30-60% patients with skin disorder estimated to have psychiatry comorbidity. Acne vulgaris (AV) is a chronic inflammatory disease of the pilosebaceous follicles with global prevalence around 70-80%. To assess stress, anxiety and depression in patients of acne and their correlation with acne severity. Patients who received diagnoses of acne vulgaris from Dermatology OPD and willing to participate in study where included. Acne severity was assessed using Global Acne Grading System. (GAGS). Patients were assessed for psychiatry morbidity using Hindi version of Depression Anxiety Stress Scale- 21 item (DASS 21). Statistical analysis was done by SPSS version 20.0. Out of 46 patients included in study, 23 (50%) patients reported having mild stress, 7 (15.2%) had moderate and 2 (4.3%) had severe stress. 14 (26.1%) patients reported having mild anxiety and 8 (21.7%) had moderate anxiety. Depression was found in 9 (19.5%) patients as 7 (15.2%) had mild and 2 (4.3%) had moderate depression. As per GAGS, 19 patients had mild acne, 16 had moderate, 8 had severe and 3 had very severe acne. Significantly high proportion of patients with acne had stress, anxiety and depression and psychiatry morbidity significantly associated with acne severity. Anxiety and depression were also corelated significantly with acne duration. The relationship between stress, psychiatry morbidity and acne are worth exploring as possible behaviour intervention can be useful in patients.
A b s t r a c tIntroduction: Anxiety is the most common mental health problem worldwide. It can compromise rehabilitation outcome and negatively impact the quality of life after stroke. Aim of the study: The aim of this study was: 1) to determine the prevalence of post-stroke anxiety (PSA), 2) to study PSA and its association with socio-demographical factors, and 3) to study PSA and its association with post-stroke depression (PSD) and disability. Material and methods: One hundred consecutive patients with clinical diagnosis of stroke were included in the study. Detailed socio-demographic and other variables and psychiatric history were obtained using a semi-structured Performa. Subjects were given HAM-A, HAM-D, and WHODAS 2.0 to assess anxiety, depression, and disability, respectively. Descriptive statistics were used to determine the socio-demographical variables. Chi square test and Fisher exact test were used to find the significance of study parameters on a categorical scale between two or more groups. Results: Of 100 patients, 35 were anxious. Socio-economic deprivation was significantly associated with PSA. Illiteracy was nearly significantly associated with PSA. No co-morbidities, number of strokes, and substance use were significantly associated with PSA. PSA is significantly associated with PSD. The correlation between severity of PSA and PSD was found to be highly significant. PSA is not significantly associated with post-stroke disability. Conclusions: PSA is highly prevalent in post-stroke patients, and it has been significantly associated with socio-economic deprivation, illiteracy, and PSD. We need to screen post-stroke subjects for anxiety and other modifiable variables associated with it, in order to provide an effective management plan.
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