Psychiatric morbidity in dermatological outpatients: an issue to be recognized

Authors

  • Robina Aslam
  • Altaf Qadir
  • Faria Asad

Keywords:

Hospital Anxiety and Depression Scale, anxiety, depression

Abstract

Objective The aim of our study was to assess the prevalence of anxiety and depression in thepatients suffering from skin disorders.Patients and methods Two hundred consecutive patients attending out-patient Department ofDermatology, Jinnah Hospital, Lahore, were studied. Hospital Anxiety and Depression Scale,Urdu version was administered to each patient after taking informed consent, as this scalewas designed specifically for use in non-psychiatric hospital departments. A personalinformation sheet was also completed for the total sample of 200 patients.Results Among them 36.5% were males and 63.5% were females, with a majority in the agerange of 16-30 years. 20% cases of depression and 28% cases of anxiety were found in thetotal sample, using cut off point as 11 or more on HAD Scale. High scores were associatedwith conditions like acne, psoriasis, eczema, all tending to be extensive, chronic anddisfiguring and easily visible. The association between sex, marital status, employment statusand caseness is discussed.Conclusion There is a high rate of psychological problems in dermatological out-patientssuffering from chronic and disfiguring skin conditions.

References

Aktan S, Ozmen E, Sanli B. Psychiatric

disorders in patients attending a

dermatology outpatient clinic.

Dermatology 1998; 197: 230-4.

Gupta MA, Gupta AK. Psychiatric and

psychological comorbidity in patients

with dermatological disorders. Am J

Clin Dermatol 2003; 4: 833-42.

White W, Leach C, Sims R et al.

Validation of Hospital Anxiety and

Depression Scale for use with

adolescents. Br J Pshychiatr 1999; 173:

-4.

Mumford DB, Tareen IAK, Bajwa

MAK et al. The translation and

evaluation of an Urdu version of

Hospital Anxiety and Depression Scale.

Acta Psychiatr Scand 1991; 83: 81-5.

Sharma N, Koranne RV. Singh RK. A

comparative study of psychiatric

morbidity in dermatology patients.

Indian J Dermatol 2003; 48: 137-41.

Wesely SC, Lewis GH. The

classification of psychiatric morbidity

in attenders at a dermatology clinic. Br

J Psychiatry 1989; 155: 686-91.

Mallon E, Newton JN, Klassen AF et

al. The quality of life in acne: A

comparison with general medical

condition using generic questionnaires.

Br J Dermatol 1999; 140: 672-6.

Lasek RJ, Chren MM. Acne vulgaris

and the quality of life of adult

dermatology patients. Arch Dermatol

; 134: 454-8.

Yazici K, Baz K, Yezici AE et al.

Disease specific quality of life is

associated with anxiety and depression

in patients with acne. J Eur Acad

Dermatol Venereol 2004; 18: 435-9.

Gupta MA, Schork NJ, Gupta AK et al.

Suicidal ideation in psoriasis. Int J

Dermatol 1993; 32: 188-90.

Gupta MA, Gupta AK, Schork NJ, Ellis

CN. Depression modulates pruritus

perception: a study of pruritus in

psoriasis, atopic dermatitis and chronic

idiopathic urticaria. Psychosomatic Med

; 56: 36-40.

Colon EA, Popkin MK, Callies AL et

al. Lifetime prevalence of psychiatric

disorders in patients with alopecia

areata. Compr Psychiatry 1991; 32:

-51.

Koo JY, Shellow WV, Hallman CP,

Edwards JE. Alopecia areata and

increased prevalence of psychiatric

disorders. Int J Dermatol 1994; 33: 849-

Cotterill JA, Cunliffe WJ. Suicide in

dermatological patients. Br J Dermatol

; 137: 246-50.

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Published

2016-12-28

How to Cite

1.
Aslam R, Qadir A, Asad F. Psychiatric morbidity in dermatological outpatients: an issue to be recognized. J Pak Assoc Dermatol [Internet]. 2016Dec.28 [cited 2025Apr.18];17(4):235-9. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/707

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