Comparison of Mental Health and Resilience among Patients with Acute and Chronic Urticaria and Healthy Individuals

Background & Objective: Urticaria is a common inflammatory skin disorder that, particularly in its chronic form, may result in substantial psychological and social consequences. Despite extensive evidence regarding mental health disturbances among affected individuals, the role of resilience as a psychological protective factor has remained insufficiently explored, particularly in comparative studies. This study aimed to compare mental health and resilience among patients with acute urticaria, patients with chronic urticaria, and healthy individuals. Materials & Methods: This causal-comparative study was conducted in Arak, Iran, between ۲۰۱۹ and ۲۰۲۰. A total of ۹۰ participants were recruited through convenience sampling and equally assigned to three groups: patients with acute urticaria (n = ۳۰), patients with chronic urticaria (n = ۳۰), and healthy individuals (n = ۳۰). Mental health was assessed using the Symptom Checklist-۲۵ (SCL-۲۵), while resilience was measured using the Connor-Davidson Resilience Scale (۲۰۰۳). Data were analyzed using multivariate analysis of variance (MANOVA) and Tukey’s post hoc test in SPSS version ۲۰. Results: The findings indicated that patients with chronic urticaria exhibited the highest levels of mental health disturbances and the lowest levels of resilience compared with patients with acute urticaria and healthy individuals. In addition, patients with acute urticaria demonstrated poorer psychological status than healthy individuals across most domains. Conclusion: Chronic urticaria is associated with marked psychological vulnerability and diminished resilience. These findings underscore the importance of incorporating psychological screening, resilience-enhancing interventions, and patient education into the routine management of patients with chronic urticaria in order to improve long-term adaptation and quality of life.

کلیدواژه ها:

Mental health ، Resilience ، Chronic urticaria ، Acute urticaria ، Psychological well-being