Prevalence of psychological factors in chronic dermatoses

Abstract

Aim To investigate, retrospectively, psychiatric consultation results of inpatients staying in Fırat University Dermatology Clinic. Materials and method Records of 520 inpatients who were treated in Fırat University Dermatology Clinic between May 2000 and May 2003 were examined and their psychiatric consultation reports were retrospectively evaluated. Results Of the 520 patients who were included in the study, 272 were female and 248 were male. Ninety-two patients were asked to have psychiatric consultation and when consultation results of these patients were examined it was seen that 67 of them (61.7%) were given a psychiatric diagnosis. Of the 67 patients who were given a psychiatric diagnosis, 34 (50.7%) were female and 33 (49.3%) were male. Mean age of the patients was 39.4 (the youngest being 24 and the oldest 63). It was established that 35.9% of patients (24 individuals) were diagnosed as depressive disorder, 29.8% (20 individuals) as anxiety disorder, 13.4% (nine individuals) as mixed depressive anxiety disorder, 13.4% (nine individuals) as borderline personality disorder and 7.5% (five individuals) as obsessive-compulsive disorder, and that psychiatric treatment was started in 91% of patients. Dermatological diagnoses of patients who were given psychiatric diagnoses were as follows in order of frequency: psoriasis in 22 patients (32.9%), urticaria in 31 patients (46.2%), prurigo nodularis in five patients (7.4%) and others in nine patients (13.5%), respectively. Conclusions Dermatological diseases and psychiatric disorders frequently go together. Psychiatric treatment was started in a high number of patients who were given psychiatric diagnoses and had dermatological problems in the present study. Referring patients with chronic dermatological problems to the psychiatry clinic with a view to supporting their dermatological treatments, we believe, will increase the success rate of dermatosis treatment.

Obsessive-compulsive disorder in dermatology outpatients

“…Among dermatological conditions, acne was the most frequent condition in our total sample (22,15.3%) as well as in OCD-positive patients (8, 40%).…”

Are obsessive‐compulsive disorders and personality disorders sufficiently considered in occupational dermatoses? A discussion based on three case reports

“…A threefold increase in the prevalence of psychiatric disorders can be expected for patients with skin diseases compared to the general population [9, 10]. On the other hand, a high prevalence of skin diseases in populations of the mentally ill is reported in the literature [11]. Whether skin diseases lead to mental burdens or mental burdens cause or at least contribute to skin diseases cannot be answered by such observational studies [11, 12], i. e. the causal relationship remains unclear.…”

Körperdysmorphe Symptome, soziale Anpassung und Motivation zu psychotherapeutischer Beratung bei ambulanten dermatologischen Patienten

“…Hautpatienten ohne körperdysmorphe Symptome und Patienten mit subklinischen körperdysmorphen Symptomen unterschieden sich in der sozialen Anpassung nicht signifikant voneinander. Demzufolge scheinen die in unserer Studie untersuchten ambulanten dermatologischen Patienten nicht unter Beeinträchtigungen in der sozialen Anpassung zu leiden, die häufig eine Folgeerscheinung verschiedener Hauterkrankungen darstellen .…”

“…Prävalenzstudien zur Erfassung psychischer Störungen bei dermatologischen Patienten verweisen auf eine überdurchschnittliche Häufigkeit behandlungsbedürftiger psychischer Störungen (ambulantes Setting: 25,2–30 %, stationäres Setting: 61,7 %) . So ergaben sich bei Patienten mit unterschiedlichen Hauterkrankungen Hinweise auf eine erhöhte Ängstlichkeit, Depressivität sowie Zwangsstörungen .…”