Dr Delphine Kerob presented remarkable findings from her international study ‘Scars of Life’ at this year's EADV Congress in Paris. This research examines the long-term effects of atopic dermatitis on mental health, particularly the risk of suicidal thoughts. The study, which involved over 30,000 participants from 27 countries, addresses the question of whether physical ailments in childhood leave invisible scars in later life.
One of the most striking discoveries of the study is the increased prevalence of suicidal thoughts among patients with atopic dermatitis. Among adults whose condition began in childhood, 29% report suicidal thoughts in adolescence, compared to only 9.5% in the control group without dermatitis. This discrepancy not only highlights the immediate psychological stress experienced by these patients, but also points to ongoing mental health risks in adulthood.
The study identifies factors such as disease severity, pruritus, sleep disturbances and stigmatisation as risk factors. Dr Kerob emphasises the need to recognise these aspects in medical practice by asking dermatologists specific questions about psychological stress, sleep problems and social stigmatisation.
In light of the study results, Dr Kerob recommends a holistic approach to the treatment of atopic dermatitis. This requires not only the use of medication, but also consideration of mental health and the involvement of patients and their families in discussions about their feelings and fears. Education and awareness about the disease and the need for adherence to treatment are crucial in this regard.
Differences in suicidal ideation and experiences of bullying between different countries point to cultural and societal influences that warrant further exploration. The findings underscore the potential for further analysis to uncover global differences in the perception and treatment of atopic dermatitis.