Incidence of anxiety disorder in adults with hidradenitis suppurativa

化脓性汗腺炎 医学 焦虑 惊恐障碍 危险系数 入射(几何) 焦虑症 内科学 广泛性焦虑症 回顾性队列研究 精神科 置信区间 疾病 物理 光学
作者
Erica Simone Dayan,Gabriela Palma,Nicole Mastacouris,Andrew Strunk,Amit Garg
出处
期刊:British Journal of Dermatology [Oxford University Press]
卷期号:191 (3): 351-356 被引量:1
标识
DOI:10.1093/bjd/ljae139
摘要

Abstract Background There are limited data on the risk of new-onset anxiety disorders in patients with hidradenitis suppurativa (HS). Objectives To compare the risk of new-onset anxiety disorder in patients with HS and controls, and to describe risk factors for the development of anxiety in patients with HS. Methods We carried out a retrospective cohort analysis of a US electronic health records database between 2011 and 2020. Adults newly diagnosed with HS at a dermatology or primary care visit and control participants were included. The primary outcome was a new diagnosis of generalized anxiety disorder, phobic disorders, panic disorder or unspecified anxiety. Cox proportional hazards regression was used to compare the crude risk of any anxiety disorder between groups and to assess the independent association with HS while controlling for potential demographic, clinical and healthcare-related confounders. Results Among 9597 patients with HS and 959 493 controls, the incidence rate (IR) of anxiety was 5.74 and 3.86 per 100 person-years (PY), respectively. The crude risk among all patients was 48% higher for those with HS vs. controls [hazard ratio (HR) 1.48, 95% confidence interval (CI) 1.40–1.55]. When stratified by index encounter type, patients with HS had 2.43 (95% CI 2.13–2.77) times the risk of anxiety disorder than dermatology controls and 1.46 (95%CI 1.38–1.55) times the risk than primary care controls. The adjusted HR for patients with HS vs. controls was 1.11 (95% CI 1.05–1.17) overall, 1.26 (95% CI 1.07–1.48) in the dermatology subgroup and 1.07 (95% CI 1.01–1.13) in the primary care subgroup. Risk factors for an incident anxiety diagnosis among patients with HS included depression (HR 1.69, 95% CI 1.48–1.93), female sex (HR 1.41, 95% CI 1.23–1.60), younger age (HR 0.87 per 10-year increase, 95% CI 0.84–0.90), White race, in the Medicaid insurance programme (HR 1.22, 95% CI 1.07–1.40), tobacco smoking (HR 1.16, 95% CI 1.03–1.31) and having one or more emergency department visits in the year before a HS diagnosis. Absolute IRs of anxiety disorders were highest among patients with HS who were aged 18–29 years (7.10 per 100 PY), female (6.34 per 100 PY) and White (6.79 per 100 PY). Conclusions HS is independently associated with an increased risk of anxiety disorders. An increased risk remains but is attenuated when confounders are controlled for. The relative risk may be particularly high in patients managed by dermatologists.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
JY发布了新的文献求助10
刚刚
mmddlj完成签到 ,获得积分10
刚刚
byzhao19完成签到,获得积分10
1秒前
ting发布了新的文献求助10
2秒前
whatever应助能干的吐司采纳,获得10
2秒前
3秒前
思源应助w2503采纳,获得10
3秒前
霸气皮皮虾完成签到,获得积分20
3秒前
FashionBoy应助Young采纳,获得10
3秒前
4秒前
4秒前
Ava应助不知名网友要某某采纳,获得10
4秒前
4秒前
乐乐应助虚心的芹采纳,获得20
4秒前
鳗鱼匕发布了新的文献求助10
4秒前
汉堡包应助bing采纳,获得10
5秒前
5秒前
风趣的寻凝完成签到,获得积分10
5秒前
ccccchen完成签到,获得积分10
5秒前
5秒前
Dr.c完成签到,获得积分10
5秒前
5秒前
adam完成签到,获得积分10
5秒前
善学以致用应助wendinfgmei采纳,获得10
6秒前
janie完成签到,获得积分10
6秒前
zimablue完成签到,获得积分10
6秒前
谭谨川完成签到,获得积分10
6秒前
6秒前
6秒前
you完成签到,获得积分10
6秒前
段盈完成签到,获得积分10
6秒前
小熊完成签到,获得积分10
7秒前
善学以致用应助May采纳,获得10
7秒前
沉默沛岚发布了新的文献求助10
7秒前
7秒前
肉松完成签到,获得积分10
7秒前
hafahafa发布了新的文献求助10
8秒前
8秒前
wwwww关注了科研通微信公众号
8秒前
8秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 360
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3970949
求助须知:如何正确求助?哪些是违规求助? 3515634
关于积分的说明 11179061
捐赠科研通 3250769
什么是DOI,文献DOI怎么找? 1795474
邀请新用户注册赠送积分活动 875831
科研通“疑难数据库(出版商)”最低求助积分说明 805188