ABSTRACT
The psychological burden of skin diseases should not be ignored as it can potentially affect the overall disability experienced by the patient. The relationship between skin diseases and psychiatric illness is bidirectional and is manifested as cause as well as effect. Dermatological disorders like acne, alopecia areata, psoriasis and vitiligo often have a severe form that causes disability and exclusion from a normal life .Psychiatric disorders like stress, anxiety and depression are seen to be instrumental in development and progression of dermatological diseases and this study is to ascertain the association between depression and anxiety with various dermatological diseases. Methods: A total of 100 patients, visiting the Out Patient Department of Dermatology, who are referred to Department of Psychiatry for the evaluation of Psychiatric symptom, were included in the study after obtaining written informed consent. Psychiatric morbidities were screened using Brief Psychiatric Rating Scale (BPRS), Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A). Results: The present study envisaged to explore a relationship between chronic dermatological diseases and psychiatric morbidities. Prevalence of psychiatric comorbidities was maximum in psoriasis (75%) followed by urticaria and Acne Vulgaris(65% each), Alopecia Areata(60%) and Vitiligo (50%). Depression with anxiety disorder (27%) followed by moderate depression with anxiety disorder (23%), anxiety disorder (10%) and severe depression with anxiety disorder (3%) were the most common psychiatric comorbidity. Conclusion: The present study was carried out to evaluate the prevalence of psychiatric morbidities among patients with different dermatological illnesses. The growing relationship between skin and psychiatry has given birth to a new branch of medicine, i.e. psychodermatology, which marks the mutual relationship and interaction between psychiatry and dermatology.
ABSTRACT
Obsessive Compulsive Disorder (OCD) is a chronic, distressing, anxiety disorder associated with significant functional impairment. Patient with OCD often suffer from one or more co-morbid disorders. Major depression has been the most common co-morbid syndrome. OCD in association with comorbid depressive and anxiety symptoms, increased severity of obsessions, feelings of hopelessness and past history of suicide attempts have been associated with worsening levels of suicidality. As per data Thirty-six percent of the patients of OCD report lifetime suicidal thoughts and 11% have a history of attempted suicide. There is a reasonable probability that the patient of OCD has suicidal thoughts, plans or a suicidal attempt in the past. Methods: This study was conducted on 50 patients diagnosed with OCD as per ICD 10 criteria, both outpatient & indoor, from department of psychiatry, Teerthanker Mahaveer Medical College & Hospital, Moradabad, Uttar Pradesh, India. A socio-demographic proforma, Hamilton Depression rating scale, Yale Brown Obsessive Compulsive Scale and WHOQOL-BREF-Hindi version were administered. Results: The majority of the patients suffering from OCD were below 40 years of age. The prevalence of OCD was maximum in housewives and they mostly belonged to 25-34 years age group. All the patients who had current suicidal ideation showed low scores on all the domains of Quality of life. Also, the patients who had attempted suicide in the past showed same low scores on all domains of Quality of life and both results were statistically significant. Conclusion: Hence the assessment of Quality of life in OCD patient is a strong predictor of suicidality in these patients