Obsessive/compulsive scratching behavior in adult patients with atopic dermatitis
作者单位：Department of Dermatology and Psychosomatic Internal MedicineObitsu Sankei Seminary ClinicJapan Department of DermatologyThe Jikei UniversityJapan
会议名称：《The Second Eastern Asia Dermatology Congress(EADC2012)》
会议日期：2012年
学科分类：1002[医学-临床医学] 100206[医学-皮肤病与性病学] 10[医学]
摘 要：正Background Some adult patients with atopic dermatitis（AD） with long disease period tend to show intractable scratching *** is a possibility that psychological factors may induce habitual scratching behavior or an obsessive/compulsive ritual *** this study,we examine how obsessive/compulsive scratching behavior impacts patients with AD. Methods We surveyed 79 patients with AD（female 68:male 11） ranging from 15 to 61 years old using the modified Yale-Brown Obsessive-Compulsive Scale（Y-BOCS） and a seven-question questionnaire for itching and scratching in daily *** disease severities of the patients rated as moderate（45） and severe（34）.The modified Y-BOCS contains eight items;Time occupied by impulse to scratch;Intensity of compulsion to scratch;Time occupied by scratching;Disturbance by scratching in work or daily life;Distress associated with scratching;Resistance against scratching;Degree of control over scratching;Degree of avoiding action by scratching. Results 31%) of the AD patients had an impulse to scratch from 3 to 8 hours and 5.6%over 8 hours.30%spent from 3 to 8 hours and 1.4%over 8 *** spite of efforts to stop scratching,44.3%felt difficulty controlling it.38.6%with little control were rarely successful in stopping or ignoring it,and 4.3%had no control at *** daily life,44.6%of the adults with AD scratched even without ***,habitual scratchers made up 67.8%and 50%could not stop it. Conclusion These results suggest that over one third of the adult patients with AD have obsessive /compulsive scratching behavior.