Title: Psychiatric Co-morbidity in Chronic Skin Diseases
Authors: Abhay Kumar, Krishna Kumar Singh, Guddi Rani Singh
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.68
Abstract
Objective: The aim of study was to assess the comorbidity of psychiatric illnesses in the patients suffering from chronic skin Diseases.
Material and Methods: One hundred consecutive patients attending OPD of Dept. of Dermatology, ANMCH, Gaya, Bihar were studied. Patients were examined through Psychiatric interview & screened through Hospital anxiety and depression scale after taking informed consent.
Discussion & Results: Out of these 40 patients 70% (28/40) had anxiety disorder and 30% (12/40) had depressive disorder or dysthymia. Patients of anxiety disorders 35.7% (10/28) had mixed anxiety disorder, 25.7% had Generalized anxiety disorder, 21.4% (6/28) had panic disorder, 17.85(5/28) had somatization disorder. Patients of depressive disorders 66.66% had major depressive disorder and 33.33% had dysthymia.
Conclusion: There is a high rate of psychiatric problems in patients with chronic Skin Diseases.
Keywords: chronic skin Diseases, co-morbid psychiatric illness, Anxiety, depression.
References
- Aktan S, Ozmen E, Sanli B. Psychiatric disorders in patients attending a dermatology outpatient clinic. Dermatology 1998; 197: 230-4.
- Grossbart, T. (2010) The Psychology of Physical Symptoms. Journal of American Medical Assessment. Platter File 3.11. Platter: Psychosomatic Dermatitis.
- Gupta MA, Gupta AK. Psychiatric and psychological comorbidity in patients with dermatological disorders. Am J Clin Dermatol 2003; 4: 833-42.
- Shrestha P, Mikrani JA. Pattern of dermatological disease and its relation to gender in Lumbini Medical College Teaching Hospital. Journal of Lumbini Medical College, 2015; 3(1):16-8. doi: 10.22502/ jlmc.v3i1.63.
- Bhatia MS, Chandra R, Bhattacharya SN, Imran M. Pattern of psychiatric morbidity and and dysfunctions in patients with psoriasis. Delhi Psychiatry Bulletin 2006 Oct; 9(2):138-41.
- Golpour M, Hosseini SH, Khademloo M, Ghasemi M, Ebadi A, Koohkan F, Shahmohammadi Depression and Anxiety Disorders among Patients with Psoriasis: A Hospital-Based Case-Control Study. Dermatology Research and Practice, 2012 (2012), 5 http://dx.doi.org/10.1155/2012/381905
- Aslam, R., Qadir, A. and Asad, F. (2007) Psychiatric Morbidity in Dermatological Outpatients: An Issue to Be Recognized. Journal of Pakistan Association of Dermatologists, 17, 235-223.
- Aktan, S., Ozmen, E. and Sanli, B. (1998) Psychiatric Disorders in Patients Attending a Dermatology Outpatient Clinic. Dermatology, 197, 230-234.
- Filaković, P., Petek, A., Koić, O., Radanović-Grgurić, L. and Degmečić, D. (2009) Comorbidity of Depressive and Dermatologic Disorders—Therapeutic Aspects. Psychiatria Danubina, 21, 401-410.
- Finlay AY. Dermatology patients: what do they need? Clin Exp Dermatol 2000; 25: 444-50.
- Picardi, A., Pasquini, P., Abeni, D., Fassone, G., Mazzotti, E. and Fava, G.A. (2005) Psychosomatic Assessment of Skin Diseases in Clinical Practice. Psycho-therapy and Psychosomatics, 74, 315-322.
- Picardi, A., Abeni, D., Renzi, C., Braga, M., Melchi, C.F. and Pasquini, P. (2003) Treatment Outcome and Incidence of Psychiatric Disorders.
- Picardi, A., Abeni, D., Melchi, C.F., Puddu, P. and Pasquini, P. (2000) Psychiatric Morbidity in Dermatological Outpatients. An Issue to Be Recognized. British Journal of Dermatology, 143, 983-99.
- Windemuth, D., Stücker, M., Hoffmann, K. and Altmeyer, P. (1999) Prevalence of Psychological Symptoms in Dermatologic Patients of an Acute Clinic. Der Hautarzt, 50, 338-343.
- Wessely SC, Lewis GH. Classification of psychiatric morbidity in attenders at dermatology clinic. Br J Psychiatry 1989; 55: 686-91.