The prevalence of comorbid mental health difficulties in young people with chronic skin conditions: A systematic review and meta-analysis.

Abstract

Chronic skin conditions can have psychosocial and somatic implications, influencing well-being and quality of life. This systematic review and meta-analysis aimed to synthesize evidence on the prevalence of comorbid mental health difficulties in young people up to 25 years old with chronic skin conditions. A secondary aim included identifying factors associated with resilience. Four databases were searched. Forty-one studies met the eligibility criteria and were included for narrative synthesis. Quality was assessed using the Joanna Briggs Institute Checklist. Separate meta-analyses were performed for each outcome (non-diagnosed mental health conditions; diagnosed mental health conditions; suicidal behaviour; socio-emotional and behavioural difficulties) including only studies of moderate–high quality. The pooled prevalence of non-diagnosed conditions was 22.6% (95% CI=18.9–26.7); of diagnosed conditions was 2.4% (95% CI=0.1–2.8); of suicidal behaviour was 14.5% (95% CI=11.2%–18.6%); of socio-emotional and behavioural difficulties was 20.9% (95% CI=14.7%–28.8%). Subgroup analysis suggested a higher prevalence of mental health difficulties for atopic dermatitis and eczema. Findings demonstrate the pooled prevalence of comorbid mental health difficulties in young people with chronic skin conditions. In order to address the impact of chronic skin conditions on youth mental health, clinicians should be equipped to screen and discuss mental well-being in clinical practice with young patients.