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[摩洛哥医科学生精神科与皮肤科共病的特点:多中心研究]

[Particularities of psychiatric and dermatological comorbidity among medical students in Morocco: Multicenter study].

作者信息

Barrimi M, Bouyahyaoui Y

机构信息

Service de psychiatrie, faculté de médecine et de pharmacie d'Oujda, université Mohamed Premier, CHU Mohamed VI, Oujda, Maroc.

Centre hospitalier provincial AL Farabi, Oujda, Maroc.

出版信息

Encephale. 2021 Feb;47(1):26-31. doi: 10.1016/j.encep.2020.03.006. Epub 2020 May 27.

DOI:10.1016/j.encep.2020.03.006
PMID:32473776
Abstract

OBJECTIVES

To evaluate the prevalence and factors associated with dermatological conditions and to study the peculiarities of comorbidity between psychiatric disorders and dermatological conditions among medical students in Morocco.

METHODS

This is a multicenter, descriptive, and analytical cross-sectional study over a period of 4 weeks during the month of February 2019.

RESULTS

Six hundred and five students from the seven faculties of medicine of Morocco were included. Dermatological conditions were present in 15.5% (94) of students, acne being the most common condition (10.7%), followed by psoriasis in 1.65% of students as well as urticaria in 1.65%. Psychiatric disorders were present in 28% (168) of the students depression being the most common disorder (10.4%), followed by anxiety disorders (7.8%), comorbidity between depression and anxiety disorder (6.94%), and psychotic disorders (2.46%). Dermatological diseases were significantly and independently associated with the presence of a psychiatric disorder (0.0000) and marital status (P=0.0103). Suicide attempts and substance use are more common among medical students who have an association between psychiatric disorder and dermatological pathology compared to students with isolated dermatological conditions or students with isolated psychiatric disorders.

CONCLUSION

Dermatological and psychiatric conditions are frequent and underestimated among medical students in Morocco. Dermatologic and psychiatric comorbidity is associated with a higher prevalence of psychoactive substance use and suicide attempts.

摘要

目的

评估皮肤病的患病率及相关因素,并研究摩洛哥医科学生中精神障碍与皮肤病合并症的特点。

方法

这是一项多中心、描述性和分析性横断面研究,于2019年2月进行,为期4周。

结果

纳入了摩洛哥7所医学院的605名学生。15.5%(94名)的学生患有皮肤病,痤疮是最常见的疾病(10.7%),其次是银屑病(1.65%)和荨麻疹(1.65%)。28%(168名)的学生患有精神障碍,抑郁症是最常见的障碍(10.4%),其次是焦虑症(7.8%)、抑郁症与焦虑症合并症(6.94%)以及精神障碍(2.46%)。皮肤病与精神障碍的存在(0.0000)和婚姻状况(P=0.0103)显著且独立相关。与单纯患有皮肤病或单纯患有精神障碍的学生相比,患有精神障碍与皮肤病病理合并症的医科学生中自杀未遂和物质使用更为常见。

结论

摩洛哥医科学生中皮肤病和精神障碍较为常见且被低估。皮肤病与精神障碍合并症与精神活性物质使用和自杀未遂的较高患病率相关。

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