{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T01:38:31Z","timestamp":1785548311462,"version":"3.56.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T00:00:00Z","timestamp":1539302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K12 HS023011"],"award-info":[{"award-number":["K12 HS023011"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001582","name":"Dermatology Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001582","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vitiligo has a complex bidirectional relationship with mental health (<jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content>) disturbances. However, little is known about the relationship between vitiligo and <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> emergencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the associations of vitiligo and <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> hospitalizations in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the 2002 to 2012 National Inpatient Sample were analysed, including a ~20% sample of all <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> hospitalizations (<jats:italic>n<\/jats:italic> = 87 053 155 children and adults). Prevalence of hospitalization for <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorders, their length of stay (<jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>) and cost of care were determined for those with vitiligo compared to those without vitiligo.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hospitalization for <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorders occurred more commonly in those with vitiligo compared to those without vitiligo (4.17% vs. 2.18%). In multivariable logistic regression models, vitiligo was associated with higher odds of admission for any <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorder [adjusted odds ratio (95% confidence interval): 1.69 (1.61\u20131.78)], including 14 of 15 <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorders examined. Associated <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorders included anxiety, schizophrenia, depression, suicidal risk, personality disorder, <jats:styled-content style=\"fixed-case\">ADD<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content> and conduct disorder, substance use disorder, childhood and adolescent psychiatric illnesses, alcohol\u2010related disorders, adjustment disorders, developmental disorders, impulse control disorders, history of mental health disorders and miscellaneous mental health disorders. Vitiligo patients hospitalized with any <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorder had higher geometric\u2010mean (95% confidence interval) cost of inpatient care [$10 992 ($10 477\u2013$11 507) vs. $10 082 ($9728\u2013$10 435)] and <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> [5.6 (5.3\u20135.8) vs. 4.8 (4.6\u20134.9); <jats:italic>P<\/jats:italic> &lt; 0.0001] compared to those without vitiligo, with $10.5 million excess annual costs from hospitalization with <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorders in persons with vitiligo.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Persons with vitiligo had increased hospitalization for multiple <jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content> disorders, which were associated with a considerable cost burden.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.15255","type":"journal-article","created":{"date-parts":[[2018,9,22]],"date-time":"2018-09-22T13:16:15Z","timestamp":1537622175000},"page":"191-197","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Association of vitiligo with hospitalization for mental health disorders in <scp>US<\/scp> adults"],"prefix":"10.1111","volume":"33","author":[{"given":"K.R.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Singam","sequence":"additional","affiliation":[{"name":"Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL 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