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    The psychiatric profile of chronic pruritus patients
    (Istanbul Universitesi, 2015) Akman O.; Orhan F.Ö.; Öztürk P.; Özer A.; Akman Y.; Karaaslan M.F.
    Objective: Itching, or pruritus, is an uncomfortable sensation leading to the urge to scratch, and it is the most common symptom in skin diseases. Chronic pruritus may be seen in many skin and systemic diseases as well as in psychiatric disorders. The aim of the present study was to investigate itching features, psychiatric disorders, and depressive symptoms of patients with chronic pruritus due to reasons other than primary skin diseases or systemic diseases that may cause itching. Methods: 126 patients with chronic pruritus were included in the study. Sociodemographic data and disease-related features were recorded on a form. Psychiatric diagnoses were established based on the Diagnostic and Statistical Manual of Mental Disorders- IV-Text Revision (DSM-IV-TR) criteria, using the Structured Clinical Interview for DSM-IV, Clinical Version (SCID-I/CV). The Beck Depression Inventory (BDI) was applied. Results: Of the chronic pruritus patients, 70.6% had psychiatric disorders ranging from one to three. The most common psychiatric disorders were depressive disorders, with a rate of 34.1%. The generalized itching and BDI scores were significantly higher in patients with a psychiatric diagnosis as compared to those without (p<0.05). Among all chronic pruritus patients, 62% had depressive symptoms ranging from mild to severe. Conclusions: The high rate of psychiatric disorders, particularly the presence of concomitant depressive symptoms, in patients with chronic pruritus without a primary skin or systemic disease indicates the importance of psychiatric assessment in such patients. © 2015, Istanbul Universitesi. All rights reserved.