Published September 30, 2022 | Version https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue9,Article147.pdf
Journal article Open

A Cross-Sectional Study to Assess the Psychosocial impact of Skin Diseases

  • 1. Assistant Professor, Department of Skin & VD, RKDF Medical College Hospital & Research Center, Bhopal (MP)
  • 2. Assistant Professor, Department of Psychiatry RKDF Medical College Hospital & Research Center, Bhopal, (MP)
  • 3. Associate Professor, Department of Psychiatry, RKDF Medical College Hospital & Research Center, Bhopal (MP)
  • 4. Assistant Professor, Department of Radiology, RKDF Medical College Hospital & Research Center, Bhopal (MP)

Description

Background: Chronic skin disease has a devastating effect on a person’s physical and psychological well-being. The contribution of psychological disorders to the burden of skin disease has been poorly explored. Aim: The aim of the study was to Evaluate the psychosocial burden of skin disease among community-dwelling adults in Madhya Pradesh. Methods and Materials: This cross-sectional study included 1000 participants interviewed on their history of thirteen skin diseases. The Patient Health Questionnaire (PHQ-9), Lubben Social Network Scale-6 (LSNS-6), University of California Los Angeles (UCLA) Loneliness Scale, and European Quality of Life-5 Dimensions- 5 Level (EQ-5D-5L) were used as measures for depressive symptoms, social isolation, loneliness and quality of life respectively. Multiple linear regression analysis was used to examine the association of skin diseases with each of the four measured outcomes. Results: Participants with skin diseases reported significantly higher PHQ-9 and UCLA Loneliness scale scores, and lower LSNS-6 and EQ-5D-5L scores when compared to their healthy counterparts. The presence of skin disease was positively associated with depressive symptoms (B = 0.409, SE = 0.22), and negatively associated with quality of life (B = -0.441, SE = 0.01). As disease severity was not evaluated in this study, we were unable to ascertain the associations between disease severity and measured outcomes. Conclusion: Participants with skin diseases were more likely to have depressive symptoms, social isolation, loneliness and lower quality of life. Unemployed, single and elderly patients were at higher risk of developing depressive symptoms. More emphasis should be placed on the psychosocial aspect of care to reduce the burden of skin disease. Some considerations include monitoring patients for mood-related changes and implementing early psychosocial interventions.

 

 

 

Abstract (English)

Background: Chronic skin disease has a devastating effect on a person’s physical and psychological well-being. The contribution of psychological disorders to the burden of skin disease has been poorly explored. Aim: The aim of the study was to Evaluate the psychosocial burden of skin disease among community-dwelling adults in Madhya Pradesh. Methods and Materials: This cross-sectional study included 1000 participants interviewed on their history of thirteen skin diseases. The Patient Health Questionnaire (PHQ-9), Lubben Social Network Scale-6 (LSNS-6), University of California Los Angeles (UCLA) Loneliness Scale, and European Quality of Life-5 Dimensions- 5 Level (EQ-5D-5L) were used as measures for depressive symptoms, social isolation, loneliness and quality of life respectively. Multiple linear regression analysis was used to examine the association of skin diseases with each of the four measured outcomes. Results: Participants with skin diseases reported significantly higher PHQ-9 and UCLA Loneliness scale scores, and lower LSNS-6 and EQ-5D-5L scores when compared to their healthy counterparts. The presence of skin disease was positively associated with depressive symptoms (B = 0.409, SE = 0.22), and negatively associated with quality of life (B = -0.441, SE = 0.01). As disease severity was not evaluated in this study, we were unable to ascertain the associations between disease severity and measured outcomes. Conclusion: Participants with skin diseases were more likely to have depressive symptoms, social isolation, loneliness and lower quality of life. Unemployed, single and elderly patients were at higher risk of developing depressive symptoms. More emphasis should be placed on the psychosocial aspect of care to reduce the burden of skin disease. Some considerations include monitoring patients for mood-related changes and implementing early psychosocial interventions.

 

 

 

Files

IJPCR,Vol14,Issue9,Article147.pdf

Files (313.3 kB)

Name Size Download all
md5:86b003a648012592ff60af95d0f6e569
313.3 kB Preview Download

Additional details

Dates

Accepted
2022-09-28

References

  • 1. Seth D, Cheldize K, Brown D, Freeman EF. Global Burden of Skin Disease: Inequities and Innovations. Curr Dermatol Rep. 2017;6(3):204–210. 2. Foggin E, Cuddy L, Young H. Psychosocial morbidity in skin disease. Br J Hosp Med (Lond). 2017; 78(6): C82–C86. 3. Lim DS, Bewley A, Oon HH. Psychological Profile of Patients with Psoriasis. Ann Acad Med Singapore. 2018; 47(12):516–522. 4. Ge L, Yap CW, Ong R, Heng BH. Social isolation, loneliness and their relationships with depressive symptoms: A population-based study. PLoS One. 2017; 12(8):e0182145 5. Hay RJ, Johns NE, Williams HC, et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol 2014;134(6):1527–1534. 6. Lubben J, Blozik E, Gillmann G, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European communitydwelling older adult populations. The Gerontologist 2006; 46: 503–513.7. Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A short scale for measuring loneliness in large surveys. Res Aging 2004; 26: 655–672. 8. Herdman M, Gudex C, Lloyd A, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011; 20(10): 1727–1736. 9. Abdin E, Subramaniam M, Vaingankar JA, et al. Population norms for the EQ5D index scores using Singapore preference weights. Qual Life Res. 2015; 24(6): 1545–1553. 10. van Os-Medendorp H, AppelmanNoordermeer S, Bruijnzeel-Koomen C, de Bruin-Weller M. Sick Leave and Factors Influencing Sick Leave in Adult Patients with Atopic Dermatitis: A CrossSectional Study. J Clin Med 2015; 4(4): 535–547. 11. Hultin H, Lindholm C, Malfert M, Möller J. Short-term sick leave and future risk of sickness absence and unemployment— the impact of health status. BMC Public Health. 2012; 12:861. 12. Dijkstra-Kersten SM, BiesheuvelLeliefeld KE, van der Wouden JC, et al. Associations of financial strain and income with depressive and anxiety disorders. J Epidemiol Community Health. 2015;69(7):660–665. 13. Bulloch AGM, Williams JVA, Lavorato DH, Patten SB. The depression and marital status relationship is modified by both age and gender. J Affect Disord. 2017; 223:65–68. 14. Hua T, Silverberg JI. Atopic dermatitis in US adults: Epidemiology, association with marital status, and atopy. Ann Allergy Asthma Immunol. 2018; 121(5): 622–624. 15. Al-Jefri K, Newbury-Birch D, Muirhead CR, et al. High prevalence of alcohol use disorders in patients with inflammatory skin diseases. Br J Dermatol. 2017; 177: 837–844. 16. DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med 2000; 160(14): 2101– 2107. 17. D'Alton P, Kinsella L, Walsh O, et al. Mindfulness-Based Interventions for Psoriasis: a Randomized Controlled Trial. Mindfulness 2019; 10: 288–300 18. Boden JM, Fergusson DM. Alcohol and depression. Addiction 2011; 106(5):906– 914.