Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role?
Aim: To assess the prevalence and severity of depression in married psoriasis patients and to determine its correlates with special reference to marital adjustment. Materials and methods: A total of 50 patients with a history of psoriasis for more than or equal to 2 years (age range, 26–45 years; me...
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Jaypee Brothers Medical Publisher
2024-07-01
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| Series: | Indian Journal of Private Psychiatry |
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| Online Access: | https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0159 |
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| author | Priyanka Sharma Deepak Sharma Abdul Qadir Jilani |
| author_facet | Priyanka Sharma Deepak Sharma Abdul Qadir Jilani |
| author_sort | Priyanka Sharma |
| collection | DOAJ |
| description | Aim: To assess the prevalence and severity of depression in married psoriasis patients and to determine its correlates with special reference to marital adjustment.
Materials and methods: A total of 50 patients with a history of psoriasis for more than or equal to 2 years (age range, 26–45 years; mean age, 33.0 ± 5.61 years; 80% males) were enrolled in the study. The prevalence and severity of depression were assessed using the Hamilton depression rating scale (HDRS), and the severity of psoriasis was assessed using the psoriasis area and severity index (PASI). The marital adjustment was assessed using the marital adjustment questionnaire (MAQ). Multivariate linear regression was performed to find out independent factors related to HDRS.
Results: Mean HDRS was 10.06 ± 5.25. Mild, moderate, and severe depression was seen in 46%, 18%, and 6% of patients, respectively. On multivariate linear regression, after adjusting for age, sex, place of residence, occupation, socioeconomic status, duration of marriage, number of children, BMI, psoriasis type, and duration of psoriasis, only PASI scores (<i>p</i> = 0.035) and MAQ scores (<i>p</i> < 0.001) emerged as factors independently associated with HDRS score (<i>r</i><sup>2</sup> = 0.602). In a reduced linear regression model, both PASI scores and MAQ scores were significantly associated with HDRS (<i>r</i><sup>2</sup> = 0.527).
Conclusion: Depressive symptoms were common in psoriasis patients and were associated with psoriasis severity (PASI). Marital adjustment offered a protective effect against depressive symptoms. |
| format | Article |
| id | doaj-art-dbbad294cc54454d93502e8c0c79ee07 |
| institution | DOAJ |
| issn | 2319-5363 2583-4010 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Indian Journal of Private Psychiatry |
| spelling | doaj-art-dbbad294cc54454d93502e8c0c79ee072025-08-20T03:07:31ZengJaypee Brothers Medical PublisherIndian Journal of Private Psychiatry2319-53632583-40102024-07-01182757910.5005/jp-journals-10067-01596Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role?Priyanka Sharma0Deepak Sharma1Abdul Qadir Jilani2https://orcid.org/0000-0002-6222-5788Priyanka Sharma, Department of Psychiatry, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India, Phone: +91 8174818625Department of Dermatology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, IndiaDepartment of Psychiatry, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, IndiaAim: To assess the prevalence and severity of depression in married psoriasis patients and to determine its correlates with special reference to marital adjustment. Materials and methods: A total of 50 patients with a history of psoriasis for more than or equal to 2 years (age range, 26–45 years; mean age, 33.0 ± 5.61 years; 80% males) were enrolled in the study. The prevalence and severity of depression were assessed using the Hamilton depression rating scale (HDRS), and the severity of psoriasis was assessed using the psoriasis area and severity index (PASI). The marital adjustment was assessed using the marital adjustment questionnaire (MAQ). Multivariate linear regression was performed to find out independent factors related to HDRS. Results: Mean HDRS was 10.06 ± 5.25. Mild, moderate, and severe depression was seen in 46%, 18%, and 6% of patients, respectively. On multivariate linear regression, after adjusting for age, sex, place of residence, occupation, socioeconomic status, duration of marriage, number of children, BMI, psoriasis type, and duration of psoriasis, only PASI scores (<i>p</i> = 0.035) and MAQ scores (<i>p</i> < 0.001) emerged as factors independently associated with HDRS score (<i>r</i><sup>2</sup> = 0.602). In a reduced linear regression model, both PASI scores and MAQ scores were significantly associated with HDRS (<i>r</i><sup>2</sup> = 0.527). Conclusion: Depressive symptoms were common in psoriasis patients and were associated with psoriasis severity (PASI). Marital adjustment offered a protective effect against depressive symptoms.https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0159body mass indexmarriagepsoriasis |
| spellingShingle | Priyanka Sharma Deepak Sharma Abdul Qadir Jilani Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role? Indian Journal of Private Psychiatry body mass index marriage psoriasis |
| title | Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role? |
| title_full | Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role? |
| title_fullStr | Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role? |
| title_full_unstemmed | Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role? |
| title_short | Determinants and Correlates of Depression in Psoriasis Patients: Does Marital Adjustment Play a Role? |
| title_sort | determinants and correlates of depression in psoriasis patients does marital adjustment play a role |
| topic | body mass index marriage psoriasis |
| url | https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0159 |
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