Prevalence And Associated Factors Of Skin Picking Disorder At Borumeda General Hospital, Dermatology Clinic, Wollo, North East, Ethiopia, 2020

Abstract

Background: Skin picking disorder is a psychocutaneous disorder that is characterized by compulsive and repetitive picking of skin, which results in psychological distress, severe tissue damage and functional impairment. Skin-picking disorder, also known as psychogenic excoriation, or neurotic excoriation, and is currently included under the ObsessiveCompulsive Related Disorders (DSM-5). Skin picking is more prevalent than expected, but under recognized despite prevalence range between 1.4 % and 5.4% in general population and most common among dermatology clinic with prevalence rate of 2%. But not known about prevalence of skin picking disorder among dermatology clinic in Ethiopia. Objective: The aim of this study was to assess the prevalence and associated factors of skin picking disorder at Borumeda general hospital, dermatology clinic, Wollo, Northeast, Ethiopia, 2020. Method: Institution based cross sectional study design was conducted. Participants were selected by using systematic random sampling technique and data was collected from 422 participants by using pretested, semi-structured, interviewer administered questionnaire. The outcome was assessed using a standard psychopathic checklist revised version. Data was coded, entered to epi data 3.1 and finally exported to SPSS version 25 for analysis. Logistic regression model was used for test of association. P-value < 0.05 at 95% CI was declared as statistically significant. Result: A total of 422 participants were involved. Of them 214(50.7%) were male and their mean age was 32.4 years, SD ± 8.3. From the study finding the prevalence of skin picking disorder among dermatologic patients was 4.3%. Independently associated factors were including, having comorbidity with OCD [AOR= 4.22, 95%CI: (1.307, 13.014)], CMD [AOR=4.203 95% CI: (1.307, 13.014), Child hood sexual abuse [AOR= 9.672, 95%CI (1.8, 50.09)], and poor social support [AOR=0.091,95% CI= (0.19,0.445)]. Conclusion and recommendation; Skin picking disorder is highly prevalent in dermatologic patients, Hence, integrated working of psychiatry professional and dermatologist is recommended for early detection and management of the problem