Asude KARA POLAT, Ümit Sertan ÇÖPOĞLU, Yavuz YEŞİLOVA, EMİNE TUĞBA ALATAŞ, Aslı AKIN BELLİ, METİN PIÇAKÇIEFE

Prevalence of Dermatological and Psychiatric Diseases Related to Stress in Syrian Refugees and Local People: A Cross-sectional Study in Southeastern Anatolia, Turkey

Objective: Although a large number of Syrian refugees have been living in Turkey, the studies demonstrating dermatological problems of Syrian refugees are scarce. We sought to investigate stress-related dermatological diseases and psychiatric disorders of Syrian refugees and local people in the dermatology clinic on the border of Syria. Material and Method: A cross-sectional study was conducted on 48 Syrian refugees and 118 local people diagnosed as acne vulgaris, alopecia areata, psoriasis, pruritus, seborrheic dermatitis and urticaria between May and August 2013. Socio-demographic and clinical characteristics of the participants were recorded. All patients were examined by a single psychiatrist. Results: Of 166 participants, 72 had acne vulgaris, 27 had psoriasis, 24 had pruritus, 18 had seborrheic dermatitis, 14 had alopecia areata, and 11 had urticaria. Of them, 47% had at least one psychiatric disorder; 31.3% had anxiety disorder, 7.2% had mood disorder, and 8.4% had both of anxiety and mood disorders. Whereas the prevalence of general psychiatric disorders and major depression was not significantly different between refugees and local people, the prevalence of post-traumatic stress disorder was significantly higher in refugees. Conclusion: The frequency of psychiatric disorders and skin diseases related to stress were quite high in refugees and local people.

Yerel Halk ve Suriyeli Mültecilerin Stresle İlişkili Dermatolojik ve Psikiyatrik Hastalık Prevalansları: Güneydoğu Anadolu'da Kesitsel Bir Çalışma

Amaç: Çok sayıda Suriye'li mülteci Türkiye'de yaşamasına rağmen bu mültecilerin dermatolojik sorunlarını gösteren çalışmalar az sayıdadır. Bu çalışma ile Suriye sınırındaki d ermatoloji kliniğinde Suriye'li mülteciler ve yerel halkın, stres ile ilişkili dermatolojik ve psikiyatrik hastalıklarının incelemesi amaçlanmıştır. Gereç ve Yöntem: Mayıs ve Ağustos 2013 tarihleri arasında akne vulgaris, alopesi areata, psoriasis, pruritus, seboreik dermatit ve ürtiker tanısı konulan 48 Suriyeli mülteci ve 118 yerel halk üzerinde kesitsel bir çalışma yürütüldü. Katılımcıların sosyo-demografik ve klinik özellikleri kaydedildi. Bütün hastalar tek bir psikiyatrist tarafından muayene edildi. Bulgular: Yüz on altı katılımcının 72'sinde akne vulgaris, 27'sinde psoriasis, 24'ünde pruritus, 18'inde seboreik dermatit, 14'ünde alopesi areata ve 11'inde ürtiker mevcuttu. Bu hastaların %47'sinde en az bir psikiyatrik bozukluk mevcut olup %31.3'ünde anksiyete bozukluğu, %7.2'sinde duygu durum bozukluğu ve %8.4'ünde anksiyete duygu durum bozukluğunun ikisi de bulunmaktaydı. Mülteciler ve yerel halk arasında genel psikiyatrik bozukluklar ve major depresyon prevalansı anlamlı olarak farklı değil iken, post travmatik stres bozukluğu mültecilerde anlamlı olarak yüksek saptandı. Sonuç: Psikiyatrik bozukluklar ve deri hastalıkları hem mülteci hem de yerel halkta oldukça yüksek olmakla beraber post travmatik stres bozukluğu mültecilerde daha fazla gözükmekteydi

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