Flinn Clodagh, McInerney Amy, Nearchou Finiki
University College Dublin, Republic of Ireland.
J Health Psychol. 2025 Mar;30(4):652-679. doi: 10.1177/13591053241252216. Epub 2024 May 29.
Chronic skin conditions can have psychosocial and somatic implications, influencing well-being and quality of life. This systematic review and meta-analysis aimed to synthesise evidence on the prevalence of comorbid mental health difficulties in 0-25-year-olds with chronic skin conditions. A secondary aim included identifying factors associated with resilience. The narrative synthesis included 45 studies. Four meta-analyses were performed with moderate-high quality studies, one for each outcome: diagnosed mental disorders; mental health symptoms; suicidal behaviour; socio-emotional and behavioural difficulties. The pooled prevalence of diagnosed mental disorders was 1.2% (95% CI = 0.2-6.1); of mental health symptoms was 22.6% (95% CI = 18.9-26.7); of suicidal behaviour was 7.8% (95% CI = 1.4-3.1); of socio-emotional and behavioural difficulties was 20.9% (95% CI = 14.7-28.8). Findings demonstrate the pooled prevalence of comorbid mental health difficulties in youth with chronic skin conditions.
慢性皮肤病会产生心理社会和躯体方面的影响，影响幸福感和生活质量。本系统评价和荟萃分析旨在综合关于0至25岁慢性皮肤病患者共病心理健康问题患病率的证据。次要目的包括确定与恢复力相关的因素。叙述性综述纳入了45项研究。对质量中到高的研究进行了四项荟萃分析，每项结果一项：诊断出的精神障碍；心理健康症状；自杀行为；社会情感和行为困难。诊断出的精神障碍合并患病率为1.2%（95%CI = 0.2 - 6.1）；心理健康症状为22.6%（95%CI = 18.9 - 26.7）；自杀行为为7.8%（95%CI = 1.4 - 3.1）；社会情感和行为困难为20.9%（95%CI = 14.7 - 28.8）。研究结果表明了慢性皮肤病青少年共病心理健康问题的合并患病率。
