A German study assessed the prevalence and spectrum of mental disorders and levels of emotional distress in 100 patients with chronic spontaneous urticaria. Diagnostic interviews and psychometric instruments such as the Mini Diagnostic Interview of Mental Disorders (Min-DIPS) and the Global Severity Index of the Symptom Check List (SCL-90R GSI) were used to characterize the disorders. Almost half (48%) of the patients had one or more psychosomatic disorders, the most prevalent being anxiety disorders, followed by depressive and somatoform disorders. Emotional distress was significantly increased and more commonly seen in patients with mental disorders. Routine psychiatric screening of patients with chronic spontaneous urticaria would seem warranted (Staubach, P. et al. Acta Derm ...