Depression in patients with fungal infection in tertiary care hospital

Muhammad Irfan Khan, Mehwash Kashif, Javed Iqbal, Minah Aslam, Huma Waseem, Rafia Mubbashir, Syeda Javeria Mehak, Rija Sirajuddin, Javeria Khalid

Abstract


Objective To document the incidence of depression in patients who have fungal infections in tertiary care hospitals of Karachi.

 

Design Cross sectional study.

 

Settings Tertiary general hospital.

 

Methods The study was initiated in the dermatology outpatient department of a tertiary general hospital after committee permission from November 2017 to April 2018. In this study the patients were recruited through convenience sampling and the inclusion criteria was patients diagnosed as having cutaneous and/or mucosal fungal infection by the consultant dermatologist after clinical evaluation and skin/mucosal biopsy with a confirmation of the same on histological report. Patients not willing to participate in the study were excluded. All the patients were informed about the nature of study and its applications and verbal informed consent was obtained from patients who were willing to participate in the study. Data collection was done in 350 patients having fungal infections out of which 219 have contagious fungal infections.

 

Results Total 62.57% patients had contagious fungal infections, 36.57% had depression, 40.28% patients had altered social behavior, 14.28% were associated with comorbids, 20% were on medicine and 41.14% patients had previous fungal infections.

 

Conclusion This study showed that cutaneous and mucocutaneous fungal infections affects the quality of life of people, their social and professional life.

 


Keywords


Objective To document the incidence of depression in patients who have fungal infections in tertiary care hospitals of Karachi. Design Cross sectional study. Settings Tertiary general hospital. Methods The study was initiated in the dermatology outpati

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References


Brig, K. Sharma, S. Brig, and et al, “Skin and psyche: diversionary symbiosis,” Med J Armed Forces India. 2005; 61(2): 163–66.

A. Kimyai-Asadi and A. Usman, “The role of psychological stress in skin disease,” c, vol. 5, no. 2, pp. 140–145, 2001.View at Publisher · View at Google Scholar· View at Scopus

M. Jafferany, “Psychodermatology: a guide to understanding common psychocutaneous disorders,” Primary Care Companion to the Journal of Clinical Psychiatry, vol. 9, no. 3, pp. 203–213, 2007.View at Publisher · View at Google Scholar· View at Scopus

H. Y. Schultz, “Society for investigative dermatology skin disease Co-Morbidities Project Launch Conference Proceedings,” Journal of Investigative Dermatology, vol. 129, no. 3, pp. 525–528, 2009. View at Publisher · View at Google Scholar · View at Scopus

M. A. Gupta, “Psychiatric comorbidity in dermatologic disorders,” in Psychodermatology, C. Walker and L. Papadoulos, Eds., Cambridge University Press, Cambridge, UK, 2005. View at Google Scholar

Picardi A, Abeni D. Stressful life events and skin diseases: Disentangling evidence from myth. Psychother Psychosom 2001; 70:118-36.

Bassiri-Jahromi S, Khaksari AA. Epidemiological survey of dermatophytosis in Tehran, Iran, from 2000 to 2005. Indian J Dermatol Venereol Leprol. 2009; 75(2): 142–7.

Pakshir K, Hashemi J. Dermatophytosis in Karaj, Iran. Indian J Dermatol. 2006; 51(4): 262.

Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses. 2008; 51(Suppl 4):2–15.

Gemmer C.M., DeAngelis Y.M., Theelen B. Fast, noninvasive method for molecular detection and differentiation of Malassezia yeast species on human skin and application of the method to dandruff microbiology. J Clin Microbiol. 2002 Sep; 40: 3350–57. [PubMed] [Ref list]

Shokohi T., Afshar P., Barzgar A. Distribution of Malassezia species in patients with pityriasisversicolor in Northern Iran. Indian J Med Microbiol. 2009; 27(4): 321–24. [PubMed] [Ref list]

Prohic A., Ozegovic L. Malassezia species isolated from lesional and non-lesional skin in patients with pityriasisversicolor. Mycoses. 2007; 50(1): 58–63. [PubMed] [Ref list]

Difonzo E.M., Faggi E., Bassi A. Malassezia skin diseases in humans. G Ital Dermatol Venereol. 2013 Dec; 148(6):609–619. [PubMed] [Ref list]

English MP, Wethered RR, and Duncan EH: Studies in the epidemiology of tinea pedis: Fungal infection in a long-stay hospital. Br Med J. 1967 Jul 15; 3(5558): 136-39.

Kwon-Chung K.J., Bennett J.E. Lea &Febigger; Philadelphia: 1992. Medical mycology; pp. 105–161. [Ref list]

Hainer B.L. Dermatophyte infections. Am Fam Physician. 2003 Jan; 67(1):101–109. [PubMed] [Ref list]

Picardi A, Abeni D. Stressful life events and skin diseases: Disentangling evidence from myth. Psychother Psychosom 2001; 70:118-36.

Pearl A, Arroll B, Lello J, Birchall NM. The impact of acne: A study of adolescent's Attitudes, Perception and Knowledge. N Z Med J. 1998; 111:269–71. [PubMed]

Yazici K, Baz K, Yazici AE, Köktürk A, Tot S, Demirseren D, et al. Disease -specific Quality of life is associated with anxiety and depression in patients with acne. J Eur Acad Dermatol Venereol. 2004; 18:435–9.

Kellett SC, Gawkrodger DJ. The psychological and emotional impact of acne and the effect of treatment with isotretinoin. Br J Dermatol. 1999; 140: 273–82.

Aktan S, Ozmen E, Sanli B. Anxiety, depression and nature of acne vulgaris in adolescents. Int J Dermatol. 2000; 39: 354–7.

Schwartz RA, Fox MD. Office Dermatology. Kansas City, Missouri: American Academy of family Physicians Publications, 1992.

Geary LK. Epidemiology of the dermatophytoses, sources of infection, modes of transmission and epidemicity. Ann NY Acad Dermatol 1958; 31:15-7.

Roberts SO, Hay RJ, Mackezie DW. A Clinician s guide to fungal disease. New York: Marcel Dekker; 1984.

Zarei Mahmoudabadi A, Zarrin M. Mycetomas in Iran: a review article. Mycopathologia 2008; 165: 135-41.

V. K. Mahajan, N. L. Sharma, R. C. Sharma, M. L. Gupta, G. Garg, and A. K. Kanga, “Cutaneous sporotrichosis in Himachal Pradesh, India,” Mycoses, vol. 48, no. 1, pp. 25–31, 2005. View at Publisher • View at Google Scholar • View at Scopus

Hay RJ, Moore MK: Dermatophytosis, In: Burns T, Breathnach S, Cox N, Griffith C(eds: Textbook of Dermatology, Vol 2, 7th Ed, Oregon, Blackwell Science 31: 19-31, 55, 2004

Selye H. The general adaptation syndrome and the diseases of adaptation. J ClinEndocrinol 1946; 6: 117-230.

E. L. M. Tawil, N. Sediki, and H. Hassan, “Psychobiological aspects of patients with lichen planus,” Current Psychiatry 2009; 16(4): 370–80.

P. J. Magin, C. D. Pond, W. T. Smith, A. B. Watson, and S. M. Goode, “A cross sectional study of psychological comorbidity in patients with acne, psoriasis and atopic dermatitis in specialist dermatology and general practices,” Eur Acad Dermatol and Venereol 2008; 23(2): 239–40.

E. N. Lundqvist, Y. B. Wahlin, M. Bergdahl, and J. Bergdahl, “Psychological health in patients with genital and oral erosive lichen planus,” Journal of the European Academy of Dermatology and Venereology 2006; 20(6): 661–6.

N. L. Galambos, B. J. Leadbeater, and E. T. Barker, “Gender differences in and risk factors for depression in adolescence: a 4-year longitudinal study,” International J Behav Develop 2004; 28(1): 16–25.

S. Nolen-Hoeksema, “Gender differences in depression,” Current Directions in Psychological Science 2001; 10(5); 173–76.

R. W. Simon and K. Lively, “Sex, anger and depression,” Social Forces 2010; 88(4): 1543–68.

M. A. Gupta and A. K. Gupta, “Psychiatric and psychological co-morbidity in patients with dermatologic disorders: epidemiology and management,” Am J Clin Dermatol 2003; 4(12): 833–42.

A. Picardi, D. Abeni, C. F. Melchi, P. Puddu, and P. Pasquini, “Psychiatric morbidity in dermatological outpatients: an issue to be recognized,” Br J Dermatol 2000; 143(5); 983–91.


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