An evaluation of intensity of delusional belief in patients with delusional infestation pre- and post-treatment in a specialist psychodermatology center

Gkini, Maria-Angeliki; Nogueira, João Machado; Tanev, Tanyo; Mohandas, Padma; Taylor, R.; Bewley, Anthony

doi:10.1080/09546634.2018.1531106

Cited by 6 publications

(17 citation statements)

References 10 publications

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“…Psychodermatology is a growing field offering dermatologists an opportunity to make meaningful, long-term effects beyond physical cutaneous conditions . The present systematic review offers data from 23 studies after examination of search results and the application of specific criteria. Importantly, 8 (35%) of the included studies were published in 2018 and 2019, alluding to the growing nature of the field and increasing demand for specialized patient care .…”

Section: Resultsmentioning

confidence: 99%

Multidisciplinary and Holistic Models of Care for Patients With Dermatologic Disease and Psychosocial Comorbidity

Patel

Jafferany

2020

JAMA Dermatol

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IMPORTANCE Psychocutaneous disease affects an underrecognized patient population facing misdiagnosis and a reduced quality of life due to knowledge gaps and insufficient awareness. Clinicians worldwide serve as pioneers in offering specialized care for affected patients through the development of combined clinics. Results yield a framework needed to expand availability and ultimately improve patient outcomes.OBJECTIVES To report key findings generated from an in-depth analysis of available literature, highlight the importance and benefits of providing multidisciplinary care, and provide structural evidence of existing liaison clinics for more widespread future application.EVIDENCE REVIEW To identify data from inception to November 12, 2019, a search was conducted in PubMed and Google Scholar using the following search strategy: psychodermatology clinic OR psychodermatology liaison OR psychodermatology combined OR psychocutaneous clinic OR psychocutaneous liaison OR psychocutaneous combined OR psychiatry dermatology combined OR psychiatry dermatology clinic. Studies were excluded if they were single-patient case reports; if information regarding the number of patients, clinic setup, and presenting conditions was not provided; and if the reports were published in a language other than English.FINDINGS A total of 932 studies were screened, and 23 were retained after removal of duplicates and application of inclusion criteria. The combined clinics, varying in structure, design, and setting, provided collective data from 1677 patients in 12 countries worldwide. Results indicate that patients experience barriers in gaining access to care and clinicians lack appropriate knowledge and resources for proper diagnosis and treatment. The implementation of combined clinics provides a cost-reducing avenue in the management of dermatologic disease and psychosocial comorbidity by limiting inaccurate diagnoses, ineffective treatments, unnecessary referrals, and "doctor shopping." Increased patient satisfaction or improved patient outcomes after the use of holistic treatment with pharmacologic and nonpharmacologic therapies was reported by 20 included studies (87%). CONCLUSIONS AND RELEVANCEExamined data from the included clinics illuminate the increased need and demand for specialized care. The ability to provide high-quality integrative patient care, potential utility in medical education, and findings of reduced health care expenditures reflect the need for health care leaders to expand specialized care as key for moving forward. Practical clinic models consist of a well-informed dermatologist for identification of psychocutaneous disease, referral if needed, and treatment based on the physician's individual comfort level. Involvement of multiple specialists, including psychiatrists, psychologists, and residents and preferably within teaching institutions, in consultations and management-related discussions is recommended.

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Section: Resultsmentioning

confidence: 99%

Multidisciplinary and Holistic Models of Care for Patients With Dermatologic Disease and Psychosocial Comorbidity

Patel

Jafferany

2020

JAMA Dermatol

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“…In particular, the lack of patient's understanding of the disease makes it difficult for them to accept a suitable therapy. There is therefore a significant chance that the patient will not engage and may not appear on the next outpatient appointment [ 16 ]. In our sample, 57% of patients withdrew from follow-up at some point.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Nonattendance in Delusional Infestation: A Multicenter Observational Study

et al. 2022

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Background: Nonattendance is common among patients suffering from delusional infestation (DI) with a risk factor for poorer patient outcomes. Objective: The aim of this study was to determine the incidence rate and predictors of nonattendance among patients presenting to a psychodermatology department with DI and the subsequent effect on the success of prescribing new antipsychotics. Methods: Data of 265 patients were reviewed of the Amsterdam UMC, the Erasmus University Medical Center, the Royal London Hospital, and the Liverpool School of Tropical Medicine between January 2008 and October 2019. Results: We observed that among the patients who attended the first consultation, 57% (n = 144) did not attend their second visit. Recreational drug use was significantly higher in the nonattendance group compared to the attendance group (25% against 18%). Patients who had a history of previously prescribed antipsychotics at the time of the first consultation were less likely to get prescribed antipsychotics from the psychodermatology departments for DI; however, prescribing antipsychotic drugs by the psychodermatology department did not influence nonattendance significantly. Conclusions: People suffering from DI are at high risk of nonattendance, even in specialist settings. Patients with current illicit drug use and younger patients are particularly at risk of this.

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“…Management of delusional infestation requires good strategies to develop a therapeutic alliance between the patient and the physician ( 13 ). A multidisciplinary approach with dermatological and psychiatric cooperation is essential for treating this condition ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Delusional Infestation Can Be a Complication of Prurigo Nodularis with Underlying Neuropathies

Dervout¹,

Stephan²,

Miséry³

2020

Acta Derm Venereol

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An evaluation of intensity of delusional belief in patients with delusional infestation pre- and post-treatment in a specialist psychodermatology center

Cited by 6 publications

References 10 publications

Multidisciplinary and Holistic Models of Care for Patients With Dermatologic Disease and Psychosocial Comorbidity

Multidisciplinary and Holistic Models of Care for Patients With Dermatologic Disease and Psychosocial Comorbidity

Risk Factors for Nonattendance in Delusional Infestation: A Multicenter Observational Study

Delusional Infestation Can Be a Complication of Prurigo Nodularis with Underlying Neuropathies

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