Sasha Raikhy1, Shiv Gautam2, Sanjay Kanodia3. 1. Department of Psychiatry, Safdarjung Hospital, New Delhi 110029, India. Electronic address: drsasha12@gmail.com. 2. Gautam Hospital and Research Centre, Civil Lines, Jaipur 302006, India. Electronic address: dr_shivgautam@yahoo.com. 3. NIMS Medical College, Jaipur 302006, India. Electronic address: kanodia.sanjay@gmail.com.
Abstract
BACKGROUND: Consideration of psychiatric and psychosocial factors is important for the management and prevention of dermatologic disorders. Dermatology patients suffer commonly from psychiatric comorbidity. AIM: To study pattern and prevalence of psychiatric disorders among patient attending dermatology OPD. METHODS: The study was carried out in Psychiatry department of NIMS Medical College, Jaipur, Rajasthan, a north State of India. The sample was taken from Dermatology department of Medical College. All the participants were diagnosed/confirmed cases of skin diseases. Socio-demographic data was collected. Patients scoring more than 12 on GHQ were examined for presence of psychiatric illness. Clinical interview & Mental Status Examination (MSE) of these patients was carried out to ascertain diagnosis according to ICD-10. FINDINGS: As per ICD-10 diagnosis 34.2% of total sample were diagnosed with definite Psychiatric comorbidity. Maximum number of cases were of Depression 36.32% (N=146) followed by Anxiety disorder 18.41% (74) and 7.96% (N=32) with Somatoform disorder. Obsessive compulsive disorder was diagnosed in 6.47% (N=26) followed by Adjustment disorder 4.98% (N=20) and Alcohol dependence syndrome 4.98% (N=20). Minimum number of cases belonged to Schizophrenia 2.99% (N=12) and Bipolar Affective Disorder 2.99% (N=12). No diagnosis was found in 14.93% (N=60). CONCLUSION: Significant psychiatric comorbidity exists in patients of dermatology. Biopsychosocial approach to patients with skin disease should be sought by liaison between psychiatrist and dermatologist.
BACKGROUND: Consideration of psychiatric and psychosocial factors is important for the management and prevention of dermatologic disorders. Dermatology patients suffer commonly from psychiatric comorbidity. AIM: To study pattern and prevalence of psychiatric disorders among patient attending dermatology OPD. METHODS: The study was carried out in Psychiatry department of NIMS Medical College, Jaipur, Rajasthan, a north State of India. The sample was taken from Dermatology department of Medical College. All the participants were diagnosed/confirmed cases of skin diseases. Socio-demographic data was collected. Patients scoring more than 12 on GHQ were examined for presence of psychiatric illness. Clinical interview & Mental Status Examination (MSE) of these patients was carried out to ascertain diagnosis according to ICD-10. FINDINGS: As per ICD-10 diagnosis 34.2% of total sample were diagnosed with definite Psychiatric comorbidity. Maximum number of cases were of Depression 36.32% (N=146) followed by Anxiety disorder 18.41% (74) and 7.96% (N=32) with Somatoform disorder. Obsessive compulsive disorder was diagnosed in 6.47% (N=26) followed by Adjustment disorder 4.98% (N=20) and Alcohol dependence syndrome 4.98% (N=20). Minimum number of cases belonged to Schizophrenia 2.99% (N=12) and Bipolar Affective Disorder 2.99% (N=12). No diagnosis was found in 14.93% (N=60). CONCLUSION: Significant psychiatric comorbidity exists in patients of dermatology. Biopsychosocial approach to patients with skin disease should be sought by liaison between psychiatrist and dermatologist.
Authors: Nouf T Mleeh; Hussein M Alshamrani; Reem N Basyouni; Khalid A Alshehri; Mohammed R Algethami; Mohammad Gamal Sehlo Journal: J Family Med Prim Care Date: 2019-07
Authors: Khaled Ezzedine; Viktoria Eleftheriadou; Heather Jones; Kristen Bibeau; Fiona I Kuo; Daniel Sturm; Amit G Pandya Journal: Am J Clin Dermatol Date: 2021-09-23 Impact factor: 7.403