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Estimated Frequency of Psychodermatologic Conditions in Alberta, Canada
Tarek Turk1,2, Marlene Dytoc3, Erik Youngson4
112357 Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.
Journal of Cutaneous Medicine and Surgery
|September 4, 2020
Summary
Over a quarter of dermatology patients in Alberta received psychotropic medication, indicating a high prevalence of psychodermatologic conditions. Multidisciplinary care is recommended for better identification and treatment.
Area of Science:
- Dermatology
- Psychiatry
- Public Health
Background:
- Psychodermatologic disorders present diagnostic and treatment challenges.
- Limited data exists on the prevalence of these conditions in Canadian dermatology practices.
- This knowledge gap hinders the development of optimal care pathways.
Purpose of the Study:
- To estimate the frequency of psychodermatologic conditions in Alberta, Canada.
- To analyze psychotropic medication use in dermatological patients.
Main Methods:
- Utilized administrative provincial databases (2014-2018) for prevalence estimation.
- Examined dermatology claims data for International Classification of Disease codes.
- Linked claims with pharmacy data to identify patients receiving psychoactive medications.
Main Results:
- 28.6% of 243,963 patients received at least 1 psychotropic medication.
- Highest medication rates were observed for pruritus (46.7%), urticaria (44.5%), and hyperhidrosis (32.8%).
- Antidepressants (56.3%) and anxiolytics (37.1%) were the most common psychotropic medications prescribed.
Conclusions:
- A significant proportion of dermatology patients utilize psychotropic medications, suggesting high rates of psychodermatologic conditions or concurrent mental health issues.
- Integrated, multidisciplinary approaches are essential for improved diagnosis and management.
- Findings highlight the need for enhanced care pathways in dermatology.
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