The differentiating effect of COVID-19-associated stress on the morbidity of blood donors with symptoms of hidradenitis suppurativa, hyperhidrosis, or psoriasis

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Purpose: The burden of different skin diseases may vary leading individuals to have different sensitivity to stress. Therefore, we compared the health-related quality of life (HRQoL) and stress before and during the universal stress from the severe acute respiratory syndrome coronavirus-2-pandemic in individuals with and without hyperhidrosis, hidradenitis suppurativa, or psoriasis. Methods: The study cohort was the Danish Blood Donor Study. Overall, 12,798 participants completed a baseline questionnaire before the pandemic, in 2018–2019, and a follow-up questionnaire during the pandemic, in 2020. Regression determined the association between the skin diseases and outcomes. Outcomes were the physical and mental component summary (MCS, PCS, respectively), which assess the mental and physical HRQoL, and the perceived stress scale, which assesses stress in the past four weeks. Results: Overall, 1168 (9.1%) participants had hyperhidrosis, 363 (2.8%) had hidradenitis suppurativa, and 402 (3.1%) had psoriasis. At follow-up, the participants with hyperhidrosis had worse MCS (coefficient −0.59 [95% confidence interval (CI) −1.05, −0.13]) and higher odds of moderate-to-severe stress (odds ratio 1.37 [95% CI 1.13, 1.65]) and the participants with hidradenitis suppurativa worse PCS (coefficient −0.74 [95% CI −1.21, −0.27]) than the control groups. The associations were independent of baseline HRQoL, stress, the Connor-Davidson Resilience scale, and other covariables. Psoriasis was not associated with the outcomes. Conclusion: Individuals with hyperhidrosis or hidradenitis suppurativa experienced worse mental or physical well-being and individuals with hyperhidrosis also had higher stress during the pandemic compared to healthy individuals. This suggests that individuals with these skin diseases are particularly susceptible to external stress.

OriginalsprogEngelsk
TidsskriftQuality of Life Research
Vol/bind32
Sider (fra-til) 2925–2937
Antal sider13
ISSN0962-9343
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
Mattias Henning was provided a grant for research (Grant Number LF-18002) by the Leo Foundation Denmark. The COVID-19 survey used in DBDS was funded by the Danish Independent Research Council (0214-00127B). DBDS was further funded by the Novo Nordisk Foundation (Challenge Program—Big Data in Biomedicine NNF17OC0027594).

Funding Information:
MAS Henning reports grants from Leo Foundation (Grant number LF-18002), during the conduct of the study. M Didriksen, SR Ostrowski, C Erikstrup, K Nielsen, SG Sækmose, TF Hansen, H Ullum, LW Thørner, KA Kaspersen and S Mikkelsen report no conflict of interest. KS Ibler reports personal fees from Leo Pharma, Sanofi Genzymes, Astra Zeneca, and Eli Lilly. GBE Jemec reports grants and personal fees from Abbvie, grants from Leo Foundation, personal fees from Coloplast, personal fees from Chemocentryx, personal fees from LEO pharma, grants from Afyx, personal fees from Incyte, grants and personal fees from InflaRx, grants from Janssen-Cilag, grants and personal fees from Novartis, grants and personal fees from UCB, grants from CSL Behring, grants from Regeneron, grants from Sanofi, personal fees from Kymera, and personal fees from VielaBio, outside the submitted work. OB Pedersen reports a grant from the Leo Foundation received in 2019 together with G Jemec. Payments were made to the Department of Dermatology, Zealand University Hospital and Grant received in 2020 from the Independent Research Council Denmark to my department of Clinical Immunology, Zealand University Hospital.

Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Nature Switzerland AG.

ID: 363398309