Prevalence and Clinical Characteristics of Psychodermatoses among Patients Visiting Dermatology Outpatient Department in a Tertiary Level Hospital in Bangladesh
Keywords:
Psychodermatoses, psychiatric comorbidity, stress, BangladeshAbstract
Psychodermatoses are dermatological diseases with a psycho-emotional background or under the influence of emotional stress. They are an important link between dermatological disorders and psychiatric comorbidities, which is often neglected in everyday clinical practice. A cross-sectional, observational study was carried out in the Department of Dermatology & Venereology of Community Based Medical College, Bangladesh (CBMC,B) Hospital, Mymensingh, Bangladesh, between April and August of 2025, to determine the prevalence and clinical profile of psychodermatoses among outdoor patients. A total of 87 patients of dermatological diseases with suspected psychogenic components were enrolled in this study. Structured questionnaire was used to collect data. Patients were categorized according to the International Classification of Diseases, 10th Revision (ICD-10) dermatological coding system. Then, they were screened for psychological disturbances using the Bangla version of Hospital Anxiety and Depression Scale (HADS). Those who scored above the threshold (≥8 on either subscale) underwent a more detailed psychiatric interview by an experienced psychiatrist using DSM-5 diagnostic criteria. The mean age of the patients was 31.8±9.4 years; male-female ratio was 1:1.7. The total prevalence of psychodermatoses was observed 11.2% within the study period. Neurodermatitis (26.4%), trichotillomania (19.5%) and delusional parasitosis (14.9%) were the most common diagnoses. Anxiety (48.3%) and depression (35.6%) were the most frequent psychiatric comorbidities. A significant association was found between female gender, younger age (<40 years), and psychosocial stressors with the presence of psychiatric comorbidity (p<0.05). Psychodermatoses in relatively common in every day dermatology outpatient services of Bangladesh. Psychiatric screening should be a part of dermatology practice for holistic patient care.
CBMJ 2026 July: Vol. 15 No. 02 P:78-85
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Copyright (c) 2026 Nahida Islam, Mohammad Imdadul Hoque Shakil
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