{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T18:18:48Z","timestamp":1777141128057,"version":"3.51.4"},"reference-count":63,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dermatological research has traditionally concentrated on evaluating mental comorbidities, neglecting positive concepts like happiness. Initial studies indicate that psoriasis and atopic dermatitis (AD) impair the happiness of those affected. Considering global happiness variations, this study aimed to explore the disease\u2010 and country\u2010specific differences in disease\u2010related quality of life and happiness, and potential influential factors on heuristic happiness among psoriasis and AD patients in Europe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional multicentre study was conducted in dermatology departments of university\u2010affiliated hospitals in eight European countries (Austria, Germany, Italy, Malta, Poland, Portugal, Romania and Ukraine) between October 2021 and February 2023. Adult psoriasis and AD patients completed a standardized questionnaire in their native languages, providing data on demographics, disease\u2010related characteristics, disease\u2010related quality of life (Dermatology Life Quality Index, DLQI), heuristic happiness, positive affect (PA), negative affect (NA) and satisfaction with life (SWL). Descriptive analysis and quantile regression were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between psoriasis (<jats:italic>n<\/jats:italic>\u2009=\u2009723) and AD (<jats:italic>n<\/jats:italic>\u2009=\u2009316) patients almost no differences were observed in happiness, SWL and NA, except for DLQI and small differences in PA, with AD patients reporting greater impact than psoriasis patients. Country\u2010wise variation emerged in DLQI, heuristic happiness, PA, NA and SWL with Austrian patients displaying the highest levels of happiness, satisfaction and positivity, coupled with higher treatment care and lower disease severity. Quantile regression revealed varying coefficients for predictor variables across quantiles, indicating, for example positive effects on heuristic happiness associated with current or previous receipt of systemic therapies at different quantiles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study shows notable happiness differences across European countries and significant disease\u2010related variations, particularly with AD patients being more impaired than psoriasis patients. The findings highlight the need for equality in treatment access and support the development of targeted positive psychological interventions to enhance happiness considering country\u2010specific distinctions in future research and health policies for psoriasis and AD patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.20288","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T06:24:51Z","timestamp":1723616691000},"page":"529-542","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Happiness across the borders\u2014A cross\u2010sectional study among patients with psoriasis and atopic dermatitis in Europe"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3176-1120","authenticated-orcid":false,"given":"S.","family":"Ziehfreund","sequence":"first","affiliation":[{"name":"TUM School of Medicine and Health, Department of Dermatology and Allergy Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4097-4518","authenticated-orcid":false,"given":"H.","family":"Wecker","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Department of Dermatology and Allergy Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Mittag","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Department of Dermatology and Allergy Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Weis","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Department of Dermatology and Allergy Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2749-9791","authenticated-orcid":false,"given":"L.","family":"Tizek","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Department of Dermatology and Allergy Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Verkhoturova","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Department of Dermatology and Allergy Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7785-4739","authenticated-orcid":false,"given":"F. 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