Muhammad Arif Maan, Saadiا Naureen, Ayesha Saddiqua.
Anxiety, Depression and Self-Esteem among Chronic Skin patients.
Annals Punjab Med Coll Jan ;4(2):159-65.

Objectives:  The study was designed to examine anxiety, depression and self-esteem among patients of chronic skin diseases and to explore the split up of patients as per gender. Study Design: Correlational Study. Duration and the Place of the Study: The study was conduced from February 2010 to April 2010 in outdoor of dermatology DHQ hospital Faisalabad and Nishtar Hospital Multan. Patients and Methods: All patients who consented (in case of minors consent taken from guardians/ parents) were included in this correlational study. All patients who refused to participate in the study were excluded and patients who suffering from chronic medical or surgical problems were also excluded.160 patients with different skin diseases participated in it through purposive convenient sampling technique. Anxiety, depression and self-esteem were assessed by using test booklet was comprised of Zung Self-Rating Anxiety Scale, Zung Self-Rating Depression Scale, Rosenberg Self-Esteem Scale and Informed Consent form. The diagnostic criteria of DSM IV TR were employed while demographic variables were recorded on a demographic sheet. SPSS version 10 was used to analyze the raw data by correlation coefficient and the independent-samples t-tests. Results: Results showed that there were positive relationship between anxiety and depression (P<0.05) and negative relationship between depression and self-esteem among chronic skin patients (P<0.01). It was also found that there is significant difference on anxiety scale among female patients of chronic skin diseases (M=43.18, SD=5.72), and male patients of chronic skin diseases (M=44.71, SD=4.86), where t (158) = 1.798, p=0.037, N=160. Results also showed that female patients of chronic skin diseases have higher level of depression as compared to male patients of chronic skin diseases (M=56.89, 53.81), (SD=5.08, 4.13), where (t=-4.118, df=158, p=0.001) and female patients of skin diseases have lower level of self-esteem as compared to male patients of chronic skin diseases (M=10.64, 11.91), (SD=2.67, 2.66), where (t=2.990, df=158, p=0.0015). Conclusion: As the psychiatric co morbidity anxiety, depression and self-esteem in patients suffering from chronic skin diseases is so frequent hence the doctors dealing with such patients should be better trained in assessment and management of these disorders. 

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