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The prevalence and odds of depression in patients with vitiligo: a meta‐analysis
Author(s) -
Wang G.,
Qiu D.,
Yang H.,
Liu W.
Publication year - 2018
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/jdv.14739
Subject(s) - medicine , meta analysis , depression (economics) , vitiligo , odds ratio , cochrane library , rating scale , prevalence , subgroup analysis , medline , psychiatry , epidemiology , dermatology , psychology , developmental psychology , economics , macroeconomics , political science , law
Objective The objective of this study was to provide a pooled estimate of the prevalence and odds of depression in patients with vitiligo. Methods A systematic literature search of Medline, Embase and Cochrane library databases was conducted. The proportions and mean questionnaire values for depression were pooled according to different evaluation methods. In controlled studies, odds ratio and standardized mean differences compared depression in vitiligo patients with healthy controls. Results One thousand nine hundred and sixty‐five patients were identified from 20 eligible cohorts to be included in the present meta‐analysis review. Sample sizes ranged from 30 to 308 for each analysis. The pooled prevalence of depression across 17 unique populations (n = 1711) was 29% (95% CI 20–39). The prevalence of clinical depression was 8% (95% CI 2%–14%) using Diagnostic and Statistical Manual of Mental Disorders IV or International Classification of Diseases codes‐10, and the prevalence of depressive symptoms was 33% (95% CI 23%–44%) using validated screening inventory and rating scales. Patient with vitiligo was 4.96 times more likely to display depression compared with controls. Subgroup analysis showed that the prevalence of depression in Asian and female patients with vitiligo was significantly higher than that in Caucasian and male ones. The pooled prevalence of depressive symptoms was higher (56%, 95% CI 0.5–0.62), and the heterogeneity was lowering cases with Hamilton Depression Rating Scale (HDRS) questionnaire when compared with other questionnaires. Conclusions This meta‐analysis review indicates that the prevalence of depression is high in patients with vitiligo. The HDRS questionnaire may be the most sensitive tool for testing the depressive symptoms among patients with vitiligo.