Psychosocial Distress and Quality of Life Among Patients With a Chronic Skin Disorder at a Tertiary Care Hospital in Eastern India: A Hospital-Based Case-Control Study (original) (raw)
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Skindex-29 to Determine Quality of Life and Emotional Factors in Dermatological Conditions
Annals of the National Academy of Medical Sciences (India), 2017
ABSTRACTThough rarely fatal, skin diseases are known to be associated with increased psychiatric morbidity and considerable impairment of quality of life (QoL). Health Related Quality of Life (HRQoL) in skin diseases can be assessed by generic or skin specific instruments. One hundred sixty patients with a range of dermatological diagnoses were studied on a cross sectional observational paradigm. Skindex29, a skin specific instrument, was used to assess QoL, while anxiety and depression were assessed by Anxiety Status Inventory (ASI) and Depression Status Inventory (DSI), respectively. Sixty two patients (39%) had impaired QoL out of which 37(60%) had severe impairment. 11 patients (7%) had anxiety and 22(14%) had depression in the mild to moderate range. Gender, anxiety, depression and effect on appearance seem to be not related to impaired QoL. Further large scale studies are needed to ascertain the factors impinging on the QoL of dermatologically ill patients.
Evaluation of anxiety in chronic dermatoses: differences between sexes
Interamerican Journal of Psychology, 2004
Skin, as an external organ, plays an important role in interpersonal relationships. The chronic character of some dermatoses and their unknown etiology also makes these patients who experience them, ad hoc candidates for high levels of anxiety. Our objetive was to estimate the influence of this variable on the onset and duration of skin disorders. The Inventory of Situations and Responses to Anxiety - ISRA - and a questionnaire relative to the history of the disease were administered to 95 patients. Results were compared with those of 95 persons without skin diseases. Sex, age, duration of the disease, affectation level of the disturbance and its relation with stress were also considered. We found significant differences between average scores of the two groups and between the sexes. The psychological impact produced by skin disorders and their chronic condition were related to a high level of anxiety in these patients. The anxiety response profile of these patients was also defined.
Correlating the Dermatology Life Quality Index with psychiatric measures: A systematic review
Clinics in Dermatology, 2018
Background Skin conditions may have a major impact on the psychological well-being of patients, ranging from depression to anxiety. The Dermatology Life Quality Index (DLQI) is the most commonly used quality of life tool in dermatology, though it has yet to be correlated with psychiatric measures used in clinical therapeutic trials. Objectives We conducted a systematic review to determine whether there is any correlation between the DLQI and psychiatric measure scores, potentially allowing the DLQI to be used as a surrogate measure for depression or psychiatric screening. Methods Six databases were searched using the keywords: 'DLQI', 'Dermatology Life Quality Index', 'Psych*', 'depression', 'anxiety', 'stress' and 'trial*'. All randomised trials where full DLQI and psychiatric scores were provided were included. PRISMA guidelines were followed. Results 462 records were screened but only seven met inclusion criteria. Hospital Anxiety and Depression Scale (HADS) was the most commonly used psychiatric measure; the 'depression' component score changes correlated strongly with the DLQI (r=0.715). Conclusions There needs to be guidance on psychiatric measurement and reporting in clinical trials. Though the DLQI correlated well with the 'depression' domain of the HADS scale, interviews and screening for depression are still vital for full assessment of patient psychological well-being as well as for fully understanding the wider impact of skin disease on patients
National Journal of Community Medicine
Background: Aim of the study was to estimate prevalence of depression, anxiety and stress among a large sample of out patients, affected with wider variety of skin problems and also to investigate its association with socio demographic and clinical characteristics so as to recommend for interventions to improve quality of care, in patients attending dermatology OPD. Material and Methods: Present hospital based cross-sectional study was conducted among 300 patients attending the dermatology OPD. Frequency, Percentage, Odds ratio (OR) were calculated. Chi square test and Logistic regression was applied. P value < 0.05 was considered as statistically significant. Results: Average age of the participants was 35.5±9.4 years. In the present study 29.67% patients were having at least one of the psychiatric morbidities. Among all the patients 28.7% were having the anxiety; 17.33% were having depression; 9.7% were having the stress. In multivariate analysis Females were observed to have h...
Journal of Mahatma Gandhi University of Medical Sciences and Technology, 2017
Skin being the largest organ of the body determines its appearance that may aid in sexual and social communication. Changes in a person's external appearance secondary to any dermatologic disease can deter self-esteem and social interaction. Psychosocial burden of skin disease can affect the overall disability experienced by the person. The present study attempted to find out the validity of a screening questionnaire [General Health Questionnaire 12 (GHQ-12)] to find the psychiatric morbidity in patients suffering from chronic dermatoses. The questionnaire was found to be a valid and reliable instrument to screen psychiatric morbidity in patients with chronic dermatoses attending outpatient setting. There were only 6 (30%) false-positive cases and reliability was found to be 91.4%.
Acta Dermato-Venereologica, 2004
The aim of the investigation was to compare psychological symptoms and health-related quality of life of dermatology patients and healthy controls. The sample consisted of 333 consecutively recruited patients from four dermatology outpatient clinics, 172 hospitalized dermatological patients from two university hospitals and 293 matched healthy controls. All patients and controls completed Beck's Depression Inventory, the Brief Symptom Inventory and the Dermatology Life Quality Index. Hospitalized patients were more distressed than outpatients and healthy controls and reported greater impairment of disease-related quality of life than outpatients. More hospitalized patients had suicidal thoughts and were characterized as having severe to moderate depression compared with outpatients and controls. Female patients and younger patients were generally more distressed than male patients and older patients, and patients with atopic dermatitis and psoriasis were more distressed than patients with urticaria and eczemas. Disease-related impairment of quality of life was the main predictor of psychological symptoms, when controlling for diagnosis, age, gender, disease duration and disease severity. Although older age was associated with fewer psychological symptoms, our data suggest that skin disease affects quality of life equally in young and older patients. The findings highlight the importance of recognizing disease-related psychological problems and possible psychiatric comorbidity of dermatology patients, especially among patients with atopic dermatitis and psoriasis.
The impact of skin disorders on patients’ quality of life in Malaysia
Journal of Clinical Intensive Care and Medicine, 2019
Background: Skin diseases is a common worldwide problem. It affected every aspect of patients' quality of life (QOL) mainly physically, socially and psychologically. Objectives: to assess the impact of skin disorders on patients' quality of life and to identify factors associated with it. Methodology: This cross-sectional study was conducted in outpatient dermatology clinic of a tertiary hospital in Malaysia. A random sample of 145 patients with acne, psoriasis and atopic dermatitis (AD) were interviewed using DLQI questionnaire during their scheduled follow-up appointments at dermatology clinic. Main outcome measure: Self-reported patients' QOL due to their skin diseases. Results and discussion: Out of three skin diseases psoriasis patients had the highest prevalence (39.3%) followed by AD (34.5%) and acne (26.2%). Patients' QOL was highly infl uenced by their skin conditions especially on working/schooling domain. Furthermore, several factors were identifi ed, namely age, working environment, concurrent skin diseases, usage of supplement for skin diseases and type of food as aggravating factors-that may infl uence patients' QOL. QOL among females and younger adults was found to be more signifi cantly infl uenced as compared to males and elderly. With respect to working environment, those who had both indoor and outdoor working environment showed the highest impact of their skin conditions on their QOL. Single patients were more infl uenced by their skin conditions when compared to those who are married, however it was not signifi cant. Conclusion: Our fi ndings revealed skin disease had negatively impacted individual QOL with different level of aspects. Among the three diseases, AD patients had the worst impact on QOL. Signifi cant predictors of QOL did not relate solely to skin diseases but also other factors such as type of food and working environment.
Psychological comorbidities associated with skin diseases
gulfdermajournal.com
Background: Psychiatric disorders are common among patients with a skin disease. Objective: To identify the prevalence of psychiatric disorders in dermatological patients. Patients & Methods: Four hundred and sixty eight randomly-selected patients of ...