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- Title
Assessment of the Relationship Between the Severity of Psoriasis and the Prevalence of Depression in Patients with Psoriasis and Healthy Subjects Referred to Dermatology Clinics.
- Authors
Rad, Peyman; Derakhshanpoor, Firoozeh
- Abstract
Background: Psoriasis is a systemic inflammatory disease and the most prevalent recurrent chronic skin disease that affects almost 2% of the population and may occur at any age. This chronic disease changes the patients' appearance, impairs their mental image of themselves, and leads to rejection from society, isolation, personality disorders, depression, low self-esteem and weakened position within the family. As no permanent recovery is obtained by the patients through using medications, psychiatric interventions can lead to improvements in these patients' life quality. An accurate assessment of the relationship between the disease severity and its psychopathology has not been made so far in the Iranian society, so the researchers of this paper decided to assess the relationship between the disease severity and the depression rate in patients with psoriasis who referred to dermatology clinics in the city of Gorgan in 2016-17 and compare the results with the healthy subjects. Material and Method: In this case-control study, 68 patients with psoriasis referred to dermatology clinics in the city of Gorgan in 2016, and 68 normal controls were examined for depression using the standard Beck (Beck II ) test. The severity of the disease was calculated based on the Psoriasis Area Severity Index Score (PASI Score). The data gathered were analyzed using statistical tests at the confidence level of 0.95 and the statistical power of 0.9, using SPSS software (version 18). Results: The current study evaluated 70 patients with psoriasis who referred to dermatology clinics in the city of Gorgan in 2016-17 and 70 healthy subjects as controls. In each group, 22 subjects were male (31.4%) and 48 subjects were female (68.6%). The average disease severity was 35/17 ± 27 %. With an increase in the severity of psoriasis, the rate of depression increased among the patients (P=0.0001). The mild, moderate, and severe depression rate was higher in the case group than the control one. This difference was statistically significant (p=0.0001) Conclusion: Depression symptoms are remarkably observed in psoriasis patients and the rate of such symptoms has been higher in patients than healthy individuals; moreover, these symptoms have had a significant correlation with the severity of psoriasis.
- Subjects
PSORIASIS; DERMATOLOGY; SKIN diseases; MENTAL imagery; CHRONICALLY ill
- Publication
Iranian Journal of Psychiatry & Behavioral Sciences / Progress in Psychiatry & Behavioral Sciences, 2018, p174
- ISSN
1735-8639
- Publication type
Article