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Psychodermatologic pathology in adolescents: findings from the Colombian National Mental Health Survey

  • Laura Andrea Gómez García , Arturo Marroquín Rivera EMAIL logo , Carlos Javier Rincón Rodríguez , Isabel Cristina Cuellar and Carlos Gómez-Restrepo
Published/Copyright: October 22, 2020

Abstract

Background

Associations between mental health and dermatology have generated a new branch of study called psychodermatology, which includes relevant conditions to the adolescent population. However, there is limited research focusing on this field and this specific population.

Objective

To estimate the prevalence of dermatological pathologies in the Colombian adolescent population and their possible associations with mental health conditions.

Methods

We performed a secondary analysis of the Colombian National Mental Health Survey results. A representative sample of the adolescent Colombian population answered questions regarding dermatological conditions and mental health disorders. We estimated the prevalence and evaluated associations using the chi squared independence test.

Results

Of 1753 adolescents, 8.3% (CI95%=[6.8–10.1]) had dermatitis or skin allergies and 4.5% (CI95%=[3.3–6.1]) acne. For dermatitis, we found associations with age, education, and family dysfunction (p-Values=0.024; <0.001; 0.046 respectively). Acne was associated with age, sex, educational level, the number of social groups involved in, alcohol consumption, psychoactive substances use and previous violent experiences (respective p-Values=0.007; 0.004; 0.005; 0.036; 0.002; 0.003; 0.044). Regarding mental health, dermatological conditions were associated with depression, affective disorders, suicide attempt and suicide ideation.

Conclusion

Our results are the first to describe the prevalence of these disorders in Colombia. This is an exploratory study; nonetheless, it is of great value since it is the first to describe these associations in adolescents in a middle-income country, which should be considered during clinical examinations. Further longitudinal studies evaluating possible causal relationship between psychiatric and dermatological conditions are fundamental to establish causal links.


Corresponding author: Arturo Marroquín Rivera, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Pontificia Universidad Javeriana, Kra.7 N.40 – 62 2nd Floor, Bogotá, 110231, Colombia, E-mail:

Acknowledgments

The authors would like to acknowledge the Colombian Ministry of Health and Social Protection for allowing the use of the database of the National Mental Health Survey

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: The authors declare that there are no conflicts of interest regarding the publication of this article.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The local Institutional Review Board deemed the study exempt from review.

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Received: 2020-07-06
Accepted: 2020-09-13
Published Online: 2020-10-22

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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