Somatization in the dermatology patient: Some sociocultural perspectives

Prasad, Krishna; Desai, Geetha; Chaturvedi, Santosh K.

doi:10.1016/j.clindermatol.2017.01.013

Cited by 5 publications

(22 citation statements)

References 44 publications

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“…Sleeping difficulties, somatization, hypochondria, and claustrophobia were higher in women, which is consistent with other studies [44]. The use of drugs during quarantine also differed in both genders.…”

Section: Discussionsupporting

confidence: 91%

Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain

Río-Casanova

Sánchez-Martín

García-Dantas

et al. 2021

IJERPH

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Background: Current research has pointed out an increased risk of mental health problems during the COVID-19 pandemic in women compared to men, however the reason for this difference remains unclear. The aim of this research is to study early psychological responses to the pandemic in the Spanish general population, focusing on gender differences. Methods: Nine to 14 days after the declaration of a state of emergency an online survey was conducted assessing sociodemographic, health, behavioral and COVID-19-related variables. Mental health status was evaluated by the Depression, Anxiety and Stress Scale (DASS-21), the Impact of Event Scale-Revised (IES-R), and the Self-Care Scale (SCS). Results: The study included 3520 respondents: 2611 women and 909 men. Women scored significantly higher in DASS-21 and IES-R (p < 0.05) and were more likely to somatize, suffer from hypochondriasis, sleeping disturbances and claustrophobia (p < 0.05). Being a woman can be considered a risk factor for intrusive thoughts, avoidance mechanisms, stress and anxiety (Odd Ratio = 2.7/2.3/2.3/1.6). The risk of presenting posttraumatic symptoms and emotional distress was greater in women (Odd Ratio = 6.77/4.59). General linear models to predict IES-R and DASS-21 scores clarified which variables were gender specific, such as main concerns. Conclusions: This study provides evidence that at early stages of the pandemic, women mental health was more impacted and that both genders show different concerns. Gender perspective in secondary and tertiary prevention strategies must be taken into account when facing the distress associated with the pandemic.

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Section: Discussionsupporting

confidence: 91%

Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain

Río-Casanova

Sánchez-Martín

García-Dantas

et al. 2021

IJERPH

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“…Dermatologists are often focused only on remedying the cutaneous manifestations of these conditions, and it is easy to miss the psychiatric disorder lurking below. 19 PHQ-15 is a validated tool, which can be used to identify somatization syndromes. In such situation, the onus of screening for psychiatric comorbidities falls on the dermatologist.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 Somatoform disorders are often ignored in dermatology patients, and studies on it are far and few. 19 PHQ-15 is a validated tool, which can be used to identify somatization Psychiatric manifestations in pigment disorders syndromes. In our study, somatization disorder was present in 8.1%, 14.3% and 17.9% patients with melasma, ADMH and vitiligo, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Psychological disturbances in patients with pigmentary disorders: a cross‐sectional study

Dabas

Vinay

Parsad

et al. 2019

Acad Dermatol Venereol

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Background Data on prevalence and factors influencing psychological burden in pigmentary disorders are scarce. Objective To determine the point prevalence of anxiety disorder, depression and somatoform disorder in patients with melasma, vitiligo and acquired dermal macular hyperpigmentation (ADMH). Methods A prospective cross‐sectional study involving 100 patients each with melasma, ADMH and vitiligo with lesions on exposed body parts was conducted in the pigmentary clinic of a tertiary care referral hospital from June 2015 to December 2017. Dermatology life quality index, PRIME‐MD Patient Health Questionnaire, Patient Health Questionnaire‐9, Generalized Anxiety Disorder‐7 and Patient Health Questionnaire‐15 were used for assessment of quality of life, psychiatric comorbidities, depression, general anxiety disorder and somatoform disorders, respectively, and correlated with age, gender, occupation, marital status, severity and progression of the disease. Results The prevalence of anxiety disorder in patients with melasma, vitiligo and ADMH was 11.6%, 21% and 18.7%, respectively. Depression was seen in 12.8%, 27% and 24.1% patients with melasma, vitiligo and ADMH, respectively. Somatoform disorder was more common in vitiligo (17.9%) as compared to ADMH (14.3%) and melasma (8.1%). There were positive correlations between the severity of disease and the point prevalence of anxiety and depression in all disorders. Conclusion A high point prevalence of anxiety, depression and somatoform disorders was observed with pigmentary diseases, especially vitiligo and ADMH. The prevalence of anxiety and depression correlated with the disease severity and activity. Future research involving comparison with the general healthy population is required for a more affirmative conclusion.

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“…Somatization is important to consider because somatic symptoms may be one way to communicate psychological distress or mask depression. 5 The following limitations should be noted. First, one-time skin examination as applied in the present study is likely to exclude mild or transient AD cases, 6 potentially leading to underestimation of the AD prevalence.…”

Section: Prevalence Atopic and Psychological Comorbidity Of Physician...mentioning

confidence: 99%

Prevalence, atopic and psychological comorbidity of physician‐diagnosed atopic dermatitis in an adult general population sample: A cross‐sectional study

Piontek¹,

Ittermann

Arnold

et al. 2022

Allergy

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Somatization in the dermatology patient: Some sociocultural perspectives

Cited by 5 publications

References 44 publications

Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain

Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain

Psychological disturbances in patients with pigmentary disorders: a cross‐sectional study

Prevalence, atopic and psychological comorbidity of physician‐diagnosed atopic dermatitis in an adult general population sample: A cross‐sectional study

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