Original scientific paper
Psoriasis, Mental Disorders and Stress
Darko Biljan
; Department of Dermatovenerology, University Hospital Center »Osijek«, Osijek, Croatia
Davor Laufer
; Clinic for Psychiatry, University Hospital Center »Osijek«, Osijek, Croatia
Pavo Filaković
; Clinic for Psychiatry, University Hospital Center »Osijek«, Osijek, Croatia
Mirna Šitum
; Clinic for Dermatovenerology, University Hospital »Sestre milosrdnice«, Zagreb, Croatia
Tomo Brataljenović
; Clinic for Psychiatry, University Hospital Center »Zagreb«, Zagreb, Croatia
Abstract
Etiology of psoriasis is still not known and comprises a range of assumptions and very complex etiological and pathogenetic mechanisms. Along with genetical predisposition, mental disorders and stresses might have a key role in the occurrence of this disease. Total number of 70 patients suffering from psoriasis were included in the investigation. Generally accepted structured clinical interview (SCID – The Structured Clinical Interview for DSM-IV) was applied in diagnostics of mental disorders. Various mental disorders were found in as many as 90% of patients suffering from psoriasis. The most frequent mental disorders were depressive disorder (19.2%), the posttraumatic stress disorder (17.8%), alcoholism (16.4%), adaptation disorder (15.1%), anxiety – depressive disorders (13.7%) and generalized anxious disorder (9.6%). The authors have concluded that in patients with psoriasis both various mental disorders and various stress events are frequent. The results have implied that there is a link between psoriasis on the one hand and various mental disorders and various stressors on the other. The investigation implies that there is a need to improve multidisciplinary approach in diagnostics and treatment of psoriasis and multi disciplinary team should consist of dermatologist, psychiatrist and psychologist.
Keywords
psoriasis; mental disorders; stress
Hrčak ID:
41841
URI
Publication date:
10.9.2009.
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