AI Article Synopsis

  • The study highlights the importance of considering psychiatric and psychosocial factors in managing dermatologic disorders, as many dermatology patients experience psychiatric comorbidity.
  • Conducted at NIMS Medical College in Jaipur, India, the research found that 34.2% of patients with skin diseases were diagnosed with psychiatric disorders, primarily depression and anxiety.
  • The findings suggest a need for a collaborative approach between psychiatrists and dermatologists to address the mental health issues alongside skin conditions effectively.

Article 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.

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Source
http://dx.doi.org/10.1016/j.ajp.2017.04.018DOI Listing

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