Mina Shaily, Jabeen Masarat, Singh Shalini, Verma Rohit
Department of Psychiatry, Lady Hardinge Medical College and Shrimati Sucheta Kriplani Hospital, New Delhi, India.
Department of Dermatology, Lady Hardinge Medical College and Shrimati Sucheta Kriplani Hospital, New Delhi, India.
Indian J Dermatol. 2015 Mar-Apr;60(2):211. doi: 10.4103/0019-5154.152564.
Dermatological patients invariably suffer one or the other psychological problems which may escalate to the extent of a mental disorder. One of the most common dermatological disorders is atopic dermatitis (AD), but the literature has limited data on gender differences for psychiatric morbidity in such patients.
To evaluate and compare gender differences in the prevalence of depression and anxiety in AD.
This cross-sectional study with consecutive sampling was done in an outpatient clinic of Dermatology at a Tertiary Care Center. AD subjects giving informed consent were evaluated on a brief semi-structured performa for collecting demographic and clinical information. Primary Care Evaluation of Mental Disorders (PRIME-MD) was used to assess the presence of psychiatric symptoms in these patients. Descriptive analysis was done for the socio-demographic profile and independent sample t-test, Chi-square and Cramer's V test was carried out to find in-between group differences for males and females.
A total of 81 patients were included in the final analysis (males = 36, females = 45) with no significant difference in mean age between male and female subjects (36.14 ± 17.62 and 33.98 ± 14.49 years, respectively; P = 0.54). When including moderate to severe grade of depression or anxiety, the current study found prevalence rates of 15% and 12% respectively. Females had significantly more anxiety and depression scores than males (P = 0.04 and P = 0.03 respectively).
There is a female preponderance of depression and anxiety disorder in AD patients.
皮肤科患者总是会遭受一种或另一种心理问题，这些问题可能会升级到精神障碍的程度。特应性皮炎（AD）是最常见的皮肤科疾病之一，但关于此类患者精神疾病发病率的性别差异，文献中的数据有限。
评估和比较AD患者中抑郁和焦虑患病率的性别差异。
本横断面研究采用连续抽样，在一家三级医疗中心的皮肤科门诊进行。对签署知情同意书的AD患者，通过一份简短的半结构化表格评估，以收集人口统计学和临床信息。使用精神障碍初级保健评估（PRIME-MD）来评估这些患者是否存在精神症状。对社会人口统计学特征进行描述性分析，并进行独立样本t检验、卡方检验和克莱默V检验，以找出男性和女性组间差异。
最终分析共纳入81例患者（男性 = 36例，女性 = 45例），男性和女性受试者的平均年龄无显著差异（分别为36.14 ± 17.62岁和33.98 ± 14.49岁；P = 0.54）。当纳入中度至重度抑郁或焦虑时，本研究发现患病率分别为15%和12%。女性的焦虑和抑郁评分显著高于男性（分别为P = 0.04和P = 0.03）。
AD患者中抑郁和焦虑障碍以女性居多。
