AI Article Synopsis
- - The study investigates the impact of vitiligo on mental health in African American pediatric patients, highlighting a higher prevalence of psychiatric issues like depression and anxiety compared to peers without the condition.
- - Among 327 affected children, those with vitiligo had significantly higher rates of various mental health disorders and a notable percentage did not receive treatment for suicidal thoughts.
- - The findings suggest that understanding the psychological effects of vitiligo in this demographic could lead to improved quality of life and dermatological outcomes for affected children.
Article Abstract
Background: Vitiligo may impact psychosocial development, especially among African American pediatric patients, given heightened visibility and increasing rates of anxiety and depression in this subpopulation.
Objective: Evaluate psychiatric comorbidities and treatment initiation in African American pediatric patients.
Methods: A total of 327 African American pediatric patients with vitiligo were each matched to 3 patients without vitiligo by age, race, and sex in this case-control study. Prevalence of psychiatric conditions and subsequent initiation of pharmacotherapy and/or psychotherapy were analyzed.
Results: Compared to controls, pediatric African American patients with vitiligo were significantly more likely to be diagnosed with depression ( < .001) disruptive behavior disorders ( < .001), eating disorders ( = .013), generalized anxiety disorder ( < .001), substance abuse ( = .011), and suicidal ideation ( = .005). Patients with depression, disruptive behavior disorders, and eating disorders had higher initiation rates (76.5%, 82.1%, and 100%, respectively) for psychiatric treatment compared to those with generalized anxiety disorder and substance abuse (55.3% and 61.5%). Nearly 15% of patients did not initiate treatment for suicidal ideation.
Limitations: This retrospective study has a limited sample size in a single institution and does not explore psychiatric treatment efficacy.
Conclusions: Better understanding of associated psychological comorbidities and impacts on African American children of vitiligo may improve quality of life and dermatologic outcomes for these individuals.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471237 | PMC |
| http://dx.doi.org/10.1016/j.jdin.2024.07.012 | DOI Listing |
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