Rosacea and Depression

Written by on December 1, 2005 in depression & anxiety with 1 Comment

Comorbidity of rosacea and depression: an analysis of the National Ambulatory Medical Care Survey and National Hospital Ambulatory Care Survey-Outpatient Department data collected by the U.S. National Center for Health Statistics from 1995 to 2002, British Journal of Dermatology, 2005 Dec;153(6):1176-81., Gupta MA, Gupta AK, Chen SJ, Johnson AM.

Background: Psychogenic factors have been considered to be important in the exacerbation and possibly the onset of rosacea. However, there are very few studies that have reported conclusive findings.

Objectives: To examine the association between rosacea and major depressive disease, a common and usually treatable psychiatric disorder.

Methods: Data from 1995 to 2002, collected by the National Ambulatory Medical Care Survey and the outpatient component of the National Hospital Ambulatory Care Survey, which are both nationally representative surveys of healthcare visits in the U.S.A., were studied. The basic sampling unit in both surveys is the patient visit or encounter. A ‘Rosacea’ variable was created by grouping all rosacea (ICD-9-CM code 695.3) visits and a ‘Depression’ variable was created by grouping the patient visits related to major depressive disorder (ICD-9-CM codes 296.2, 296.3 and 311). As alcohol abuse has been implicated in rosacea, and alcohol can confound symptoms of depression, an ‘Alcohol’ variable was created by grouping all ICD-9-CM codes related to alcohol dependence and abuse (codes 303, 303.0, 303.9 and 305.0). All analyses were conducted using the Complex Samples module of SPSS version 13, to account for the multistage probability sampling design used to collect the data.

Results: The weighted data were representative of over 608 million dermatology visits between 1995 and 2002. Logistic regression analysis using ‘Rosacea’ as the dependent variable and age, sex, ‘Alcohol’ and ‘Depression’ as independent variables revealed that the odds ratio for depressive disease in the rosacea group was 4.81 (95% confidence interval 1.39-16.62). The association between ‘Alcohol’ and ‘Rosacea’ was not significant.

Conclusions: The comorbidity between major depressive disease and rosacea may have important clinical implications. Alcohol abuse does not appear to play a significant role in this association.

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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1 Reader Comment

  1. susan says:

    Further to my saga the sarcoidosis was a direct result of the adrenal failure. All this because I went to the pain clinic with a bad back . My God I wish I’d just put up with it and forgone the pain clinic. The prednisone has also given me sarcoidosis of the nervous system, acute fibromyalgia not the spinal problems are that bad I need an operation if my lungs can take the anaesthetic. The sarcoidosis of the nervous system agitated the nerves over my whole body and I feel as though I’m being eaten alive, even my face , lips, tongue and eyes are affected. The rosacea in my eyes makes me look as though dracula has just fed as the skin around my eyes is red. The rosacea brings me to despair. The burning tightness is horrendous and my skin is so scales and dry yet too hypersensitive to moisturise. I once put cream on but the heat from a flush made me feel like my skin was frying. Nothing works!!!!. I’ve lost all the weight but am left with a lot of loose skin which the NHS refuses to operate on. Yet people who gorge and make themselves fat are offered gastric bands. There’s something wrong somewhere. Those people may well have issues of their own but mine were ALL caused by our wonderful NHS. The dermatologist even told me to sit with cold flannels on my face. If I am suitable for laser treatment I must travel 60 odd miles and pay for it myself, yet because we have a post code lottery of NHS treatment someone living in a different area can have free laser treatment as it was medically induced. Yet I and all my family have paid our NHS contributions and taxes all our lives. I wish the old NHS was back and not these trusts as at least we were all treated the same wherever we lived in the country. I am beyond bitter and am so very angry. Our NHS up where I live is under special measures not most folk wouldn’t have a boil landed there. My face looks n feels like a burns victim.-

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