Psychiatric morbidity in children and adolescents with dermatological disorders

Miniksar, Dilşad Yıldız; Özcan, Özlem Özel; Cenk, Hülya; Kapıcıoğlu, Yelda; Polat, Ayşegül

Psychiatric morbidity in children and adolescents with dermatological disorders

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

Volume 9 (2021): Issue 1 (January 2021)

By:

Dilşad Yıldız Miniksar, Özlem Özel Özcan, Hülya Cenk, Yelda Kapıcıoğlu and Ayşegül Polat

Open Access

|Jan 2021

Figures & Tables

Frequency of psychiatric comorbidity incidence according to certain clinical features of dermatological diseases

Clinical Features	Psychiatric comorbidity (n=145)	No-psychiatric comorbidity (n=106)	X²	p
Restrictedness in physical activity	26 (17.9)	7 (6.6)	6.88	0.009
Chronicity	116 (80)	89 (84)	0.64	0.423
Having a relapsing course	89 (61.4)	64 (60.4)	0.026	0.872
Painfulness	10 (6.9)	11 (10.4)	0.96	0.325
Itchiness	51 (35.2)	29 (27.4)	1.72	0.189
Localization in visible place	94 (64.8)	66 (62.3)	0.17	0.676
Being systemic	21 (14.5)	17 (16)	0.11	0.734

Comparison of sociodemographic characteristics

Sociodemographic characteristics		Study N (%)	Control N (%)	X^2*	p
Gender	MaleFemale	93 (37.1)158 (62.9)	111 (44.2)140 (55.8)	2.67	0.102
Residential place	CityRural Area (Village + Town)	182 (72.5)69 (27.5)	226 (90)25 (10)	25.34	0.0001
School success	SuccessfulStruggling	175 (72.9)65 (27.1)	200 (81)47 (19)	4.46	0.035
Family type	NuclearExtended	184 (73.3)67 (26.7)	214 (85.3)37 (14.7)	10.91	0.0001
Psychiatric disease history in the family	ExistsDoes not exist	30 (12)221 (88)	23 (9.2)228 (90.8)	1.03	0.309
Togetherness with both parents	ExistsDoes not exist	229 (91.2)22 (8.8)	232 (92.4)19 (7.6)	0.23	0.625
			X±SS	t**	p
Age (6-18 years)		12.63±4.16	12.73±4.06	0.28	0.778
Number of siblings		2.46±1.77	2.08±1.53	2.55	0.011

Comparison of psychiatric diagnosis distributions

K-SADS-PL and DSM-IV Diagnoses		Study N (%)	Control N (%)	X²	p
Psychiatric Disorder	ExistsDoes not Exist	145 (57.8)106 (42.2)	84 (33.5)167 (66.5)	29.8	0.0001
ADHD	ExistsDoes not Exist	57 (22.7)194 (77.3)	49 (19.5)202 (80.5)	0.76	0.382
Disruptive behavior disorders	ExistDo not exist	9 (3.6)242 (96.4)	6 (2.4)245 (97.6)	0.61	0.432
Mood disorders	ExistDo not Exist	35 (13.9)216 (86.1)	13 (5.2)238 (94.8)	11.14	0.001
Anxiety disorders	ExistDo not Exist	37 (14.7)214 (85.3)	14 (5.6)237 (94.4)	11.54	0.001
Psychotic disorder	ExistsDoes not Exist	1 (0.4)250 (96.6)	-251 (100)	1.00	0.317
Speech disorder	ExistsDoes not Exist	2 (0.8)249 (99.2)	3 (1.2)248 (98.8)	0.20	0.653
Tic disorders	ExistDo not Exist	4 (1.6)247 (98.4)	2 (0.8)249 (99.2)	0.67	0.411
Adjustment disorder	ExistsDoes not Exist	29 (11.6)222 (88.4)	251 (100)	30.77	0.0001
Elimination disorders	ExistDo not Exist	13 (5.2)238 (94.8)	11 (4.4)240 (95.6)	0.17	0.676
Somatoform disorders	ExistDo not exist	1 (0.4)250 (99.6)	1 (0.4)250 (99.6)	0.00	1.00
Trichotillomania	ExistsDoes not Exist	1 (0.4)250 (99.6)	251 (100)	1.00	0.317
Tobacco use	ExistsDoes not Exist	4 (1.6)247 (98.4)	6 (2.4)245 (97.6)	0.40	0.523
Sleep disorders	ExistDo not Exist	4 (1.6)247 (98.4)	251 (100)	4.03	0.124

Diagnostic distributions of dermatological diseases

Dermatological disease	n	%
Inflammatory dermatoses	55	21.9
Eczematous and allergic dermatoses	43	17.1
Acneiform dermatoses	42	16.7
Hair and nail disorders	36	14.3
Chronic infectious dermatoses	32	12.7
Pigmentation disorders	24	9.6
Others (chronic cutaneous disorders)	10	4.0
Others (acute/transient conditions)	6	2.4
Genetic dermatoses	3	1.2
Total	251	100

Psychiatric comorbidity frequency in dermatological disease sub-groups

Dermatological disease sub-groups	Psychiatric comorbidity (n=145)	No-psychiatric comorbidity (n=106)	X²	p^*
Inflammatory dermatoses	24 (16.6)	31(29.2)	5.76	0.016
Eczematous and allergic dermatoses	31 (21.4)	12 (11.3)	4.36	0.037
Acneiform dermatoses	25 (17.2)	17 (16.0)	0.06	0.801
Hair and nail disorders	24 (16.6)	12 (11.3)	1.36	0.243
Chronic infectious dermatoses	19 (13.1)	13 (12.3)	0.03	0.844
Pigmentation disorders	13 (9.0)	11(10.4)	0.14	0.707
Others (chronic cutaneous disorders)	7 (4.8)	5 (4.7)	0.63	0.525
Others (acute/transient conditions)	1 (0.7)	5 (4.7)	4.25	0.086
Genetic dermatoses	1 (0.7)	2 (1.9)	0.74	0.575

Comparison of inventory scores

INVENTORY		STUDY	CONTROL
INVENTORY		Median (Min-Max)	Median (Min-Max)	P*
Depression		9 (0-39)	6 (0-35)	0.0001
STAI-1		35 (20-71)	31(20-73)	0.0001
STAI-2		45 (17-78)	41 (25-80)	0.0001
SDQ-P	Total difficulty score	11 (0-28)	9 (1-31)	0.0001
	Emotional problems	3 (0-10)	2 (0-9)	0.0001
	Behavior problems	2 (0-7)	1 (0-8)	0.001
	Attention and activity problems	4 (0-10)	3 (0-10)	0.002
	Peer problems	3 (0-10)	2 (0-8)	0.0001
	Social behaviors	8(1-10)	9 (2-10)	0.009
SDQ-A	Total difficulty score	11(1-29)	9 (0-30)	0.0001
	Emotional problems	3(0-10)	2 (0-10)	0.001
	Behavior problems	1(0-7)	1 (0-8)	0.039
	Attention and activity problems	4 (0-9)	3.5 (0-10)	0.007
	Peer problems	3 (0-10)	2 (0-8)	0.001
	Social behaviors	9 (2-10)	9 (1-10)	0.064

DOI: https://doi.org/10.21307/sjcapp-2021-001 | Journal eISSN: 2245-8875

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Language: English

Page range: 1 - 8

Published on: Jan 29, 2021

Published by: Psychiatric Research Unit

In partnership with: Paradigm Publishing Services

Publication frequency: 1 times per year

Keywords:

Dermatological diseases,

psychiatric disorders,

and children and adolescents

Related subjects:

Medicine,

Basic medical science,

Basic medical science, other

© 2021 Dilşad Yıldız Miniksar, Özlem Özel Özcan, Hülya Cenk, Yelda Kapıcıoğlu, Ayşegül Polat, published by Psychiatric Research Unit
This work is licensed under the Creative Commons Attribution 4.0 License.

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