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[The relationship between psychogenic excoriation and psychiatric disorders: a comparative study]
Celal Calikuşu1, Başak Yücel, Aslihan Polat
1Bakirköy Ruh ve Sinir Hastaliklari Hastanesi Psikiyatri Bl, Istanbul.
Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry
|June 10, 2003
Summary
Psychogenic excoriation (PE) is closely linked to depression and obsessive-compulsive disorder (OCD). Patients with PE show significantly higher rates of these psychiatric comorbidities compared to other psychodermatosis patients.
Area of Science:
- Psychiatry
- Dermatology
- Psychosomatic Medicine
Context:
- Psychogenic excoriation (PE) is a chronic skin condition with high psychiatric comorbidity.
- PE is not yet a distinct disorder in DSM-IV, highlighting a need for further classification.
- Understanding psychiatric comorbidities is crucial for effective PE management.
Purpose:
- To compare the prevalence of comorbid psychiatric disorders in patients with psychogenic excoriation (PE) versus other psychodermatosis patients.
- To investigate the relationship between PE and specific psychiatric conditions like depression and OCD.
- To assess the severity of depressive and anxiety symptoms in PE patients.
Summary:
- Patients with PE exhibited significantly higher rates of current major depressive syndrome (58.1%) compared to controls (6.5%).
- Obsessive-compulsive disorder (OCD) was diagnosed in 45.2% of PE patients, versus 3.7% in the control group.
- PE patients reported significantly higher scores on depression, anxiety, and obsession/compulsion scales.
Impact:
- This study establishes a strong association between psychogenic excoriation, depression, and OCD.
- Findings suggest PE may warrant recognition as a distinct disorder with specific psychiatric links.
- Highlights the importance of psychiatric screening and integrated treatment for PE patients.