated with the severity of chronic spontaneous urticaria? (2022) · cites this paper as [30]
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The Impact of Chronic Spontaneous Urticaria on Sleep—A Systematic Review
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Trastornos psicocutáneos ¿de que se trata?
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- Authors
- Choi, G.-S., Nam, Y.-H., Park, C.-S., Kim, M.-Y., Jo, E.-J., Park, H.-K., & Kim, H.-K.
- Affiliations
- Kosin University (KR)
- Dong-A University (KR)
- Inje University Haeundae Paik Hospital (KR)
- Inje University Busan Paik Hospital (KR)
- Pusan National University Hospital (KR)
- Corresponding author
- Kim, Hee-Kyoo
- ORCID
- Venue
- The Korean Journal of Internal Medicine
- Published
- 2020-11-01
- Volume
- 35
- Issue
- 6
- Pages
- 1507-1516
- ISSN
- 1226-3303 (ISSN-L)
- 2005-6648
- PMC
- PMC7652653
- OpenAlex
- W3032662830
- Cited by
- 54
- References
- 47
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 9 · 2023: 13 · 2022: 12 · 2021: 3 · 2020: 1
- FWCI
- 5.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Korean Journal of Internal Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Kosin University College of Medicine
- Topics
- Health Sciences › Medicine › Rheumatology › Urticaria and Related Conditions
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- chronic urticaria, anxiety, depression, psychological stress, quality of life, pruritus, sleep disorders, urticaria severity, Korean patients, emotional distress
- MeSH terms
- Chronic Urticaria, Adolescent, Adult, Aged, Anxiety, Chronic Disease, Depression, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Young Adult, Republic of Korea
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