A study of skin manifestations in patients with psychiatric disorders

Samanthula, Haritha; Kodali, Madhavi; Manyam, Karthik

doi:10.18203/issn.2455-4529.intjresdermatol20183161

Cited by 5 publications

(6 citation statements)

References 4 publications

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“…As pruritus causes scratching, it in turn stimulates the synthesis and release of inflammatory factors (23). There are a large number of inflammatory cells in the allergic reaction site, which promotes an inflammatory reaction and itching, thus leading to irritability, compulsion, and anxiety, forming a vicious cycle (24)(25)(26). These conclusions were consistent with our research results.…”

Section: Discussionsupporting

confidence: 92%

Association between skin disease and anxiety: a logistic analysis and prediction

Sun¹,

Ren²,

Zhang³

2023

Ann Transl Med

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Background Dermatosis has symptoms of flushing, itching, pain, and burning, which causes psychological distress in patients. Methods We collected the data of 214 patients from the Wuhan Institute of Dermatology and Venereology from January 2020 to January 2022, including age, gender, diagnosis, Hamilton Anxiety Rating Scale (HAMA), and anxiety. First, descriptive analysis and difference analysis of the included data were carried out. Second, a correlation matrix was used to exclude the confounding factors with strong collinearity. Finally, logistic regression was used to analyze and predict the risk factors of anxiety. Results In the anxiety group and nonanxiety group, eczema and generalized eczema accounted for the largest proportion, and there was no difference in the composition of the diagnosis between the 2 groups. Several related analyses proved the accuracy of the logistic model. The results showed that age had a protective effect on the anxiety of patients with skin diseases [odds ratio (OR) =0.8606 with 95% confidence interval (CI): 0.7812, 0.8987]. Neurodermatitis (OR =1.0853 with 95% CI: 1.0115, 1.2512), eczema (OR =1.1358 with 95% CI: 1.0215, 1.2129), generalized eczema (OR =1.3346 with 95% CI: 1.1212, 1.5521), and psoriasis (OR =1.3685 with 95% CI: 1.1728, 1.6215) were associated with the anxiety of patients. Prediction analysis showed that with increase of patients’ age, the likelihood of anxiety decreased. Conclusions This study demonstrated a strong correlation between skin diseases and anxiety and that the likelihood of anxiety decreases as age increases. Therefore, psychological intervention for patients with skin diseases, especially young patients, is essential.

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Section: Discussionsupporting

confidence: 92%

Association between skin disease and anxiety: a logistic analysis and prediction

Sun¹,

Ren²,

Zhang³

2023

Ann Transl Med

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“…8 Samanthula and Kodali et al found that 60.4% had acne for more than 1 year duration while in our study it was 60% in patients with duration 6 months to 1 year. 9 The largest clustering of cases was identified in the same study between the ages of 15-20 years, whereas clustering was seen in our study between the ages of 20-30 years.…”

Section: Resultscontrasting

confidence: 72%

Impact on quality of life in acne patients attending the tertiary care center in Saurashtra region of Gujarat

et al. 2022

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Background: Acne vulgaris is a common chronic skin disorder that is defined by inflammation of the pilosebaceous units and has a variety of symptoms and treatment options. Acne is very prevalent among teenagers, and it can linger far into adulthood. In this study, the dermatological life quality index was assessed in acne vulgaris patients.Methods: This is a hospital based prospective cross-sectional questionnaire study done on acne vulgaris patients attending the dermatology outpatient department in a tertiary care hospital in Saurashtra region, Gujarat. Quality of life (QoL) was measured using both acne specific (Cardiff acne disability index (CADI)) questionnaire and skin disease specific (Dermatology life quality index (DLQI)) questionnaire.Results: In our study, women outweighed men (M:F ratio=1:1.43). Those between the ages of 15 and 20 were the most affected. The average DLQI score was 5.5947. The vast majority had a 'minor impact' on QoL. Females had a lower QoL than males. In general, grade 2 acne was the most common kind of acne. Males were more likely to have grade 3 acne. The majority of the patients (84%) experienced embrassement or heightened self-consciousness as a result of their acne.Conclusions: Our research reveals that acne has a detrimental influence on QoL, demonstrating the need for a comprehensive approach to treating the body and mind for overall well-being.

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“…Reduced mood levels, poor self-esteem, neurotic symptoms or depression are not uncommon in patients with skin diseases. Among people with dermatoses, these disorders are observed much more frequently than among the general population [7][8][9][10]. The relationship between the nervous system and the skin is due to the fact that both structures originate from the same primordial embryonic structure, namely the ectoderm.…”

Section: Stress and Skin Diseasesmentioning

confidence: 99%

Stress and skin diseases. Overview using acne vulgaris as an example

Gradowicz-Prajsnar

2023

Aesth Cosmetol Med

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Stress is defined as the activation of complex physiological and psychological response mechanisms in situations that threaten physical as well as mental human homeostasis. Skin diseases and associated skin lesions can become a source of stress and psychological burden. Acne vulgaris affects appearance, which plays an important role in self-esteem, a person’s functioning in society, his or her psychological state, and quality of life. Stress is one of many factors considered in the etiopathogenesis of this dermatosis. Chronic stress hurts the condition of the skin because cortisol levels are increased, which inhibits the synthesis of collagen and proteins the skin’s building blocks. This study aimed to review the literature on the significance of stress in the onset and course of skin diseases, using acne vulgaris as an example. Due to the recurrent and chronic course of acne, treatment should be interdisciplinary, complemented by appropriate psychological care and effective methods of stress management, to increase the efficiency of dermatological therapy.

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A study of skin manifestations in patients with psychiatric disorders

Cited by 5 publications

References 4 publications

Association between skin disease and anxiety: a logistic analysis and prediction

Association between skin disease and anxiety: a logistic analysis and prediction

Impact on quality of life in acne patients attending the tertiary care center in Saurashtra region of Gujarat

Stress and skin diseases. Overview using acne vulgaris as an example

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