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Year : 2019  |  Volume : 8  |  Issue : 3  |  Page : 168-173

Anxiety, depression, and suicidal ideations among patients with dermatological problems

1 Department of Dermatology, ARV Skin Clinic, Jammu, Jammu and Kashmir, India
2 Department of Psychiatry, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
3 Department of Dermatology, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Dr. Shaily Mina
Department of Psychiatry, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijhas.IJHAS_153_17

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BACKGROUND: High comorbidity is seen in psychiatric illness and dermatological problems ranging between 21% and 43%, which could be due to cosmetic impact/body image perception/disfigurement due to disease per se; majority of the cases go undetected due to overshadowing of mental illness by physical ailment, stigma, or improper assessment. The present research attempted to evaluate the comorbidity of anxiety, depression, and suicidal ideations among dermatological conditions METHODS: A population-based cross-sectional study with consecutive sampling was conducted in the outpatient department of a dermatology clinic. The Primary Care Evaluation of Mental Disorders (Patient Health Questionnaire-9 and Generalized Anxiety Disorder- 7) was used to assess the presence of psychiatric symptoms in these patients. RESULTS: A total of 1076 patients were included in the study, with age ranging between 10 and 82 years. Females had significantly more depression, anxiety, and suicidal ideation among individuals suffering from dermatitis. Males had significantly more anxiety among individuals suffering from lichen simplex chronicus. Females had significantly more depression and suicidal ideation among individuals suffering from hair disorders. Overall, 22% of individuals had suicidal ideation, of which 4.2% had active suicidal ideations. CONCLUSION: Significant active suicidal ideations were observed among individual dermatological conditions. Female reported having more depressive symptoms with no gender difference in anxiety disorder.

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