The psychosocial burden of hand eczema: Data from a European dermatological multicentre study

Background

The essential physical role, visibility and social importance of the hands place a major psychological burden on patients with hand eczema.

Objectives

The aim of this study was to identify the psychological, social and clinical characteristics of patients with hand eczema, in particular the prevalences of depression, anxiety, suicidal ideation, and comorbidities.

Materials and methods

Data on patients with hand eczema were analysed from a large European multicentre study conducted with dermatology outpatients from 13 countries. Groups of patients and controls were compared to analyse the psychological burden of hand eczema.

Results

Female patients with hand eczema had higher Hospital Anxiety and Depression Scale (HADS) scores for anxiety (n = 86, median = 7.0) than controls (n = 900, median = 5.0, p = 0.02), and for depression (median = 4.0) than controls (3.0, p < 0.001). Patients with high suicidal ideation, with low socioeconomic status and who were widowed or divorced were more likely to fulfil the HADS criteria for anxiety [odds ratio (OR) > 1, p = 0.038, p < 0.001, and p < 0.001, respectively]. The median Dermatology Life Quality Index score was 7.0 (n = 68).

Discussion

This study identifies a specific psychological burden experienced by hand eczema patients, highlighting the need for focused psychosocial interventions. Physicians in particular should be aware of the need to identify anxiety and depression in female patients.