Depression and the risk of psoriasis in US women

作者：Dominguez P L; Han J; Li T; Ascherio A; Qureshi A A^*

来源：Journal of the European Academy of Dermatology and Venereology, 2013, 27(9): 1163-1167.

DOI：10.1111/j.1468-3083.2012.04703.x

Background Depression is a common mental health condition that has been associated with psoriasis. In the absence of prospective data, it remains unclear whether depression precedes psoriasis as a risk factor.
Objectives To examine the association between depression and the risk of new-onset psoriasis.
Methods A prospective cohort of 86 880 US female nurses, The Nurses' Health Study II, was followed up from 1993 to 2005. Participants reported anti-depressant use and completed the Mental Health Index (MHI), a subscale of the Short-Form 36 in 1993. The MHI assessed for depression and scores was categorized into four strata: 0-52, 53-75, 76-85 and 86-100, with lower scores associated with increasing depressive symptoms. We excluded participants with a history of psoriasis prior to 1993. A self-report of incident physician-diagnosed psoriasis constituted the main outcome measure. For a sensitivity analysis, we had a subset of confirmed psoriasis cases.
Results Depression was associated with an increased risk of incident psoriasis. Compared to women in the nondepressed group (MHI 86-100), women who reported either having high depressive symptomatology (MHI scores <52) or who were on anti-depressants had a multivariate relative risk (RR) of 1.59 for developing subsequent psoriasis (95% confidence interval [CI], 1.21-2.08). These associations became stronger among confirmed psoriasis cases.
Conclusions We found that depression was independently associated with an increased risk of psoriasis in this population of US women.

• 出版日期2013-9