Prevalence of Pityriasis Rosea and Psychological Risk Factors in KSA: A Systematic Review
DOI:
https://doi.org/10.63278/10.63278/mme.v31.1Abstract
Background: Pityriasis rosea (PR) is a self-limiting skin condition with uncertain etiology, affecting individuals globally. Its prevalence and psychological associations in Saudi Arabia (KSA) remain poorly understood. This systematic review examines the epidemiology of PR and investigates potential psychological risk factors, aiming to provide evidence for improved diagnostic and management approaches.
Methods: A systematic review was conducted following PRISMA guidelines. Databases including PubMed, Scopus, and Web of Science were searched for observational studies and clinical trials reporting PR prevalence or psychological factors as risk contributors in KSA. Studies involving Saudi populations clinically or histologically diagnosed with PR were included. Data extraction focused on prevalence rates, psychological associations, and methodological quality using the Newcastle-Ottawa Scale. Meta-analyses were conducted where data homogeneity permitted.
Results: From 24 initial studies, 15 full-text articles were reviewed, with four meeting inclusion criteria. PR prevalence in KSA ranged from 5.3% to 12.1% of dermatological cases. Psychological impacts, assessed via validated tools (DLQI, HAD scales), revealed correlations between PR visibility and quality-of-life impairment. However, no significant association was identified between psychological factors (e.g., stress, anxiety) and PR onset. One study highlighted the psychosocial burden of PR, emphasizing its secondary mental health impacts rather than predisposing psychological vulnerabilities.
Conclusion: The review identified PR as a notable dermatological condition in KSA, with a prevalence of up to 12.1%. Psychological consequences, primarily driven by disease visibility and chronicity, highlight the need for integrated management addressing both dermatological and psychological aspects. Further research is warranted to explore causative factors and refine holistic treatment strategies.
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