Psychiatric morbidity in children and adolescents with dermatological disorders.

IF 1.4 Q3 PSYCHIATRY Scandinavian Journal of Child and Adolescent Psychiatry and Psychology Pub Date : 2021-01-29 eCollection Date: 2021-01-01 DOI:10.21307/sjcapp-2021-001
Dilşad Yıldız Miniksar, Özlem Özel Özcan, Hülya Cenk, Yelda Kapıcıoğlu, Ayşegül Polat
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引用次数: 2

Abstract

Background: Understanding the existence of a cycle, where psychological disturbances cause skin diseases and in turn, skin diseases cause psychological disorders, provides the basis for good dermatological practice.

Objective: The aim of this case-control study is to examine the psychiatric morbidity of dermatological disorders in children and adolescents with no history of psychiatric disorders.

Method: In this study, 502 participants (251 patients and 251 healthy individuals) were evaluated according to DSM-IV criteria. All participants were interviewed and evaluated using the Turkish version of the Kiddie Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL) and the State-Trait Anxiety Inventory for Children (STAI-1 and STAI-2), the Childhood Depression Inventory (CDI), adolescent and parent forms of the Strengths and Difficulties Questionnaire (SDQ-A and SDQ-P) and a questionnaire evaluating child's level of school success.

Results: Our results indicated that the rates of general psychiatric comorbidity, mood disorders, anxiety disorders, and adjustment disorders were significantly higher in the study group compared to the control group. The CDI, STAI-1, STAI-2, and SDQ (and subscales) scores were significantly higher in the study group. Moreover, psychiatric comorbidity was higher in inflammatory and allergic dermatoses compared to other dermatological subgroups. Having a dermatological disease restricts physical activity thus increasing the risk of psychiatric comorbidity.

Conclusions: Investigating the education, attitudes, and awareness of dermatologists about psychocutaneous disorders might contribute to the development of new educational strategies and elicit appropriate biopsychosocial approaches.

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患有皮肤病的儿童和青少年的精神发病率。
背景:了解心理障碍引起皮肤病,反过来皮肤病又引起心理障碍的循环的存在,为良好的皮肤病学实践提供了基础。目的:本病例对照研究的目的是检查无精神病史的儿童和青少年皮肤疾病的精神发病率。方法:502名参与者(251名患者和251名健康者)按照DSM-IV标准进行评估。使用土耳其版儿童情感障碍和精神分裂症时间表-现在和终身版(k - ssad - pl)和儿童状态-特质焦虑量表(STAI-1和STAI-2),儿童抑郁量表(CDI),青少年和家长形式的优势和困难问卷(SDQ-A和SDQ-P)以及评估儿童学业成功水平的问卷对所有参与者进行访谈和评估。结果:我们的研究结果表明,与对照组相比,研究组的一般精神合并症、情绪障碍、焦虑障碍和适应障碍的发生率显著高于对照组。研究组的CDI、sti -1、sti -2和SDQ(及其子量表)得分显著高于对照组。此外,与其他皮肤病亚组相比,炎症性和过敏性皮肤病的精神合并症更高。患有皮肤病限制了身体活动,从而增加了精神合并症的风险。结论:调查皮肤科医生对心理皮肤疾病的教育、态度和意识,可能有助于制定新的教育策略,并引出适当的生物心理社会方法。
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8 weeks
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