Psychiatric di̇sorders in chi̇ldren and adolescents with dermatological diseases

Aim: The aim of this study is to examine psychopathology of children and adolescents with dermatological diseases. Patients and Methods: Two hundred and fifty one children and adolescents with the diagnosis of dermatological diseases (study population), aged 3 to 18 years, who were seen at the Department of Dermatology Outpatient Clinic between january -2014 and october -2015, İnönü University Faculty of Medicine and two hundred and fifty one healthy individuals (control population) were mathched with respect to their ages and sex. Diagnoses were made according to. Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL) . Each group completed the Childhood Depression Inventory (CDI), State Trait Anxiety Inventory (STAI-1 and STAI-2) and The Strengths and Difficulties Questionnaire (SDQ). Results: Study population consists of 93 (%37.1) boys and 158 (%62.9) girls. Control population consists of 111 (%44.2) boys and 140 (%55.8) girls (p=0.102). The mean age of study population is 12.63±4.16, control population is 12.73±4.06 (p=0.778). Our results indicated that the rate of general psychiatric comorbidity, mood disorders, anxiety disorders and adjustment disorder were significantly higher in study population than the control population (For psychiatric comorbidity p=0.0001, for mood disorders p=0.001, for anxiety disorders p=0.001, for adjustment disorder p=0.0001). CDI, STAI 73 1 and STAI-2, SDQ and subscales scores were significantly higher than control group. (For CDI p=0.0001, for STAI-1 ve STAI-2 p=0.0001). Also psychiatric comorbidity higher in inflammation dermatoses and allergic dermatoses than the other dermatological sub groups (For inflammation dermatoses p=0.016, for allergic dermatoses p=0.037). A dermatological disease means that restricts physical activity increased risk for psychiatric comorbidity (p=0.009). Conclusion: A need for collaboration between primary care, psychiatry, and dermatology disciplines in handling patients with psychocutaneous conditions is widely accepted. İnvestigating the knowledge, attitudes, and awareness of dermatologists about psychocutaneous disorders might contribute to the development of new educational strategies and elicit qualified biopsychosocial approaches.