Prevalence and Odds of Anxiety Disorders and Anxiety Symptoms in Children and Adults with Psoriasis: Systematic Review and Meta-analysis

Authors

  • Isabelle Jalenques Adult Psychiatry and Medical Psychology Department, CHU Clermont-Ferrand, 58 rue Montalembert, FR-63003 Clermont-Ferrand Cedex 1, France https://orcid.org/0000-0002-8331-4544
  • Fabien Bourlot CHU Clermont-Ferrand, Service de Psychiatrie de l’Adulte A et Psychologie Médicale, F-63000 Clermont-Ferrand, France
  • Elisa Martinez CHU Clermont-Ferrand, Service de Psychiatrie de l’Adulte A et Psychologie Médicale, F-63000 Clermont-Ferrand, France
  • Bruno Pereira CHU Clermont-Ferrand, Direction de la Recherche Clinique et de l’Innovation, F-63000 Clermont-Ferrand, France
  • Michel D'Incan Clermont Auvergne Université, INSERM, CHU Clermont-Ferrand, Service de Dermatologie, Clermont Auvergne INP, Institut Pascal, F-63000 Clermont-Ferrand, France
  • Sophie Lauron CHU Clermont-Ferrand, Service de Psychiatrie de l’Adulte A et Psychologie Médicale, F-63000 Clermont-Ferrand, France
  • Fabien Rondepierre CHU Clermont-Ferrand, Service de Psychiatrie de l’Adulte A et Psychologie Médicale, F-63000 Clermont-Ferrand, France https://orcid.org/0000-0002-8998-1559

DOI:

https://doi.org/10.2340/actadv.v102.1386

Keywords:

Psoriasis, Anxiety disorders, Anxiety symptoms, Systematic review, Meta-analysis

Abstract

The magnitude of the association between psoriasis and depression has been evaluated, but not that between psoriasis and anxiety. The aim of this systematic review and meta-analysis was to examine the prevalence and odds of anxiety disorders and symptoms in patients with psoriasis. Five medical databases (Cochrane Database, EMBASE, PubMed, PsychINFO, ScienceDirect) were searched for relevant literature. A total of 101 eligible articles were identified. Meta-analysis revealed different prevalence rates depending on the type of anxiety disorder: 15% [95% confidence interval [CI] 9–21] for social anxiety disorder, 11% [9–14] for generalized anxiety disorder, and 9% [95% CI 8–10] for unspecified anxiety disorder. There were insufficient studies assessing other anxiety disorders to be able to draw any conclusions on their true prevalence. Meta-analysis also showed a high prevalence of anxiety symptoms (34% [95% CI 32–37]). Case-control studies showed a positive association between psoriasis and unspecified anxiety disorder (odds ratio 1.48 [1.18; 1.85]) and between psoriasis and anxiety symptoms (odds ratio 2.51 [2.02; 3.12]). All meta-analyses revealed an important heterogeneity, which could be explained in each case by methodological factors. The results of this study raise the necessity of screening for the presence of anxiety disorders, as previously recommended for depressive disorders, in patients with psoriasis and, if necessary, to refer such patients for evaluation by a mental health professional and appropriate treatment.

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2022-08-26

How to Cite

Jalenques, I., Bourlot, F., Martinez, E., Pereira, B., D’Incan, M., Lauron, S., & Rondepierre, F. (2022). Prevalence and Odds of Anxiety Disorders and Anxiety Symptoms in Children and Adults with Psoriasis: Systematic Review and Meta-analysis. Acta Dermato-Venereologica, 102, adv00769. https://doi.org/10.2340/actadv.v102.1386