Vitiligo and psychiatric morbidity: A profile from a vitiligo clinic of a rural-based tertiary care center of eastern India

Sarkar, Sonali; Sarkar, Tanusree; Sarkar, Arnab; Das, Swagata

doi:10.4103/ijd.ijd_142_18

Cited by 35 publications

(39 citation statements)

References 17 publications

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“…Because of this, it is not surprising that skin diseases that result in altered or impaired appearance can have profound psychological consequences on those affected 2 . In fact, the skin and brain originate embryologically from the same ectodermal structure, and are, therefore, regulated by many of the same neurotransmitters and hormones 3 . This unique, embryological connection between the skin and brain has made psychodermatology, or the mutual interaction between psychiatry and dermatology, a field of great research interest 3 …”

Section: Psychodermatologymentioning

confidence: 99%

Psychodermatology of vitiligo: Psychological impact and consequences

Simons

Zevy

Jafferany

2020

Dermatologic Therapy

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Vitiligo is an autoimmune dermatologic disorder that causes chronic skin depigmentation, which affects an estimated 1% of the world's population. This disfiguring condition can have devastating psychological consequences on its sufferers. The field of psychodermatology examines psychiatric manifestations of dermatologic conditions. Although previous research in this area has been done on other skin disorders, no large‐scale review exists on the dermatologic‐psychiatric connection in vitiligo specifically. The current article will discuss the psychodermatology of vitiligo with an emphasis on depression, stress, and low self‐esteem. The social and cultural considerations will also be explored. Finally, the implications of these psychiatric manifestations on treatment will be discussed, with the goal of implementing early psychiatric intervention for those with vitiligo.

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Section: Psychodermatologymentioning

confidence: 99%

Psychodermatology of vitiligo: Psychological impact and consequences

Simons

Zevy

Jafferany

2020

Dermatologic Therapy

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“…Vitiligo patients experience a high level of stress and psychiatric disorders in addition to physical involvement. Depression, anxiety, suicidal thoughts, suicidal attempts, embarrassment, social problems, discomfort, cognitive impairment, embarrassment, and physical limitation were reported in vitiligo patients [17,18]. For this reason, vitiligo influences the patients' quality of life; so, related psychiatric disabilities should not be underestimated [19].…”

Section: Introductionmentioning

confidence: 99%

Evaluating prevalence of depression, anxiety and hopelessness in patients with Vitiligo on an Iranian population

Hamidizadeh

Ranjbar

Ghanizadeh

et al. 2020

Health Qual Life Outcomes

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Introduction: Vitiligo is caused by partial or complete destruction of melanocytes in the affected skin area and influences the patient's quality of life. Besides physical involvement, vitiligo patients experience a high level of stress. Depression and Anxiety are common psychiatric disorders in vitiligo patients. Aim: This study, as the first study, evaluates hopelessness, anxiety, depression and general health of vitiligo patients in comparison with normal controls in an Iranian population. Method: Hundred patients with vitiligo and hundred healthy controls were examined. General health, depression, hopelessness and anxiety were evaluated based on general health questionnaire. Anxiety, depression and hopelessness levels were analyzed using Chi-Square, and the mean value of general health was evaluated through t-test. Results: The results showed that anxiety and hopelessness levels were significantly higher in vitiligo patients than those who are in healthy controls. This significant difference refers to high levels of anxiety and hopelessness among women with vitiligo. It was also found that the single patients were more anxious, hopeless and depressive, while the married patients were only more anxious and hopeless than those who are in the control group, respectively. General health of patients was significantly worse than in healthy controls. The low level of general health in patients was related to poorer level of general health among women with vitiligo. Conclusion: It seems that women with vitiligo are more mentally stressed than men with vitiligo. Both singles and married vitiligo patients suffer from anxiety and hopelessness.

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“…In India, vitiligo commonly known as leucoderma is unfortunately associated with some religious myths like being a curse of God or a sin for which patients seek help from faith healers and do religious rituals than seeking medical help, thus resulting in social ostracism [8, 9]. Given the visibility of chronic dermatoses, stigmatization becomes a part of daily life in vitiligo patients, which can lead to psychosocial stress and ultimately depression [10–14]. The chronicity, visibility, and relapsing nature of vitiligo impair quality of life and ability to cope [14–20].…”

Section: Introductionmentioning

confidence: 99%

“…Research in vitiligo shows that at least 25% [11] of dermatology patients suffered from significant psychiatric comorbidity and 63% had positive findings on self-reporting questionnaire-24 which was the psychiatric screener [10]. Picardi et al suggested that untreated comorbid psychiatric disorders may adversely affect the response of the dermatological disorder to prescribed therapies [21].…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Depression, Coping, Stigma, and Quality of Life in Patients of Vitiligo

Sawant

Vanjari

Khopkar

2019

Dermatology Research and Practice

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Though vitiligo is one of the psychodermatological disorders which do not cause direct physical impairment, it is cosmetically disfiguring leading to serious psychological problems in daily life. We undertook this research to study patients of vitiligo the prevalence of depression, coping, stigma, and quality of life and comparison of the same in both genders. Patients diagnosed clinically as having vitiligo by consultant dermatologist were enrolled after informed consent and ethics approval. 156 patients were screened, of which 100 satisfying criteria were taken up for the study. A semistructured proforma was designed to collect the necessary information with administration of Beck’s depression inventory, participation scale, dermatology life quality index, and adjustment to chronic skin diseases questionnaire. Depression prevalence was 63.64% in females and 42.86% in males (p<0.0457); the total mean BDI scores were significant with females having higher scores than males (p<0.0083). No significant differences were seen on participation scale though 52% females felt stigmatized as compared to 45% males (p <0.5779). While almost 97% of our patients had impaired quality of life there was no significant difference in both genders on the total score (p<0.3547). Females had significantly higher faulty coping style than males with significant differences on all domains and total scores (p< 0.0094). There was a strong association of depression with faulty coping and stigma (p< 0.0001) in both genders. Also association of stigma with quality of life showed highly significant findings in both genders (p< 0.0001) on all the domains of DLQI. This study helps in early identification of psychological problems in vitiligo patients and planning their future course of management, hence improving the prognosis and quality of life.

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Vitiligo and psychiatric morbidity: A profile from a vitiligo clinic of a rural-based tertiary care center of eastern India

Cited by 35 publications

References 17 publications

Psychodermatology of vitiligo: Psychological impact and consequences

Psychodermatology of vitiligo: Psychological impact and consequences

Evaluating prevalence of depression, anxiety and hopelessness in patients with Vitiligo on an Iranian population

Gender Differences in Depression, Coping, Stigma, and Quality of Life in Patients of Vitiligo

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