A study on prevalence of depression in patients of vitiligo in tertiary care centre in South India
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20195678Keywords:
Depression, Vitiligo, HAM-DAbstract
Background: Skin is an organ that has a primary function in tactile receptivity and reacts directly upon emotional stimuli. The effects on the quality of life as a result of acquiring vitiligo is highlighted.
Methods: 100 patients with vitiligo were included in this study. A survey was done on the basis of Hamilton score of depression (HAM-D) having 17 different points that were supposed to be asked.
Results: The majority of the patients in this study were in 3rd to 5th decade. Mean age is 42 years. Of these, males were 44 and females were 56. Of these, 25 (25%) patients did not show any signs of depression, 45 (45%) patients showed mild depression, 20 (20%) patients showed moderate depression and 10 (10%) patients showed severe depression on HAM-D scale.
Conclusions: Vitiligo is a secondary psychocutaneous disorder which definitely has psychiatric co morbidity inthe form of depression. Treatment of vitiligo should include psychiatric counselling along with specific treatment.
References
DomonkosAN. Andrew’s Disease of the skin. Pruritus, Cutaneous neuroses and neurocutaneous dermatoses. 6th ed. Philadelphia: WB Saunders; 1971: 61-76.
Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. Fitzpatrick’s Dermatology in General Medicine. 8th ed. Mc-Graw Hill; 2008: 921.
Korabel H, Dudek D, JaworekA, Wojas-Pelc A. Psychodermatology: psychological and psychiatrical aspects of aspects of dermatology. Przegl Lek. 2008;65:244-8.
Basavaraj KH, Navya MA, Rashmi R. Relevance of psychiatry in dermatology: present concepts. Indian J Psychiatry. 2010;52(3):270-5.
Finlay AY, Khan GK. Dermatology life quality index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19:210-6.
Pahwa P, Mehta M, Khaitan BK, Sharma VK, Ramam M. The psychosocial impact of vitiligo in Indian Patients. Indian J Dermatol Venereol Leprol. 2013;79:679-85.
Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatr. 1960;23:56-62.
Bewley A, Taylor RE. Rook’s Textbook of Dermatology. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D, eds. 9th ed. John Wiley and Sons Inc.; 2016: 86.1.
Bewley A, Taylor RE. Rook’s Textbook of Dermatology. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D, eds. 9th ed. John Wiley and Sons Inc.; 2016: 86.3.
Al-Harbi M. Prevalence of depression in vitiligo patients. Skin Med. 2013;11(6):327-30.
Sangma LN, Nath J, Bhagabati D. Quality of life and psychological morbidity in vitiligo patients: a study in a Teaching hospital from North east India. Indian J Dermatol. 2015;60(2):142-6.
