Psychiatric Morbidity In Patients With Neurodermatitis

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Psychiatric Morbidity In Patients With Neurodermatitis

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11

Abstract

Psycho-dermatology is a collaborate field of activity that is based on the relationship and interaction between Psychiatry and Dermatology, and in practice this collaboration may be disease that are based on a psychiatric disorder that appear as a dermatologic disease, dermatological diseases formed or advanced by psychosomatic factors, Psychiatric disorders secondary to social isolation ,Dermatological and Psychiatric disorders related to genetic or environmental influences, Dermatological diseases that appear in chronic psychiatric patients and on those with medical treatment. The prevalence of psychiatric disorders in the patients presenting to dermatology clinic has been reported as 25-43% [1] [2]. Stress may aggravate the cutaneous disease in 40-100% of Patients and it was reported that skin diseases appear in persons who cannot express their anger and hostility sufficiently [3] . Methodology: The aim of the studyis to assess the prevalence of the Psychiatric morbidity in patients with Neurodermatitis, to correlate them with stressors, personality profile and physical variables and to know their clinical relevance. The Research design was planned to be based on hypothesis testing design, with the use of validated structured tools and statistics. Patients diagnosed as Neurodermatitis by Dermatologist were chosen and forty patients were included for the study. Patients were interviewed before any psychiatric medication. Results: From this study, it has been found that psychiatric morbidity is higher in Neurodermatitis patients. Depression and anxiety disorder are the common psychiatric illness in them. These patients had high neuroticism and higher total hostility and self directed hostility. As age advances, risk of psychopathology increases and multiple lesions with lesions on the lower limb in patients increases risk of psychopathology. Conclusion: Based on the findings in our study, it is understandable that dermatological patients have a high risk of psychiatric illness and when emotional factors are not addressed adequately, the morbidity of these patients may increase. Early recognition and treatment of Psychiatric illness by involving Psychiatrist as a team member in the Dermatology clinic may lead to a better outcome.

Authors and Affiliations

Amutha G, Anandhakrishna kumar S

Keywords

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EP ID EP238249
DOI 10.9790/0853-1611035157
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