Depression, Anxiety and Quality of Life in Patients with Psoriasis: A Cross Sectional Study

Rose Monica, V R (2019) Depression, Anxiety and Quality of Life in Patients with Psoriasis: A Cross Sectional Study. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Psoriasis is a common dermatological condition affecting ski, joints, nails and other systems. It is a psychocutaneous disorder in which there is complex interaction between skin and mind. Approximately 30 – 40% of patients seeking medical treatment for their skin conditions, often have an underlying psychological problem or psychiatric illness that causes or exacerbates the skin disorders. The prevalence of depression and anxiety in those with psoriasis is higher and the quality of life is low. If these co morbidities are not treated, they influence the treatment improvement of primary dermatological condition. MATERIALS AND METHODS: 100 Patients with psoriasis were included in the study based on selection criteria. The prevalence and severity of depression and anxiety, their quality of life and its influence on severity of psoriasis was assessed using scales HAM-D, HAM –A, DQLI, BPRS. RESULTSV: The overall prevalence of depression and anxiety was 43% and 20% respectively. Among them 84% had poor quality of life, patients with higher severity of psoriasis and psychiatric morbidity had poor quality of life. CONCLUSION: Psoriasis could result in impairment of social and occupational domains. Depression in these patients go unnoticed and could even result in suicide attempts. Patients, including their families have to be educated regarding the illness, and the need for psychiatric consultation, since psychiatric morbidity could exacerbate psoriasis and also influence the treatment adherence. Timely intervention of psychiatric morbidity will improve the patient’s condition and thereby the quality of life.

Item Type: Thesis (Masters)
Uncontrolled Keywords: psoriasis, depression, anxiety.
Subjects: MEDICAL > Psychiatry
Depositing User: Subramani R
Date Deposited: 19 Aug 2019 01:02
Last Modified: 19 Aug 2019 01:02

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