Baidya Suman, Dey Pranjal, Mohanty Rakesh
Department of Psychiatry, FAA Medical College and Hospital, Barpeta, Assam, India.
Department of Psychiatry, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
Ind Psychiatry J. 2021 Jan-Jun;30(1):62-66. doi: 10.4103/ipj.ipj_16_20. Epub 2021 Jun 4.
Vitiligo is a common form of localized depigmentation of skin which draws unusual attention to the patient especially when it is in visible areas of the body. The appearance of visible skin lesions and its chronic progression may cause a significant burden on patients' health-related quality of life and psychiatric morbidity may arise as a complication.
An endeavor has been made to find out how the disease influences the quality of life of affected persons.
This was a hospital based cross sectional study. Clinically diagnosed eighty vitiligo patients were selected from dermatology outpatient department with purposive sampling method and compared them with those of healthy control group. In selected cases Dermatology Life Quality Index (DLQI) questionnaire was used for the assessment of quality of life. Also International classification of mental and behavioral disorders research criteria along with 17-item Hamilton Rating scale of Depression were applied to diagnose the presence of depression. Data were collected and "Chi Square Test" or "Fisher Exact Test" was used. All analysis were done using SPSS version 20.0.
In this study 92.5% of the patients had elevated DLQI scores. We found higher DLQI mean score in vitiligo patients ( 9.68+5.24) compared to (1.36+ 1.37) of control and depression was significantly associated with the impairment of quality of life.
Vitiligo patients have significant impairment in their quality of life and more in those who develops depression.
白癜风是一种常见的局限性皮肤色素脱失疾病，尤其当它出现在身体暴露部位时，会格外引人注意。可见皮肤损害的出现及其慢性进展可能给患者与健康相关的生活质量带来沉重负担，并且可能引发精神疾病并发症。
努力探究该疾病如何影响患者的生活质量。
这是一项基于医院的横断面研究。采用目的抽样法从皮肤科门诊选取80例临床诊断为白癜风的患者，并与健康对照组进行比较。在所选病例中，使用皮肤病生活质量指数（DLQI）问卷评估生活质量。此外，应用国际精神与行为障碍分类研究标准以及17项汉密尔顿抑郁评定量表来诊断抑郁症的存在。收集数据并使用“卡方检验”或“Fisher精确检验”。所有分析均使用SPSS 20.0版本完成。
在本研究中，92.5%的患者DLQI评分升高。我们发现白癜风患者的DLQI平均得分（9.68±5.24）高于对照组（（1.36±1.37）），并且抑郁症与生活质量受损显著相关。
白癜风患者的生活质量有显著损害，而患抑郁症的患者损害更严重。
