Panebianco Annarita, Sampogna Francesca, Iemboli Maria Luisa, Sobrino Luciano, Andreoli Elisabetta, Antinone Valeria, Mazzanti Cinzia, Abeni Damiano
Health Director.
Clinical Epidemiology Unit.
Eur J Dermatol. 2018 Jun 1;28(3):326-331. doi: 10.1684/ejd.2018.3316.
The psychosocial impact of skin conditions is usually evaluated in research settings.
To define predictors that can be used by dermatologists to refer patients for psychological consultation or psychotherapy using a simple screening instrument.
MATERIALS & METHODS: A questionnaire to evaluate possible anxiety and depression (12-item General Health Questionnaire [GHQ-12]) was routinely used over a period of two months in an Italian dermatological reference centre.
Of 651 patients, 508 (78%) completed the GHQ-12. Of the total sample, 35.2% scored 4 or more (psychological consultation suggested), and 15.7% scored 7 or more (psychological consultation recommended). Probable depression or anxiety was more frequent in women than in men, in patients born in foreign countries, and in patients with leg ulcers, pemphigoid, and psoriasis.
Our results indicate that a simple instrument may be useful for dermatologists to detect patients at risk of psychological problems and subsequently refer them for psychological consultation.
皮肤疾病的社会心理影响通常在研究环境中进行评估。
使用一种简单的筛查工具确定皮肤科医生可用于将患者转介进行心理咨询或心理治疗的预测指标。
在意大利一个皮肤科参考中心，在两个月的时间里常规使用一份评估可能的焦虑和抑郁的问卷（12项一般健康问卷[GHQ-12]）。
651名患者中，508名（78%）完成了GHQ-12。在总样本中，35.2%的得分在4分及以上（建议进行心理咨询），15.7%的得分在7分及以上（推荐进行心理咨询）。可能的抑郁或焦虑在女性中比在男性中更常见，在外国出生的患者中，以及在患有腿部溃疡、类天疱疮和银屑病的患者中更常见。
我们的结果表明，一种简单的工具可能有助于皮肤科医生检测有心理问题风险的患者，并随后将他们转介进行心理咨询。
