Risks of developing psychiatric disorders in pediatric patients with psoriasis

Kimball, Alexa B.; Wu, Eric Q.; Guérin, Annie; Yu, Andrew P.; Tsaneva, Magda; Gupta, Shiraz R.; Bao, Yanjun; Mulani, Parvez

doi:10.1016/j.jaad.2011.11.948

Cited by 169 publications

(166 citation statements)

References 24 publications

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“…A German population-based study of 6,009 children with psoriasis showed a serious impact on health-related quality of life from impairments in developing quality relationships with peers and friends [16]. Additionally, a cross-sectional study of 7,404 children with psoriasis demonstrated an increased risk of anxiety, depression, and bipolar disorder when compared to healthy controls [17]. …”

Section: Discussion/conclusionmentioning

confidence: 99%

Association of Psoriasis with Psychiatric Hospitalization in United States Children and Adults

et al. 2019

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Background: Psoriasis is associated with psychosocial distress. Little is known about the relationship between psoriasis and mental health (MH) emergencies. Objective: To examine the associations of psoriasis and MH hospitalizations in the USA. Methods: Data from the 2002–2012 National Inpatient Sample were analyzed, including an approximately 20% sample of all US hospitalizations (n = 87,053,155 children and adults). Results: Hospitalization for MH disorders occurred more commonly in those with psoriasis compared to those without psoriasis (4.04 vs. 2.21%). In multivariable logistic regression models, psoriasis was associated with higher odds of admission for any MH disorder overall (adjusted odds ratio [95% confidence interval]: 2.32 [2.24–2.41]), as well as 9 of the 15 MH-specific disorders examined. Associated MH disorders included: anxiety, schizophrenia, personality disorder, depression, substance use disorders, history of MH disorder, alcohol-related disorders, adjustment disorders, and cognitive disorders. Children with versus those without psoriasis were also more likely to have a primary hospitalization for any MH disorder (2.82 [2.24–3.56]). Psoriasis inpatients were also more likely to have a primary hospitalization for any MH disorder compared to those with alopecia areata (1.99 [1.45–2.74]) or hidradenitis suppurativa (3.97 [3.49–4.52]). Psoriasis patients hospitalized with any MH disorder had higher mean [95% confidence interval] cost of inpatient care (USD 11,004 [10,846–11,241] vs. 9,547 [8,730–10,364]; p < 0.0001) compared to those without psoriasis, with USD 1,610,860 excess costs annually, with the majority of the costs coming from depression and mood disorders. Conclusions: Children and adults with psoriasis had increased hospitalization for multiple MH disorders, which were associated with a considerable financial burden.

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Section: Discussion/conclusionmentioning

confidence: 99%

Association of Psoriasis with Psychiatric Hospitalization in United States Children and Adults

et al. 2019

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“…Suicide and its related death is higher among these patients (5). Pediatric patients with psoriasis have an increased risk of developing psychiatric disorders, including depression and anxiety, compared with psoriasis-free control subjects (6). It is shown that depression was independently associated with an increased risk of psoriasis among American women (7).…”

mentioning

confidence: 99%

Evaluation of Some Psychological Factors in Psoriatic Patients

Fakour

Nourmohammadpour

Gholamali

et al. 2015

European Psychiatry

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BackgroundPsoriasis is a disease which may have direct impact on the psychological and social aspects, particularly due to its visibility. To date, we are unaware of any study showing relationship between psoriasis and psychological parameters such as psychological vulnerability and coping strategies.Objectiveto evaluate the effects of psoriasis on some psychological parameters in an Iranian population.MethodsPatients having histopathologically confirmed psoriasis for at least 6 months attending the Clinic of Razi Hospital and evaluated by PASI,CISS,IPQ-RResultsThere were 101 females and 99 males with the mean age of 43.2 (±16.32). The mean PASI Score was 6.58 ± 6.04. Diffuse skin involvement was the commonest form of disease (133 patients, 66.5%). the highest score for Illness perception belongs to those with genitalia involvement (185.2, worst illness perception) and the lowest score for Illness perception belong to those with nail involvement (168.2). Consistently, the lowest score of facing with the problems (CISS: approach strategy to disease) belongs to those with hand involvement (50.5) whereas the highest score belongs to those with genitalia involvement (60.4). There was significant correlation between psychological vulnerability vs. Illness perception score as well as psychological vulnerability vs. coping strategies score. Surprisingly, PASI score had insignificant relationship with illness perception, coping strategies or psychological vulnerability score.ConclusionPASI score as a representing factor of skin involvement has limited role in predicting effect of psoriasis on mental status and illness perception of psoriatic patients. Psychological vulnerability of patients is the main predicting factor of illness perception and coping strategiesThere were 101 females and 99 males with the mean age of 43.2 (±16.32). The mean PASI Score was 6.58 ± 6.04. Diffuse skin involvement was the commonest form of disease (133 patients, 66.5%). the highest score for Illness perception belongs to those with genitalia involvement (185.2, worst illness perception) and the lowest score for Illness perception belong to those with nail involvement (168.2). Consistently, the lowest score of facing with the problems (CISS: approach strategy to disease) belongs to those with hand involvement (50.5) whereas the highest score belongs to those with genitalia involvement (60.4). There was significant correlation between psychological vulnerability vs. Illness perception score as well as psychological vulnerability vs. coping strategies score. Surprisingly, PASI score had insignificant relationship with illness perception, coping strategies or psychological vulnerability score.There were 101 females and 99 males with the mean age of 43.2 (±16.32). The mean PASI Score was 6.58 ± 6.04. Diffuse skin involvement was the commonest form of disease (133 patients, 66.5%). the highest score for Illness perception belongs to those with genitalia involvement (185.2, worst illness perception) and the lowest score for Illness perception belong...

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“…Children with psoriasis are at a higher risk of depression, anxiety and bipolar disorder than healthy children [26,27]. In a group of children with psorirokiem życia.…”

Section: Psoriasis and Quality Of Lifementioning

confidence: 99%

“…Ryzyko wystąpienia depresji, stanów lękowych oraz zaburzeń afektywnych dwubiegunowych jest większe u dzieci z łuszczycą niż u zdrowych [26,27]. U dzieci z łuszczycą obserwowano wyższy o 47% odsetek przyjmujących leki psychotropowe niż u dzieci bez łuszczycy.…”

Section: Comorbiditiesunclassified

Childhood psoriasis

Piekarska-Myślińska¹,

Pietrzak²,

Myśliński³

et al. 2017

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Psoriasis is a long-lasting inflammatory skin disease with an autoimmunological and immunometabolic background. The latest European data indicate that the occurrence of psoriasis in children ranges from 0.7% to 2.1%. Despite distinct clinical characteristics, this disease continues to cause diagnostic difficulties and is often incorrectly diagnosed. The goal of this article is to present the course of psoriasis in children, basic diagnostic techniques, including dermoscopy, influence of the disease on the quality of life and risk of co-morbidity development. The therapeutic approcach to childhood psoriasis is presented. StreSzCzenieŁuszczyca jest przewlekłą chorobą zapalną skóry o podłożu autoimmunologicznym i immunometabolicznym. Według najnowszych danych europejskich zapadalność na łuszczycę u dzieci wynosi 0,7-2,1%. Pomimo charakterystycznego obrazu klinicznego schorzenie to nadal sprawia trudności diagnostyczne i bywa mylone z innymi chorobami. Celem niniejszej pracy jest omówienie odmienności przebiegu łuszczy-cy u dzieci, podstaw diagnostyki z uwzględnieniem obrazu dermatoskopowego, wpływu na jakość życia i sferę emocjonalną, zagrożenia rozwojem innych chorób, zwłaszcza dziecięcego zespołu metabolicznego oraz odmienności stosowanych metod terapeutycznych.

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Risks of developing psychiatric disorders in pediatric patients with psoriasis

Cited by 169 publications

References 24 publications

Association of Psoriasis with Psychiatric Hospitalization in United States Children and Adults

Association of Psoriasis with Psychiatric Hospitalization in United States Children and Adults

Evaluation of Some Psychological Factors in Psoriatic Patients

Childhood psoriasis

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