Evidence map›Paper›PMID 37830415›Full record

ArticleAnnals of dermatology2023

Psychological Stress and Atopic Dermatitis: A Focus Group Study.

Louise Lönndahl, Saly Abdelhadi, Mikael Holst, Sol-Britt Lonne-Rahm, Klas Nordlind, Björn Johansson

Open access · diamondAbstract read
In one paragraph

Article in Annals of dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Louise LönndahlDivision of Dermatology and Venereology, Department of Medicine Solna, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden. louise.lonndahl@ki.se.ORCID https://orcid.org/0000-0003-0410-2795
Saly AbdelhadiDivision of Dermatology and Venereology, Department of Medicine Solna, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2886-1035
Mikael HolstPediatric Endocrinology Unit, Department of Woman and Child Health, Astrid Lindgren Children's Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-0004-8843
Sol-Britt Lonne-RahmDivision of Dermatology and Venereology, Department of Medicine Solna, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-5212-3083
Klas NordlindDivision of Dermatology and Venereology, Department of Medicine Solna, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-9971-2080
Björn JohanssonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-2408-4862
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

Hudfonden
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a chronic inflammatory skin disorder. It is often reported to be worsened by psychological stress.

objectiveTo explore the role of psychological stress and related triggers in AD, and its connection to worsening of this disease, focusing on patients' perspectives.

methodsIn total, 28 patients with AD were included in focus groups. Topics regarding psychological stress and psychological triggers were discussed.

resultsThe hypothesis that psychological stress may have impact on eczema and its pruritus was supported by all of the patients. Distinguishing the worsening effect of psychological stress from effects of physiological triggers, such as infection, climate and allergic factors, was claimed to be difficult by many patients. Most of the patients thought that chronic stress affected the AD more when compared to acute stress. Family problems, financial problems, work overload, school exam periods, lack of structure at work, and unforeseen events were identified as important psychological triggers. Conventional treatment/therapy with topical corticosteroids and emollients, UV light treatment, were suggested as possible treatments, as well as psychological intervention and physical exercise.

conclusionPsychological stress is an important factor to consider in the management of patients with AD. In particular, chronic stress tends to worsen AD. The type of stress can possibly also affect the quality of the pruritus experienced by the patients. Unforeseen events and decision making were frequently mentioned as important triggers. Furthermore, physical exercise was reported to provide beneficial effects.

Indexed as

Atopic dermatitisExcerciseFocus groupsPsychological stressQualitative research

Identifiers

PMID37830415
PMCPMC10579569
OpenAlexW4387386204

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.