Prevalence and Odds of Anxiety Disorders and Anxiety Symptoms in Children and Adults with Psoriasis: Systematic Review and Meta-analysis.

Acta Derm Venereol

Adult Psychiatry and Medical Psychology Department, CHU Clermont-Ferrand, 58 rue Montalembert, FR-63003 Clermont-Ferrand Cedex 1, France.

Published: August 2022

AI Article Synopsis

  • * The analysis included a total of 101 relevant articles, revealing a 34% prevalence of anxiety symptoms among psoriasis patients and a positive correlation between psoriasis and generalized anxiety symptoms, with significant odds ratios indicating higher risk levels.
  • * The findings highlight the need for routine screening for anxiety disorders in psoriasis patients, similar to existing recommendations for depression, and emphasize the importance of mental health referrals for appropriate care.

Article Abstract

The magnitude of the association between psoriasis and depression has been evaluated, but not that between psoriasis and anxiety. The aim of this systematic review and meta-analysis was to examine the prevalence and odds of anxiety disorders and symptoms in patients with psoriasis. Five medical databases (Cochrane Database, EMBASE, PubMed, PsychINFO, ScienceDirect) were searched for relevant literature. A total of 101 eligible articles were identified. Meta-analysis revealed different prevalence rates depending on the type of anxiety disorder: 15% [95% confidence interval [CI] 9-21] for social anxiety disorder, 11% [9-14] for generalized anxiety disorder, and 9% [95% CI 8-10] for unspecified anxiety disorder. There were insufficient studies assessing other anxiety disorders to be able to draw any conclusions on their true prevalence. Meta-analysis also showed a high prevalence of anxiety symptoms (34% [95% CI 32-37]). Case-control studies showed a positive association between psoriasis and unspecified anxiety disorder (odds ratio 1.48 [1.18; 1.85]) and between psoriasis and anxiety symptoms (odds ratio 2.51 [2.02; 3.12]). All meta-analyses revealed an important heterogeneity, which could be explained in each case by methodological factors. The results of this study raise the necessity of screening for the presence of anxiety disorders, as previously recommended for depressive disorders, in patients with psoriasis and, if necessary, to refer such patients for evaluation by a mental health professional and appropriate treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558761PMC
http://dx.doi.org/10.2340/actadv.v102.1386DOI Listing

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