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Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents

INTRODUCTION: Cutaneous leishmaniasis (CL) is a common parasitic infectious disease caused by different species of the leishmania genus. The skin lesions are usually found on exposed areas, especially the face, arms and legs. Although the disease does not cause significant morbidity, the lesions can...

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Autores principales: Turan, Enver, Kandemir, Hasan, Yeşilova, Yavuz, Ekinci, Suat, Tanrıkulu, Osman, Kandemir, Sultan Basmacı, Gurel, Mehmet Salih
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4692819/
https://www.ncbi.nlm.nih.gov/pubmed/26759542
http://dx.doi.org/10.5114/pdia.2015.54744
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author Turan, Enver
Kandemir, Hasan
Yeşilova, Yavuz
Ekinci, Suat
Tanrıkulu, Osman
Kandemir, Sultan Basmacı
Gurel, Mehmet Salih
author_facet Turan, Enver
Kandemir, Hasan
Yeşilova, Yavuz
Ekinci, Suat
Tanrıkulu, Osman
Kandemir, Sultan Basmacı
Gurel, Mehmet Salih
author_sort Turan, Enver
collection PubMed
description INTRODUCTION: Cutaneous leishmaniasis (CL) is a common parasitic infectious disease caused by different species of the leishmania genus. The skin lesions are usually found on exposed areas, especially the face, arms and legs. Although the disease does not cause significant morbidity, the lesions can be troublesome and unsightly. The disease have negative impacts in areas such as patients’ psychological well-being, social life and daily activities in adults. AIM: To determine the frequency of psychiatric morbidity in children and adolescents who have cutaneous leishmaniasis (CL) and to determine the effect of CL on their levels of depression and anxiety and on their quality of life (QoL). MATERIAL AND METHODS: Fifty-four patients with CL (29 males and 25 females), who were 7 to 18 years of age, were assessed with the Child Depression Inventory (CDI) and the State-Trait Anxiety Inventories for Children (STAIC). The patients and their mothers were assessed with the Pediatric Quality of Life Inventory Parent and Child Versions (PedQL-P and C, respectively). This questionnaires were filled in by the control group consisting of 40 healthy children and adolescents (20 males and 20 females) and their parents from the local community matched for age, gender, and education level of the parents. RESULTS: Both the patient group and the control group had high scores on the depression measurement scale (t = 5.36, p < 0.05). These measurements also show significant differences between children and adolescents, who were defined as 12 years of age and under as well as older than 12 years, respectively (12 years of age and under (t = 3.14, p = 0.04); over 12 years (t = 5.37, p < 0.001)). However, there was no significant difference between the anxiety scores of the general patient group and the control group when classified according to age. The anxiety sensitivity index scores did not differ in either group from those of the control group. The patients’ and the mothers’ QoL scores for all of the scales, including all subscale scores, were significantly different from those of the control group (both 12 years of age and under as well as older than 12 years). CONCLUSIONS: The results have shown that the frequency of depressive symptoms is much higher in patients who have CL than in healthy controls. In addition, the QoL of children and adolescents with CL and of their mothers was found to be much lower than that of the control group. Therefore, the follow-up for patients with CL who are referred to dermatology clinics should include a psychiatric evaluation. If necessary, they should be referred for psychiatric support.
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spelling pubmed-46928192016-01-12 Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents Turan, Enver Kandemir, Hasan Yeşilova, Yavuz Ekinci, Suat Tanrıkulu, Osman Kandemir, Sultan Basmacı Gurel, Mehmet Salih Postepy Dermatol Alergol Original Paper INTRODUCTION: Cutaneous leishmaniasis (CL) is a common parasitic infectious disease caused by different species of the leishmania genus. The skin lesions are usually found on exposed areas, especially the face, arms and legs. Although the disease does not cause significant morbidity, the lesions can be troublesome and unsightly. The disease have negative impacts in areas such as patients’ psychological well-being, social life and daily activities in adults. AIM: To determine the frequency of psychiatric morbidity in children and adolescents who have cutaneous leishmaniasis (CL) and to determine the effect of CL on their levels of depression and anxiety and on their quality of life (QoL). MATERIAL AND METHODS: Fifty-four patients with CL (29 males and 25 females), who were 7 to 18 years of age, were assessed with the Child Depression Inventory (CDI) and the State-Trait Anxiety Inventories for Children (STAIC). The patients and their mothers were assessed with the Pediatric Quality of Life Inventory Parent and Child Versions (PedQL-P and C, respectively). This questionnaires were filled in by the control group consisting of 40 healthy children and adolescents (20 males and 20 females) and their parents from the local community matched for age, gender, and education level of the parents. RESULTS: Both the patient group and the control group had high scores on the depression measurement scale (t = 5.36, p < 0.05). These measurements also show significant differences between children and adolescents, who were defined as 12 years of age and under as well as older than 12 years, respectively (12 years of age and under (t = 3.14, p = 0.04); over 12 years (t = 5.37, p < 0.001)). However, there was no significant difference between the anxiety scores of the general patient group and the control group when classified according to age. The anxiety sensitivity index scores did not differ in either group from those of the control group. The patients’ and the mothers’ QoL scores for all of the scales, including all subscale scores, were significantly different from those of the control group (both 12 years of age and under as well as older than 12 years). CONCLUSIONS: The results have shown that the frequency of depressive symptoms is much higher in patients who have CL than in healthy controls. In addition, the QoL of children and adolescents with CL and of their mothers was found to be much lower than that of the control group. Therefore, the follow-up for patients with CL who are referred to dermatology clinics should include a psychiatric evaluation. If necessary, they should be referred for psychiatric support. Termedia Publishing House 2015-10-29 2015-10 /pmc/articles/PMC4692819/ /pubmed/26759542 http://dx.doi.org/10.5114/pdia.2015.54744 Text en Copyright © 2015 Termedia http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Turan, Enver
Kandemir, Hasan
Yeşilova, Yavuz
Ekinci, Suat
Tanrıkulu, Osman
Kandemir, Sultan Basmacı
Gurel, Mehmet Salih
Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
title Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
title_full Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
title_fullStr Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
title_full_unstemmed Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
title_short Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
title_sort assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4692819/
https://www.ncbi.nlm.nih.gov/pubmed/26759542
http://dx.doi.org/10.5114/pdia.2015.54744
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