Introduction

Psoriasis is a chronic inflammatory skin disease that affects approximately 2% of the population. It seems to have a multifactorial aetiology and it can be considered as a psychosomatic disorder.

Objectives

To determine risk factors for anxiety and depression in psoriasis

Methods

Case-control study including 44 subjects with psoriasis and 50 controls without psoriasis. All participants answered the Hospital Anxiety and Depression Scale (HADS) to measure the severity of anxiety and depression

Results

Descriptive study: We solicited 44 patients and the average age was 45.8 years. The majority of patients were married (70.5%), unemployed (40.5%), without medical heredity (84,6%).Psoriasis was in plaque (65.9% ),guttate (20.5%) , pustular(13.6.5%).Its severity, assessed by BSA, was mild to moderate in 72.7% of cases and associated arthropathy was noted in 29.5% of patients.the prevalences of anxiety and depression estimated at 29.54% and 18.18% respectively.

Analytical study : Subjects with psoriasis, as opposed to controls, showed higher levels of anxiety (29,54% vs 15,9% )and depression (18,18% vs 4,54%) but there was no significant difference(p=0,335, p=0,573)

Depression was significantly more important for single (p=0.043) , for patients with associated arthropathy (=0.005) and for guttate form (p=0.015)

According to the severity of the disease: patients with mild disease are more anxious and patients with severe disease are more depressed

Conclusions

Higher scores in anxiety and depression is common in psoriasis.Dermatologists should give special attention to this subgroup of persons with psoriasis in order to prevent future psychopathology.

Introduction

Psoriasis is a chronic inflammatory skin condition affecting diverse racial/ethnic groups throughout the world. It has a major impact on the patient's quality of life , influencing career, social activities, family relationships, and all other aspects of life

Objectives

to evalue the quality of life in patients with psoriasis

Methods

Participants were outpatients of Hedi chaker University Hospital Center in sfax, Tunisia , recruited between January and July of 2017 ,diagnosed with psoriasis . A Demographic questionnaire and the Quality of life Questionnaire (SF-36) were administered in this study.

Results

44 patients were included in this study .They had with a mean age of 45.8 ±12.1 .The majority of patients were married (70.5%), unemployed (40.5%), without medical heredity (84,6%) .Psoriasis was in plaque (65.9% ) ,guttate (20.5%) and pustular(13.6.5%).

Its severity assessed by BSA, was mild to moderate in 72.7% of cases and associated arthropathy was noted in 29.5% of patients.

The overall average SF-36 scale scores for all patients ranged from 4 to 98 with an average of 55.97.The quality of life of patients was impaired in 45.5% of casesQuality of life was significantly more impaired in patients with associated arthropathy (p=0.004).

There is no significant differences for the different dimensions of quality of life regarding the clinical form of psoriasis.

Conclusions

Psoriasis certainly has an impact on patients' quality of life.So, dermatologists should give special attention to this subgroup of persons in order to prevent future psychopathology.

Introduction

Schizophrenia (SKZ) is a chronic, disabling and incapacitating psychiatric disorder. In addition to the traditional symptomes of schizophrenia, the suffering of this patients can be expressed through a set of cognitive complaints

Objectives

To determe the factors associated with subjective cognitive complaints in schizophrenia

Methods

We conducted a cross-sectional descriptive and analytical study among a sample of of 72 patients followed in psychiatric outpatient of Hefi chaker university hospital in sfax .We used the SSTIC scale to determine subjectif complains ans the PANSS to evalue positif and negatif symptomes

Results

The mean age of our popularion was 46.83± 11.6 years. The patients had a low socio-economic level in 70.1%. They were unemployed in 46.9% , consumed alcohol in 23.6% and consumed tobacco in 58,6% of the cases. the total score on the PANSS scale was 46, distributed as follows: 9 for positive symptoms, 17 for negative symptoms and 22 for total psychopathological assessment. They had an average score of 25 on the total SSTICS score

Factors significantly correlated with subjective cognitive complaints were: low socio-economic level (p=0.04), lack of occupation (p=0.001), alcoholism (p=0.001), smoking (p=0.01) and presence of negative symptoms (p=0.00).

Conclusions

This study demonstrates that socio-demographic characteristics and the predominance of negative signs may increase the subjectif cognitif complains in schizophrenia. The recognition of these associations by the psychiatrist can have an important implication in the therapeutic management.

Introduction

Medical studies have always been considered as very stressful. Although these students are generally among the most academically successful students, they are not spared from developing both substance and behavioral addictions, particularly pornography cyberaddiction.

Objectives

To evaluate the pornography cyberaddiction in a group of tunisian students, to study their impulsivity and determinate the link between these two entities.

Methods

A descriptive and analytical cross-sectional study including 155 medical students. We used the S-IAT sex : to evaluate pornography cyberaddiction and Barrat bis 10 : to evaluate impulsivity.

Results

The average age of students was 25.8 ±3.5 years old. The sex ratio (M/W) was 0,72. This medical students were single in 76.8%, had a high socio-economic status in 99.4% of case. They had a personal psychiatric history in 15.0% .They are smokers in 20% , consume alcohol in 30.3% and cannabis in 9% of case.

The mean score of : the BIS 10 was 63.3 and the S-IAT was 15.6.

The viewing of pornographic movies started around the age of 15 years old. Pornographic sites are the most frequently used tool (58.2%).

The factors correlated with this addiction are: male sex (p=0.014), tobacco consumption (p=0.012) , alcohol consumption (p=0.02) and impulsivity (p=0.03).

Conclusions

It resort from our study that medical students may suffer from pornography cyberaddiction. This increased use may be associated with impulsivity and substance use. Psychological support aimed specifically should be used to protect medical students.