Sasha Raikhy
Safdarjung Hospital, India
Title: Pattern and prevalence of psychiatric disorders among patients attending dermatology OPD
Biography
Biography: Sasha Raikhy
Abstract
Background: Consideration of psychiatric and psychosocial factors is important for the management and prevention of dermatologic disorders. Dermatology patients suffer commonly from psychiatric comorbidity.
Aim:To study pattern and prevalence of psychiatric disorders among patient attending dermatology OPD .
Methods: The study was carried out in Psychiatry department of NIMS Medical college, Jaipur, Rajasthan, a north State of India. The sample was taken from Dermatology department of Medical College. All the participants were diagnosed/confirmed cases of skin. Socio-demographic data was collected .Patients scoring more than 12 on GHQ were examined for presence of psychiatric illness. Patients so identified were administered Indian Psychiatric Interview Schedule (IPIS) to asses profile of psychiatric symptoms in detail. Diagnosis were derived from symptom clusters elicited by IPIS according to International Classification of disease –tenth revision (ICD-10).
Findings: As per ICD-10 diagnosis 34.2% of total sample were diagnosed with definite Psychiatric comorbidity. Maximum number of cases were of Depression 36.32% (N=146) followed by Anxiety disorder 18.41% (74) and 7.96% (N=32) with Somatoform disorder. Obsessive compulsive disorder was diagnosed in 6.47% (N=26) followed by Adjustment disorder 4.98% (N=20) and Alcohol dependency 4.98% (N=20). Minimum number of cases belonged to Schizophrenia 2.99% (N=12) and Bipolar Affective disorder 2.99% (N=12). No diagnosis was found in 14.93% (N=60).
Conclusion: Significant psychiatric comorbidity exist in patients of dermatology. Biopsychosocial approach to patients with skin disease should be sought by liaison between psychiatrist and dermatologist.