Depression, Anxiety and Stress among Saudi Arabian Dermatology Patients: Cross-sectional study

Abstract

abstract:Objectives: This study aimed to determine the prevalence of depression, anxiety and stress among Saudi Arabian dermatology patients and to assess associations with sociodemographic and clinical characteristics. Methods: This cross-sectional study was conducted among 300 consecutive dermatology patients visiting King Abdulaziz Medical City in Riyadh, Saudi Arabia, in August 2015. The Arabic version of the Depression, Anxiety and Stress Scale was used to screen for symptoms of depression, anxiety and stress. Quality of life (QOL) was assessed using the Dermatology Life Quality Index. Results: A total of 254 dermatology patients participated in the study (response rate: 84.7%). The prevalence of depression, anxiety and stress was 12.6%, 22.1% and 7.5%, respectively. The presence of at least one of these negative emotional states was noted among 24.4% of the cohort (95% confidence interval: 19.3-30.2%). Depression was significantly higher among subjects who lacked family support (26.5% versus 10.7%; P = 0.006) while anxiety was less common among patients who engaged in physical exercise (14.5% versus 29.4%; P = 0.005). According to the multivariate logistic regression analysis, poor QOL and a lack of family support were significant predictors of a negative emotional state. Conclusion: Almost a quarter of the studied Saudi Arabian dermatology patients were found to suffer from at least one negative emotional state. A lack of family support and poor QOL were the primary factors associated with a negative emotional state. Interventional studies are needed to examine the effects of social and family support on psychological conditions among Saudi Arabian dermatology patients. Keywords

Understanding the Burden of Atopic Dermatitis in Africa and the Middle East

“…Most available data regarding the impact of AD on patient quality of life (QoL) in the Middle East is from Saudi Arabia. Numerous studies have reported that QoL is significantly affected in Saudi Arabian patients with dermatologic diseases, including AD [ 53 – 56 ]. Abolfotouh et al reported data from 283 adult Saudi Arabian patients with skin disease who completed the Skindex-16 scale, which assesses QoL across symptom, emotional, and functional domains [ 53 ].…”

Prevalence and predictors of depressive symptoms among attendees of a tertiary care dermatology clinic in Muscat, Oman

“…and Dowlatshahi et al ., have indicated that depression is more common among people with skin disorders than in the general population. Previous studies have indicated that around 30–50% of skin disorder patients tend to suffer from depression . A multicenter cross‐sectional study of 13 European countries estimated that the prevalence of psychiatric comorbidity among dermatological patients was 30%, while 10.1% of these suffered from depression .…”

Prevalence and Predictors of Depressive Symptoms Among Attendees of a Tertiary Care Dermatology Clinic in Muscat, Oman

“…Previous studies have indicated that around 30-50% of skin disorder patients tend to suffer from depression. [12][13][14][15][16] A multicenter cross-sectional study of 13 European countries estimated that the prevalence of psychiatric comorbidity among dermatological patients was 30%, while 10.1% of International Journal of Dermatology 2018, 57, 284-290 ª 2018 The International Society of Dermatology these suffered from depression. 9 The presence of depressive symptoms tends to be associated with poor prognostic indicators, and thus the effect of the skin disorder upon the patient's quality of life is a major predictor of possible psychological problems as compared to the severity of the skin problem itself.…”