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Prevalence and Correlates of Unrecognised Depression Associated with Common Skin Morbidities among Attendees in a Teaching Hospital Dermatology Outpatient’s Department

Author:Dharmvir R Bharati, Seema Kumari, Sanjay Kumar, Kranti C Jaykar, Krishna Kumar Singh, Ranbir Pal

Keywords:depression, skin disease, risk factors

Type:Original Article

Abstract:"Background: The health care providers need to be aware of solving psychodermatological disorders by a multidisciplinary team approach. Objectives: This study was carried out to find the prevalence and correlates of unrecognised depression linked with common skin morbidities among attendees in a teaching hospital dermatology outpatients department. Methods: This was as institution based cross-sectional study con-ducted during October and November 2016 at Indira Gandhi Institute of Medical Sciences, Patna, India among 356 consecutive con-senting adults with common skin diseases attending dermatology outpatient department fulfilling inclusion criteria using Patient Health Questionnaire (PHQ-9). Results: Among 356 participants aged 18 years and above having one of six most commonly diagnosed disease depression was present among 204 (57.3%), mostly mild depression 84 (41.18%) followed by moderate (23.53%) moderately severe (21.57%) and severe (13.72%). Depression among various dermatological ailments was mostly noted with Tinea infection (66%) and least among Vitiligo and Acnae cases (20% each). In statistical analysis, probability of having significantly increased risk of depression was found among females, illiterates and less educated, perusing household works, from larger families, having lower personal income, suffering for more than 13 months and suffering from itching skin disease, receiving continuous treatment, and having co-morbidities. Conclusions: Magnitude of depression among patients suffering from dermatological conditions was alarmingly high and was influenced by the various risk factors.