Frequency And Magnitude Of Anxiety And Depression Among Acne Patients: A Study Of 100 Cases

Ahmed, Shakeel; Ahmed, Ijaz

doi:10.22442/jlumhs.07610110

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Частота развития депрессии среди больных с различными заболеваниями кожи может достигать 25-40% по сравнению с ее распространенностью 6-8% в общей популяции [3]. Наличие высыпаний на лице у больных с акне, а также формирование рубцов постакне, иногда даже при правильном и своевременном лечении, оказывают негативное влияние на психологическое благополучие и качество жизни таких пациентов [4] и могут представлять собой фактор высокого риска развития депрессии, тревоги и даже суицидальных мыслей и попыток [5].…”

Section: Introductionunclassified

Psychiatric comorbidity and psycho-emotional status of patients with acne

Dvoryankova

Shevchenko²,

Жукова

2022

Medicinskij sovet

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Acne is a very common skin disease that has a significant impact on the psycho-emotional status of patients. This disease affects various areas of patients’ lives, leading to problems in body image, socialization, and sexuality. The change in appearance and the psycho-emotional stress associated with the development of acne can also affect other aspects of patients’ lives, including educational attainment, social activity, and a decline in academic performance and ability to work. Interpersonal problems in acne patients can occur not only with acquaintances and colleagues, but also within the family. The presence of a pronounced cosmetic defect, along with acute psycho-emotional problems, leads to a sharp decrease in quality of life, which is often exacerbated by comorbid psychiatric pathology: anxiety, depression, dysmorphophobia, self-injurious behavior, which certainly requires timely, effective and safe therapy for the underlying skin disease. Isotretinoin is an effective medication for the treatment of severe and treatment-resistant forms of acne. This drug has an effect on all four pathophysiological factors of acne development. Isotretinoin reduces sebum production, regulates hyperkeratosis in the estuaries of sebaceous follicles, reduces the number of Propionibacterium acnes on the skin and is thought to have certain immunological and anti-inflammatory effects. This is why the introduction of this drug into clinical practice has been recognized as an incredible triumph in the treatment of vulgar acne. However, the presence of some undesirable side effects may limit its widespread use. In 1982, for example, the FDA issued a warning about the possible risk of depression and the occurrence of suicidal thoughts and attempts while using isotretinoin. However, this warning was not subsequently confirmed.

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Section: Introductionunclassified

Psychiatric comorbidity and psycho-emotional status of patients with acne

Dvoryankova

Shevchenko²,

Жукова

2022

Medicinskij sovet

View full text Add to dashboard Cite

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Prevalence and Factors Associated with Anxiety among Patients with Common Skin Disease on follow up at Alert Referral Hospital, Addis Ababa, Ethiopia

Abebe¹,

Ayano²

2016

J Psychiatry

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Background: Anxiety disorders are common in individuals with skin disease. Occurrence of anxiety disorders with skin disease associated with a negative consequence among individuals, families, communities and nations including poor treatment outcomes and reduced productivity. However little is known about prevalence of anxiety disorders in individuals with common skin disease in Ethiopia Objectives: The main aim of this study was to assess the prevalence and associated factors of anxiety among common skin disease in Alert hospital dermatologic clinic, Addis Ababa, Ethiopia 2015. Methods: Institutional based cross sectional study was conducted at Alert hospital, May 2015. A total of 618 patients of skin disease who were on regular follow up were recruited to the study. Anxiety was assessed through face to face interviews by trained psychiatry nurses using the hospital anxiety and depression scale (HADS). The data entry, clearance and analysis were carried out using SPSS version 20 statistical software package. p-value < 0.05 was considered statistically significant in this study. Result: The prevalence of anxiety was 37.4% with 95% confidence interval (33.7, 41.3). Of the study participants being females (AOR=1.58, 95% CI 1.08, 2.32), type of skin disease psoriasis (AOR=1.86, 95% CI 1.07, 3.23) and acne (AOR=1.84, 95% CI 1.04, 3.25), site of infection on facial area (AOR=4.99, 95% CI 1.43, 17.42), duration of illness less than six months (AOR=1.72, 95% CI 1.17, 2.53), poor social support (AOR=4.47, 95% CI 1.56, 12.85) and perceived stigma (AOR=6.99, 95% CI 4.64, 10.53) had statistically significant association of anxiety with p-value <0.05. Conclusion and Recommendation: Prevalence of anxiety was found to be high on people living with common skin problem. Being female, type of common skin infection, site of infection, duration of illness, poor social support and perceived stigma had positive association factors for the development of anxiety disorder. The strengthening of screening and treatment of anxiety symptom in dermatological care unit should be an integral component.

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