Treatment outcome and incidence of psychiatric disorders in dermatological out-patients

J Eur Acad Dermatol Venereol. 2003 Mar;17(2):155-9. doi: 10.1046/j.1468-3083.2003.00619.x.

Abstract

Objective: Epidemiological studies have shown that the prevalence of psychiatric disorders among dermatological patients is high. We aimed at estimating the short-term incidence of psychiatric disorders among patients with skin disease.

Methods: The 12-item General Health Questionnaire (GHQ-12) was used to identify subjects free from psychiatric morbidity at their first dermatological visit. The GHQ-12 was administered again after 1 month during a computer-assisted telephone interview.

Results: A total of 277 subjects was included in the study. At the follow-up interview, 21 (7.6%) were found to have significant psychiatric morbidity. Only lack of improvement was associated with increased incidence of psychiatric morbidity (13.6%), with an odds ratio of 3.1 (95% confidence interval 1.2-7.8), after adjustment for gender, age, educational level and clinical severity.

Conclusions: Physicians should devote special attention to the risk of psychiatric complications in patients who have not improved with treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Chi-Square Distribution
  • Female
  • Humans
  • Incidence
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Middle Aged
  • Outpatients
  • Prevalence
  • Risk Factors
  • Skin Diseases / complications*
  • Skin Diseases / psychology
  • Skin Diseases / therapy
  • Surveys and Questionnaires
  • Treatment Outcome