Psychiatric Morbidity Among Dermatological Patients Attending a Tertiary Care Hospital in Central India (original) (raw)
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Background Chronic skin disorder affects the physical and psychological well-being of patients. The impact of psychological burden ranges from low self-esteem and stress to anxiety and depression. Hence, this study was conducted to compare the psychological distress and quality of life (QoL) of patients with a comparative group without any apparent skin disorders. Methods This hospital-based case-control study was done on adult patients (≥18 years) suffering from any chronic skin disorder for three or more months and attending the dermatology out patient department (OPD) of a tertiary care institution of Eastern India. Data was collected from 101 patients and 101 controls (matched for age, gender, and place of residence) after obtaining written informed consent in May and June, 2017. Depression was assessed using the Patient Health Questionnaire-9, anxiety was assessed using the Generalised anxiety disorder-7 scale, and health-related quality of life (HRQoL) was assessed using the World Health Organization Quality-of-Life Scale (WHOQoL-BREF). Prevalence and mean scores were compared using Chi-square test and t-test. Results About half (49.5%) of the cases had clinically significant impairment of their dermatological quality of life. Clinically significant depression and anxiety was found in 45.54% and 41.58% patients respectively. Depression (OR=4.13, 95% CI 2.06-8.45) and anxiety (OR=4.42, CI=2.13-9.51) were significantly higher in cases as compared to the controls. No significant difference was seen in HRQoL scores. Conclusion Screening for anxiety, depression, and QoL should be done for patients of chronic skin disorders attending dermatology OPD so that appropriate psychiatric consultation can be offered to those in need.
Introduction: Mental disorders are common among patients with skin diseases. Aim: The aim of the study was to understand the severity of psychiatric morbidity and to look at patterns of psychiatric complaints in dermatological patients. Patients and Methods: Three hundred and twelve randomly selected patients aged 15-60 years from the Outpatient Dermatology Unit of Bahawal-Victoria Hospital / Quaid-e-Azam Medical College in Bahawalpur for one-year duration from October 2019 to October 2020 and were included in the study. The study was conducted in two stages. In the first stage, the screening tests were performed with the General Health Questionnaire-12 (GHQ-12) in Urdu. In a second step, those who tested positive for psychiatric randomness in step 1 were given a psychiatric plan version of Urdu (PAS). Results: According to the GHQ-12 screening, 122 of 312 patients (39.1%) were positive for psychiatric performance; prevalence was slightly higher among women (58/142; 40.8%) compared to men (64/170; 37.6%). The pattern of psychiatric complaints detected by PAS was as follows: major depression in 17.3% (54/312) of patients, generalized anxiety disorder in 7.6% (24), mixed anxiety-depressive state in 11.2% (35) and dysthymia in 1.7% (6) of 312 patients. No panic disorder was diagnosed in any of the patients. Conclusion: Overall, psychiatric comorbidity is very common (39.1%) among dermatological patients compared to the general population or primary care clinics. If the therapist is aware of the detection and treatment of these comorbidities, better quality care can be additionally provided.
National Journal of Community Medicine, 2017
Background: The health care providers need to be aware of solving psychodermatological disorders by a multidisciplinary team approach. Objectives: This study was carried out to find the prevalence and correlates of unrecognised depression linked with common skin morbidities among attendees in a teaching hospital dermatology outpatients department. Methods: This was as institution based cross-sectional study conducted during October and November 2016 at Indira Gandhi Institute of Medical Sciences, Patna, India among 356 consecutive consenting adults with common skin diseases attending dermatology outpatient department fulfilling inclusion criteria using Patient Health Questionnaire (PHQ-9). Results: Among 356 participants aged 18 years and above having one of six most commonly diagnosed disease depression was present among 204 (57.3%), mostly mild depression 84 (41.18%) followed by moderate (23.53%) moderately severe (21.57%) and severe (13.72%). Depression among various dermatological ailments was mostly noted with Tinea infection (66%) and least among Vitiligo and Acnae cases (20% each). In statistical analysis, probability of having significantly increased risk of depression was found among females, illiterates and less educated, perusing household works, from larger families, having lower personal income, suffering for more than 13 months and suffering from itching skin disease, receiving continuous treatment, and having co-morbidities. Conclusions: Magnitude of depression among patients suffering from dermatological conditions was alarmingly high and was influenced by the various risk factors.
SKIN DISORDERS IN PATIENTS WITH PRIMARY PSYCHIATRIC CONDITIONS IN RURAL POPULATION OF GURUGRAM
Background: although the relationship between skin diseases in patients with primary psychiatric conditions is important for patient management, studies on this issue are limited. The skin is an organ of communication and plays an important role in socialization. The relationship between the ?skin? and the ?mind? is complex and of clinical importance. Aim: to study the pattern of cutaneous disorders in patients with primary psychiatric conditions. Methods: two hundred patients with a primary psychiatric condition who had cutaneous disease were entered into the study group. The patients were classified appropriately based on the classification of psychocutaneous disorders. The control group included 200 patients presenting with a skin disorder and without any known psychiatric complaint. Results: the majority of the cases in the study group were in the 4th-5th decade. The most common primary psychiatric conditions found in the study were depression (31%) followed by anxiety (22.5%). Among the infective dermatoses, dermatophytic infections which was found to have maximum incidence of 25.5%. Among non infective dermatoses eczema was found in 10.5% of patients with lichen simplex chronicus being most common (6%). Psychocutaneous disorders were found in total of 24 (12%) patients with delusional parasitoses being the most common.
Depression in common dermatological patients attending outpatient department
KYAMC Journal, 2013
Skin is the organ which covers our whole body and its condition directly influences our well being. Its psychological impacts are enormous, as evident by the efforts we put for taking care of our skin condition. The aim of this study was to find the presence of depression among the patients with dermatological disorders. Total 100 dermatological patients were assessed by the Hamilton Depression Rating Scale (HAM-D), 38% of patients had depression. Depression was highest in atopic dermatitis (71.43%), followed by psoriasis (58.82%), acne vulgaris (47.62%) and vitiligo (44.44%). Suicidal ideation was more common patient with atopic dermatitis (28.57%, 2 among 7) followed by psoriasis (23.53%, 4 among 17).
Depression, Anxiety and Stress among Saudi Arabian Dermatology Patients: Cross-sectional study
Sultan Qaboos University Medical Journal, 2016
Objectives: This study aimed to determine the prevalence of depression, anxiety and stress among Saudi Arabian dermatology patients and to assess associations with sociodemographic and clinical characteristics. Methods: This cross-sectional study was conducted among 300 consecutive dermatology patients visiting King Abdulaziz Medical City in Riyadh, Saudi Arabia, in August 2015. The Arabic version of the Depression, Anxiety and Stress Scale was used to screen for symptoms of depression, anxiety and stress. Quality of life (QOL) was assessed using the Dermatology Life Quality Index. Results: A total of 254 dermatology patients participated in the study (response rate: 84.7%). The prevalence of depression, anxiety and stress was 12.6%, 22.1% and 7.5%, respectively. The presence of at least one of these negative emotional states was noted among 24.4% of the cohort (95% confidence interval: 19.3-30.2%). Depression was significantly higher among subjects who lacked family support (26.5% versus 10.7%; P = 0.006) while anxiety was less common among patients who engaged in physical exercise (14.5% versus 29.4%; P = 0.005). According to the multivariate logistic regression analysis, poor QOL and a lack of family support were significant predictors of a negative emotional state. Conclusion: Almost a quarter of the studied Saudi Arabian dermatology patients were found to suffer from at least one negative emotional state. A lack of family support and poor QOL were the primary factors associated with a negative emotional state. Interventional studies are needed to examine the effects of social and family support on psychological conditions among Saudi Arabian dermatology patients.
Depression in adult dermatology outpatients
2010
OBJECTIVE To determine the frequency of depression in adult male dermatology outpatients. STUDY DESIGN Cross-sectional study. PLACE AND DURATION OF STUDY Combined Military Hospital, Bahawalpur, from January to March 2007. METHODOLOGY A consecutive sample was screened for depression by using Urdu version of General Health Questionnaire-12 (GHQ-12). The final diagnosis of depression was based on criteria of International Classification of Diseases-10. RESULTS Out of the 114 adult males with dermatological disorders, 39 (34.11%) had depression. The frequency and percentage of depression in dermatological conditions was 6 (100%) in psychocutaneous disorders, 2 (66.6%) in urticaria, 3 (66.6%) in pruritis, 7 (57.5%) in acne vulgaris, 4 (50%) in psoriasis, 4 (44.4%) in vitiligo, 3 (37.5%) in melasma, 1 (33.3%) each in hyperhidrosis and alopecia areata, and 9 (20.4%) in eczema. It was not recorded in leprosy and chronic fungal infections. CONCLUSION Depression was frequently in adult males ...