Review Article

A Review of the Impact of Occupational Contact Dermatitis on Quality of Life

Table 3

Effects of occupational contact dermatitis on different aspects of quality of life.

AuthorQuestionnaire(s) usedMean scoreSeverity assessmentOverall effect on genderSymptoms/feelingsWorkDaily activities/functioningSocial/interpersonal activitiesOthers

Hutchings et al. [29]DLQI, part of SF-36DLQI 6.6; SF-36 NANANo differenceMost affected domain with higher effect on femaleAffected but not prevented with higher effect on malesNALeast affected domain

Holness [30]Modified DLQI, open-ended questionsDLQI NANANA61% complained of itchiness/pain, 36% felt embarrassed20% could not work and 43% had interference with work32% had sleep disturbance, 23% had interference with housework/shopping20% were affectedThose with hand involvement reported a worse QoL.

Kadyk et al. [31]Skindex-16, additional questions on occupational impactSkindex-16 individual scale ranges from 13.3–31.0NANANASignificantly more affected compared to those with nonoccupational ACDSlightly more impaired than those with nonoccupational ACDConcerned that interaction with coworkers may be difficult

Lewis et al. [32]DLQIBefore diagnosis 17.9; after diagnosis 10.9NANANA39% reported severe impact on workNA44% had issues with interpersonal relationships

Wallenhammar et al. [33]DLQI, SF-36DLQI 7.4; SF-36 PCS 45.3; MCS 46.4NANo difference on DLQI; female had more impaired QoL on SF-36Very large effectMost affected domain in DLQI, significantly reduced role-physical domain in SF-3623% females and 18% males reported interference with daily activitiesPersonal relationship was the least effected

Meding et al. [34]Self-developed questionnairesNANANA52% had symptoms > half of the time; females more affected, 80% reported itching to their hand eczema82% changed work situation, 44% changed jobNA88% reported effect on psychosocial and had to give up on their hobbies28% had total recovery

Lazarov et al. [35]DLQI, self-developed questionnairesDLQI NANII-ratedNA45.7% feeling shame and rejected52.9% changed job45.7% reported interference18.6% had limitations in interpersonal relationship11.4% had persistent dermatitis

Cvetkovski et al. [36]DLQI, BDI-IIDLQI 5.5; BDI-II 7.1DNBII-ratedNo differenceMost affected domain, 9% reported moderate-to-severe depression at baseline and at followupMost affected domain at baselineNANAStrong association between mild-to-moderate OHE and severe OHE and low QoL at baseline

Soder et al. [37]SF-36, Skindex-29SF-36 individual scale ranges from 53.9–81.4; Skindex-29 individual score range 23.0–56.9Physician-assessedFemales more affected in most subscales of SF-36Most affected domain with 12.7% reported itchiness on entire skin surface & 37.7% on hands31.1% had <8 weeks of sick leave; 48.6% were absent from work. 23.1% from telephone survey changed or gave up their professionLeast affected domain in SkindexNANo significant correlation between severity of skin and QoL. 65% from telephone survey had improved skin

Matterne et al. [38]SF-36, Skindex-29SF-36 individual scale ranges from 54.2–89.6; Skindex-29 raw score NAYesNo difference on SF-36, females more affected on Skindex-29Females reported more emotional impairment, more impaired social functioning and mental healthNALess impaired physical functioning compared to general populationNAMore severe skin is associated with perceived pain

Lau et al. [39]DLQI, SF-36DLQI 4.5; SF-36 PCS 52; MCS 51Physician-rated, patient-rated, ODDINo differenceMost affected domain in DLQI, lower mental health scoresVery large effectModerately affected as measured by DLQI, no effect in SF-36 domainsNo effect on social functioningSignificant correlation between severity of skin and QoL. 21% had complete clearance; 18% progressed to PPOD

NA: information not available/not performed; DLQI: Dermatology Life Quality Index; QoL: quality of life; ACD: allergic contact dermatitis; SF-36: Short-Form Health Survey; NII: National Insurance Institute of Israel; BDI-II: Beck Depression Inventory; DNBII: Danish National Board of Industrial Injuries; OHE: occupational hand eczema; GHQ: General Health Questionnaire; SAS: Self-Acceptance Scale; PPOD: persistent postoccupational dermatitis.