Basic knowledge in psychodermatology (original) (raw)
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Psychodermatology: Past, Present and Future
The Open Dermatology Journal, 2011
A relationship between psychological factors and skin diseases has long been hypothesized. Psychodermatology addresses the interaction between the mind and the skin. Today, we know that it is essential to consider both biopsychosocial approaches and path physiological approaches to treatment, involving general practitioners, psychiatrists, dermatologists and psychologists. However, Psychodermatology is a relatively new discipline, and the body of literature addressing it is still scarce. To obtain data, we consulted the archives of dermatological societies in Europe and America from the year of their founding until 2010. We also consulted other psychiatric and psychological societies and received responses from most of them. Among the different stages in the historical evolution of Psychodermatology (the early, anecdotal phase; the methodological phase and the contemporary phase), it was only in the most recent phase that the European Society of Dermatology and Psychiatry was established. Other working groups and societies have emerged in several European countries:
Management of psychocutaneous disorders: A practical approach for dermatologists
Dermatologic Therapy, 2020
Psychodermatology is a growing specialty which is gaining momentum in different parts of the world. It focuses on the connection between skin and psyche. Psychocutaneous conditions are characterized by those disorders where stress is the key element in exacerbating skin conditions or flare ups of dermatoses like psoriasis and atopic dermatitis. There is a direct relationship of stress with the course, and prognosis of the skin disease. In some situations, there is no skin condition but the lesions are self-inflicted and such disorders are always associated with underlying psychopathology or psychological conflicts. Sometimes emotional problems are more prominent as a result of having skin disease and the psychological consequences may be more severe than the physical symptoms. Management of these conditions require a combination of psychpharmacology, psychotherapy and liaison clinics of psychiatry and dermatology. This review focuses on the common management approach which can be adopted by deramtologists in treating patients with psychodermatological disorders, improving doctor-patient relationship and therapeutic bond.
Psychodermatology: a collaborative subject of psychiatry and dermatology
Turk J Psychiatry, 2006
Dermatology has a special importance in consultationliaison practice. The brain and the skin originate from the same germ layer, the embryonic ectoderm. The various influences of these 2 organs on each other in later periods of life have been the topic of numerous published studies. These studies are divided into 3 groups: 1. studies about stress and dermatologic diseases; 2. psychoanalytic and psychodynamic approaches to psychodermatological diseases; 3. clinical research and treatment of psychodermatological diseases. Recently, in some countries in which clinicians are aware of the importance of the subject, in psychodermatology departments, psychiatrists, dermatologists, psychologists, and residents work together as a team. In fact, it has been already accepted that it is necessary to link psychiatry and dermatology in many cases. This association between the 2 disciplines aims to enhance the success of therapy and psychiatric support for patients who primarily have a psychiatric disease, but present as if they have a dermatological disease. On the other hand, it provides a more holistic and satisfying approach for both doctors and patients when the patient's primary problem is a dermatological disease and a secondary psychiatric problem develops. Herein is a review of psychodermatology research and the relationship of dermatological and psychological diseases. Within this context, the overlapping areas of psychiatry and dermatology have been investigated, with the aim of attracting attention to this topic. We searched PubMed for psychodermatology papers and our keywords were psychodermatology, psychiatry-dermatology, and psychology-dermatology.
The Importance of Dual Dermatologic and Psychiatric Approach in Psychocutaneous Disorders
2016
Psychodermatology or psychocutaneous medicine is a relatively old domain, built on well studied and documented connections between mental / psychic and skin. Numerous studies highlight the idea that evolution of a significant percentage of dermatoses is negatively influenced by psychological factors and stress and that mental state affects not only how the disease is perceived but its severity as well. It is estimated that 30-40% of dermatological patients show a concurrent mental disorder or psychological problems that may be the causative, predisposing or aggravating factor of the cutaneous disease. Morbid conditions such as psoriasis, atopic dermatitis, alopecia areata, vitiligo, severe acne have a marked negative impact on patient quality of life through both debilitating and chronic character of the diseases and by their psychosocial consequences: decreased self-esteem, embarrassment, depression, social phobia, social discrimination to employment, family and couple relations al...
Psychodermatology: The Overlap of Skin and Psyche
Skin, brain and mind are interlinked and dermatological disorders are affected by as well as affect the psychological state of a person. The psychiatric morbidities such as anxiety, depression are common in skin conditions and the quality of life, especially psychological quality of life is adversely affected in psycho dermatological disorders. This article reviews the psychological impact of dermatological disorders and calls for close liaison between dermatology and psychiatry for favourable outcomes of these disorders.
Psychodermatology: Basics Concepts
Acta Dermato Venereologica, 2014
Acta Dermato-Venereologica is a journal for clinical and experimental research in the field of dermatology and venereology and publishes high-quality articles in English dealing with new observations on basic dermatological and venereological research, as well as clinical investigations. Each volume also features a number of review articles in special areas, as well as Correspondence to the Editor to stimulate debate. New books are also reviewed. The journal has rapid publication times and is amply illustrated with an increased number of colour photographs to enhance understanding.
Psychiatry, 2006
Psychodermatology deals with illness where there is an interaction between psychological and skin disorders. This article outlines a classification of such illness into (1) primary dermatologic disorders which are precipitated or exacerbated by psychological factors; (2) secondary psychiatric disorders which arise from primary dermatologic conditions; and (3) primary psychiatric disorders which are manifest via the skin. General points about the clinical management of this group of disorders are made. The main disorders within each category are briefly discussed in terms of epidemiology, aetiology and treatment. Finally, the skin complications of psychotropics are listed, and the main psychiatric complications of commonly used dermatologic treatments are outlined.
Psychodermatological disorders: recognition and treatment
International journal of dermatology, 2011
Many dermatological disorders have a psychosomatic or behavioral aspect. Skin and brain continually interact through psychoneuroimmunoendocrine mechanisms and through behaviors that can strongly affect the initiation or flaring of skin disorders. It is important to consider these mind-body interactions when planning treatments for specific skin disorders in individual patients. Mind-influencing therapeutic options that can enhance treatment of skin disorders include standard psychotropic drugs, alternative herbs and supplements, the placebo effect, suggestion, cognitive-behavioral methods, biofeedback, and hypnosis. When individual measures do not produce the desired results, combinations of drugs or addition of non-drug therapies may be more successful. Psychophysiological skin disorders may respond well to non-drug and drug therapies that counteract stress. Treatment of primary psychiatric disorders often results in improvement of associated skin disorders. Psychiatric disorders s...
Attentiveness of Dermatologists in the Middle East to Psychocutaneous Medicine
The primary care companion for CNS disorders, 2017
Objective: Patients with skin diseases often have psychological problems and complications that require assessment and treatment. The main objective of this study was to explore attentiveness of dermatologists to psychiatric symptoms in their patients. Methods: A previously validated online questionnaire was used to explore the attitude and experience of dermatologists practicing in the Middle East toward the assessment of the psychiatric needs of their patients. The survey also inquired about awareness of available resources in dealing with psychodermatology. This online survey was conducted between October 2011 and October 2012. Results: Of 70 invited dermatologists, 57 (81%) completed the survey. Fifteen respondents (31%) received no training and had attended no educational events on psychodermatology. Only 19 respondents (33%) were able to identify psychodermatology as psychiatric components of skin diseases and dermatologic symptoms of psychiatric disorders. Twenty respondents (41%) reported frequent experience with psychodermatology, and 14 (28%) were "very comfortable" in diagnosing and treating psychodermatology patients. Twenty-two respondents (47%) recognized psychocutaneous involvement in 10% to 25% of their patients, while 18 (36%) recognized it in < 10% of their patients. Recognized diagnoses that required referral for psychiatric assessment included trichotillomania (34%), delusion of parasitosis (22%), depression (18%), dysmorphophobias (16%), dermatitis (10%), and venereophobia (10%). Forty-five respondents (90%) were unaware of psychodermatology resources. The majority of respondents expressed interest in education on depression, anxiety, adjustment disorders, and body dysmorphic disorder. Conclusions: Psychocutaneous involvements are common among dermatologic patients. A large number of the surveyed dermatologists had no training or education in psychodermatology. A lack of familiarity with patient and family resources on psychocutaneous conditions was also evident. These findings support the need for improvement in training and education in psychodermatology.