Psychodermatological Disorders: An Assessment of Psychiatric Morbidity

Ray, Anirban; Pal, Manas Kumar; Ghosh, Malati; Sanyal, Debashis
December 2011
International Medical Journal;Dec2011, Vol. 18 Issue 4, p300
Academic Journal
Context (Background): The associated psychiatric morbidity in dermatological patients is well recognized. Aims & Objectives: To assess and compare the psychiatric morbidity in patients of 5 chronic dermatological diseases, namely psoriasis, vitiligo, chronic urticaria, atopic dermatitis and alopecia areata. Also to analyse interplay of different factors, that might influence that morbidity. Aiming to form a cross-cultural database. Setings & Design: Cross-sectional comparative study conducted with a sample-size of 140, in Department of Psychiatry and Department of Dermatology of a tertiary care centre in west Bengal, India. Materials and Methods: Dermatologically diagnosed patients, => 10 years, without history of psychiatric disorder, if consent- ed were assessed first with a semi-structured questionnaire and then by a standardised Bengali adaptation of SRQ-24. Statistical Methods: Except descriptive statistics, x² -Test, Median Test, Fischer's Exact Test, ANOVA, t-Test, Logistic Regression Model (Hosmer and Lemeshow Goodness-of-Fit Test) were used. Result and discussion: Our study showed that dermatological diseases have very high psychiatric morbidity (overall 69.3%). Psoriasis (80%) & vitiligo (79.2%) were the highest. Atopic dermatitis was the lowest (56.3%). Though the difference was not statistically significant. (p = 0.191). Sex (p = 0.113), Age (p = 0.248) and duration (p = 0.586) were statistically insignificant determinant, though male showed higher (78.4%) morbidity& morbid patients had lower range of duration. Family history of psychiatric diseases and co-morbid medical condition affected psychiatric morbidity adversely but inconclusively. Treatment response though varied bizarrely but insignificantly (p = 0.359). Conclusion: Chronic dermatological conditions had high associated psychiatric morbidity. So these two departments should have closer liaison. There were many interesting but inconclusive trends, which can be addressed in the future with larger sample size.


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