Psychiatric Comorbidity and Psychosocial Impairments in Children with Dermatologic Disorders

Year 2020, Volume: 14 Issue: 3, 420 - 428, 20.09.2020

Ayla Uzun Çiçek , Rukiye Güner , Seda Aybüke Sarı , Sibel Berksoy Hayta , Melih Akyol , Selim Çam

Abstract

Objective: Few studies have explored the psychiatric comorbidity, psychological and social factors in the field of pediatric psycho-dermatology, thus the literature about children and adolescents is limited. In this study, we aimed to find out the prevalence and pattern of psychiatric comorbidity and to investigate the impacts of dermatological problems on psychological well-being, school performance, self-esteem in children suffering from dermatologic disorders. Method: In total, 247 consecutive outpatients with different dermatologic disorders aged 4–17 years (143 (52.9%) females, mean age 11.81±3.40 years) were included in this study. A semi-constructed diagnosis interview and The Diagnostic and Statistical Manual of Mental Disorders (DMS-5) criteria were performed to establish a psychiatric diagnosis according to the age range of the child and adolescent. A specially prepared personal information sheet, Rosenberg Self-Esteem scale and Strengths and Difficulties Questionnaire were applied. Results: The prevalence of psychopathology was found to be 58.7% in our study population. The most common psychiatric comorbidities were anxiety disorders, mood disorders, attention deficit hyperactivity disorder and disruptive behavior disorders. Dermatologic diagnoses were divided into 8 groups. The riskiest dermatologic diagnostic groups in terms of psychopathology, self-esteem, body appreciation anxiety, academic performance, social isolation, stigmatization, significant association with psychosocial stressors at onset and/or exacerbation were psoriasis, primary psychiatric disorders, pigmentation disorders and hair disorders. Conclusions: Psychiatric comorbidity is quite common (58.7%) in the pediatric population with dermatologic disorders. The impacts upon the psychosocial functioning of dermatologic conditions are also enormous. Both dermatologists and child and adolescent psychiatrists should be well aware of psychiatric disturbance or psychosocial impairment, and patients should be meticulously assessed for psychiatric support.

Keywords

pediatric psychodermatology, child psychiatry, psychiatric comorbidity, psychosocial factors, stress

Supporting Institution

There are no funders to report for this submission.

Project Number

none

Thanks

The authors would like to thank all the adolescents and their families who participated in this study.

Dermatolojik Bozukluğu Olan Çocuklarda Psikiyatrik Komorbidite ve Psikososyal Bozulma

Abstract

Amaç:Sınırlı sayıda çalışma, çocuk psikodermatolojisi alanında psikiyatrik komorbidite, psikolojik ve sosyal faktörleri araştırmıştır, bun edenle çocuklar ve ergenlerle ilgili literatür sınırlıdır. Bu çalışmada, dermatolojik bozukluğu olan çocukların psikiyatrik komorbidite prevalansını ve örüntüsünü ortaya koymayı ve dermatolojik problemlerin psikolojik iyilik, okul performansı, benlik saygısı üzerindeki etkilerini araştırmayı amaçladık. Yöntem:Çalışmaya 4-17 yaş arası (ortalama yaş 11.81 ± 3.40 yıl), farklı dermatolojik bozukluğu olan 143’ü (% 52.9) kadın, 247 ayaktan hasta dahil edildi. Çocuğun ve ergenin yaş aralığına göre, psikiyatrik tanı koymada, yarı yapılandırılmış tanı görüşmesi ve Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı (DSM-5) kriterleri uygulandı. Özel olarak hazırlanmış kişisel bilgi formu, Rosenberg Benlik Saygısı Ölçeği ile Güçler ve Güçlükler Anketi kullanıldı. Bulgular:Çalışma grubumuzda psikopatoloji prevalansı % 58.7 olarak bulundu. En sık görülen psikiyatrik eştanılar anksiyete bozuklukları, duygu durum bozuklukları, dikkat eksikliği hiperaktivite bozukluğu ve yıkıcı davranış bozukluklarıydı. Dermatolojik tanılar 8 gruba ayrıldı. Dermatolojik tanı grupları içerisinde psikopatoloji, benlik saygısı, bedensel beğenilme kaygısı, akademik performans, sosyalizolasyon, damgalama, başlangıç ve / veya alevlenmedeki psikososyal stress faktörlerinin varlığı açısından en riskli olanlar psöriyazis, primeri psikiyatrik bozukluk olanlar, pigmentasyon bozuklukları ve saç bozuklukları idi. Sonuç:Dermatolojik hastalığı olan çocuk popülasyonunda psikiyatrik eştanıoldukça yaygındır (% 58.7). Dermatolojik hastalıkların psikososyal işlevler üzerindeki etkileri de çok fazladır. Hem dermatologlar hem de çocuk ve ergen psikiyatristleri psikiyatrik bozukluklar veya psikososyal bozukluğun farkında olmalıdır ve hastalar psikiyatrik destek açısından titizlikle değerlendirilmelidir.

Keywords

Pediatrik psikodermatoloji, çocuk psikiyatrisi, psikiyatrik eş tanı, psikososyal faktörler, stres

Project Number

none

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