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标题：Psychiatric morbidity in psoriasis: A case-control study
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作者：Sunil Goyal ; Rohith R Pisharody ; Shubhranshu Nath 等
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2017
卷号：19
期号：1
页码：18-23
DOI：10.4103/jmms.jmms_22_17
语种：English
出版社：Medknow Publications
摘要：Objective: Psoriasis is a chronic,relapsing and disfiguring dermatological disorder with a significant effect on occupational,social,and other areas of functioning.Psychological stress has been known to have a significant role in the onset and exacerbation of this illness.To study the prevalence of psychiatric morbidity in psoriasis and the influence of specified demographic,psychological,social and illness-related variables.Methods: The study was carried out at a tertiary care hospital in a large urban setup.In this case–control study,100 cases of psoriasis were studied in comparison with healthy controls who were matched for sociodemographic profile.The participants were given a sociodemographic questionnaire,clinical profile sheet,and psoriasis area and severity index (PASI).General Health Questionnaire-12 (GHQ-12) was used to screen for psychological distress,and subsequently,Hospital Anxiety and Depression Scale for screening for depression and anxiety and World Health Organization Quality of Life-BREF scale for assessing the quality of life (QOL) were administered.The results obtained were analyzed for evaluating the psychiatric morbidity and its various correlates.Appropriate statistical analysis was done using SPSS 21.Results: Using GHQ-12 cutoff score (≥3) for psychological distress,the overall prevalence of psychological distress was significantly more in cases of in comparison to healthy controls with an odds ratio of 8.54 (95% confidence interval 3.16–23.07,P < 0.0001).Statistical analysis showed a statistically significant correlation of educational status with QOL and severity of skin lesions (PASI) with anxiety level.Severe skin lesions,more so on visible body parts were associated more commonly with psychological distress.Conclusions: All patients of psoriasis should be educated about the nature of the illness and screened for psychological distress.Dermatologists and family members should be educated to recognize the symptoms early and encouraged to seek the help of psychiatrist.
关键词：Psoriasis;psychiatric area and severity index;psychiatric morbidity