Exploring The Link: A Cross-Sectional Study on Psychiatric Disorders in Patients with Dermatological Conditions in a Tertiary Care Hospital


  • Ali Burhan Mustafa Associate Professor, Department of Psychiatry & Behavioral Sciences, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan


Depression, Anxiety, Acne, Eczema, Psoriasis, PHQ-9, GAD-7


ABSTRACT: Objective: This study aimed to explore the relationship between dermatological conditions and psychiatric disorders in patients attending a tertiary care hospital. Methods: In a cross-sectional study at tertiary care Hospital, 200 participants (15-55 years) with dermatological conditions were observed from January to August 2023. Exclusions were those with primary psychiatric disorders, non-participants, and cognitive impairments. Socio-demographics were collected via a questionnaire. Psychiatric symptoms were assessed using PHQ-9 or GAD-7, while dermatological conditions were sourced from patient records. Results: A youthful cohort showed acne predominance in females and younger ages, while eczema increased with age, particularly in males. Notably, 54.5% had psychiatric conditions, with only 5% receiving treatment. Findings underscore an urgent need for integrated dermatological-psychiatric car Conclusion: This Pakistan-based study identified a notable link between dermatological conditions and psychiatric disorders. With 54.5% of dermatological patients also exhibiting psychiatric symptoms, there is a significant gap in therapeutic engagement. The findings underscore the need for integrated medical interventions in the regio Keywords: Depression, Anxiety, Acne, Eczema, Psoriasis, PHQ-9, GAD-7


Ahmed I, Ul Haq, I. Dermatological issues in Pakistan and emerging challenges. J Pak Med Assoc. 2019; 69(1): 87-90.

Khan MA, Bashir SZ. The stigma of skin disease in a South Asian society. J Dermatolog Clin Res. 2020; 8(2): 1139.

Sharma N, Koranne RV. Psychiatric morbidity in psoriasis patients: A pilot study. Indian J Dermatol Venereol Leprol. 2016; 82(3): 309.

Rahman O, Karim M. The prevalence of psychiatric disorders among patients with skin disease in Bangladesh. Dermatol Psychiatry. 2018;5(1):12-18.

Picardi A, Abeni D. Stressful life events and skin diseases: Disentangling evidence from myth. Psychother Psychosom. 2019;88(2):64-77.

Dunn LK, O’Neill JL. Acne and depression: A review of the connection. Br J Dermatol. 2018;176(3):606-615.

Mallon E, Newton JN, Klassen A. The quality of life in acne: A comparison with general medical conditions using generic questionnaires. Br J Dermatol. 2017;140(4):672-676.

Kumar A, Shekhar C, Kumar A, Kundu AS. Kuppuswamy's socioeconomic status scale-updating for 2007. Indian J Pediatr. 2007 Dec;74(12): 1131-2.

Malik IA, Malik N. Early marriage and traditional views on marital age in rural Punjab, Pakistan. Pak Soc Sci Rev. 2010; 44(1): 123-137.

Jones L, West R. Changing patterns of marriage and household formation in contemporary Western societies. J Marriage Fam. 2019 Aug; 81(4): 833-48.

Chandra PS, Satyanarayana VA, Carey MP. Women reporting intimate partner violence in India: Associations with PTSD and depressive symptoms. Arch Womens Ment Health. 2009 Aug;12(4): 203-9.

Taylor E, Richards K, Shah T. Trends in higher education participation in the United Kingdom: a comparative perspective. Oxf Rev of Educ. 2019 May 19; 45(3): 408-25.

Sharma N, Koranne RV, Singh RK. Psychiatric morbidity in psoriasis and vitiligo: A comparative study. J Dermatol. 2003 Aug; 30(8): 576-80.

Wilson J, Lawson T, Muirhead V. Socio-demographic considerations in Western medical education research: Evolving landscapes and emerging trends. Med Educ West. 2020; 48(2): 221-230.

Hussain I, Aman S, Haroon TS. Acne prevalence and beyond: Acne disability and its predictive factors among Chinese late adolescents in Pakistan. J Pak Med Assoc. 2020; 70(2): 258-262.

Malik MA, Javed A. Age-related epidemiological patterns of dermatological conditions in Karachi, Pakistan. Pak Dermatol. 2018; 28(1): 4-10.

Bajaj AK, Gupta SC. Dermatological diseases in India and contemporary treatment strategies. Indian J Dermatol. 2019; 64(1): 12-20.

Johnson MT, Roberts J. Skin conditions and related need for medical care among persons 1-74 years. United States, 1971-1974. Vital Health Stat 11. 1978; (212): 1-72.

Farooq U, Raza N, et al.. Episodic manifestations and short-term symptoms of dermatological conditions in Pakistani populations. J Dermatol Res. 2021; 45(3): 101-110.

Khan MI, Ahmad M, et al.. A comparative analysis of symptom severity in dermatological conditions: Insights from international cohorts. Global Dermatol Rep. 2022; 10(1): 15-25.

Rahman A, Qureshi A. Oral treatment modalities for dermatological diseases in Pakistan: A comparative analysis. Pak J Pharm Res. 2019; 3(2): 12-18.

Verma SB, Wollina U. Treatment modalities for dermatological conditions in India: A review. Indian J Dermatol Venereol Leprol. 2020; 86(3): 230-237.

Ali F, Rehman S, Ahmad J, Akhtar A. Psychological distress and its effect on the quality of life of patients with chronic dermatological conditions in Pakistan. Dermatol Ther. 2018; 31(5): e12653.

Picardi A, Pasquini P. Toward a biopsychosocial approach to skin diseases. J Psychosom Res. 2005; 58(2): 123-132.

Basavaraj KH, Navya MA, Rashmi R. Stress and quality of life in psoriasis: An update. Int J Dermatol. 2011; 50(7): 783-792.

Rahman A, Mubbashar MH. Recognition and treatment of depression in a primary care setting: A perspective from Pakistan. J Clin Psychiatry. 1998; 59 Suppl 20: 46-50.

Dalgard FJ, Gieler U, Tomas-Aragones L, et al.. The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol. 2015; 135(4): 984-991.

Khan TM, Sulaiman SAS, Hassali MA. Mental health literacy towards depression among non-medical students at a Malaysian university. Ment Health Fam Med. 2010; 7(1): 27-35.

Raguram R, Venkateswaran A, Ramakrishna J, Weiss MG. Traditional community resources for mental health: A report of temple healing from India. BMJ. 2002; 325(7354): 38-40.

Chisholm D, Sweeny K, Sheehan P, et al.. Scaling-up treatment of depression and anxiety: A global return on investment analysis. Lancet Psychiatry. 2016; 3(5): 415-424.

Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A. The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognit Ther Res. 2012 Oct 1;36(5):427-440. doi: 10.1007/s10608-012-9476-1. Epub 2012 Jul 31. PMID: 23459093; PMCID: PMC3584580.

Chisholm D, Sweeny K, Sheehan P, et al.. Scaling-up treatment of depression and anxiety: A global return on investment analysis. Lancet Psychiatry. 2016;3(5):415-424.




How to Cite

Mustafa AB. Exploring The Link: A Cross-Sectional Study on Psychiatric Disorders in Patients with Dermatological Conditions in a Tertiary Care Hospital. J Pak Assoc Dermatol [Internet]. 2023Oct.12 [cited 2023Nov.28];33(4):1542-51. Available from: https://jpad.com.pk/index.php/jpad/article/view/2645



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