Depth Psychology-Founded Psychotherapy of Psoriatic Patients – Treatment of a Patient with Chronic Recidivating Psoriasis vulgaris

Schmid-Ott, G.

doi:10.1159/000017515

Cited by 9 publications

(8 citation statements)

References 1 publication

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“…Although numerous studies have been performed, the aetiopathogenesis of psoriasis is still not fully understood [Szepietowski et al, 2000;Szepietowski et al, 2001b]. Several internal and external factors could play a role, of which psychological factors are the most important [Fava et al, 1980;Fried et al, 1995;Ginsburg, 1995;Susskind and Mc Guire, 1959;Schmid-Ott, 2000;Zrniç et al, 2001]. Some authors reported a relationship between stress and the onset and exacerbation of psoriasis [Farber and Nall, 1993;Gaston et al, 1987;Gaston et al, 1991].…”

Section: Dokumentation Und Evaluation Der Weiterbildung Original Artimentioning

confidence: 99%

Stressful Life Events and Depression in Patients Suffering from Psoriasis Vulgaris

Pacan¹,

Szepietowski²,

Kiejna³

2003

Dermatol Psychosom

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Background: Psoriasis is a chronic inflammatory skin disease. Its pathogenesis is not completely clear; there are some suggestions that psychological factors may play an important pathogenic role. Objective: To evaluate the influence of stressful life events on exacerbation of psoriasis and comorbidity of depression. Patients and Methods: 77 psoriatic individuals, aged 18–78 years, were included in the study. Stress was assessed according to the Social Readjustment Rating Scale by Holmes and Rahe. All patients underwent psychiatric examination for depression (according to ICD-10). Intensity of depression was evaluated by Hamilton and Beck scales. Results: 61% of psoriatic patients reported having experienced stressful life events in the month before exacerbation of the disease. Severity of psoriasis (Psoriasis Area and Severity Index, PASI) in patients with stressful life events (22.8 ±9.3 points) was significantly higher (p < 0.0001) compared to those without stress (14.0 ±9.2 points). There was no correlation between intensity of stress and severity of psoriasis. Depression was diagnosed in 16.9% of the patients. Psoriatic individuals suffering from depression were significantly younger (p < 0.05). No significant relationship was found between intensity of depression and the PASI score, nor between intensity of stress and severity of depression. Conclusions: More than half of the psoriatic patients studied had experienced at least one stressful life event in the month before psoriasis exacerbation. Moreover, the severity of psoriasis is significantly increased in patients with preceding stressful life events. Depression could be diagnosed in less than 20% of psoriatic patients, the majority of them suffering from reactive disorders.

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Section: Dokumentation Und Evaluation Der Weiterbildung Original Artimentioning

confidence: 99%

Stressful Life Events and Depression in Patients Suffering from Psoriasis Vulgaris

Pacan¹,

Szepietowski²,

Kiejna³

2003

Dermatol Psychosom

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“…The stress experienced due to psoriasis vulgaris varies individually, and not every patient stands to benefit from additional psychosocial therapy in terms of improved skin symptoms. Clinical experience suggests that psychosocial therapy tends to benefit patients with chronic recurrent disease more than those with chronic stationary psoriasis [399].…”

Section: Introductionmentioning

confidence: 99%

S3 – Guidelines on the treatment of psoriasis vulgaris (English version). Update

Nast

Boehncke

Mrowietz

et al. 2012

J Deutsche Derma Gesell

250

247

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Psoriasis vulgaris is a common and often chronic inflammatory skin disease. The incidence of psoriasis in Western industrialized countries ranges from 1.5% to 2%. Patients afflicted with severe psoriasis vulgaris may experience a significant reduction in quality of life. Despite the large variety of treatment options available, surveys have shown that patients still do not received optimal treatments. To optimize the treatment of psoriasis in Germany, the Deutsche Dermatologi sche Gesellschaft (DDG) and the Berufsverband Deutscher Dermatologen (BVDD) have initiated a project to develop evidence-based guidelines for the management of psoriasis. They were first published in 2006 and updated in 2011. The Guidelines focus on induction therapy in cases of mild, moderate and severe plaque-type psoriasis in adults including systemic therapy, UV therapy and topical therapies. The therapeutic recommendations were developed based on the results of a systematic literature search and were finalized during a consensus meeting using structured consensus methods (nominal group process).

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“…Clinical experience suggests that psychosocial therapy tends to benefit patients with chronic recurrent disease more than those with chronic stationary psoriasis [399]. The stress experienced due to psoriasis vulgaris varies individually, and not every patient stands to benefit from additional psychosocial therapy in terms of improved skin symptoms.…”

Section: Introductionmentioning

confidence: 99%

S3 – Guidelines on the treatment of psoriasis vulgaris Update 2011

Nast

Boehncke

Mrowietz

et al. 2011

J Deutsche Derma Gesell

155

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Depth Psychology-Founded Psychotherapy of Psoriatic Patients – Treatment of a Patient with Chronic Recidivating Psoriasis vulgaris

Cited by 9 publications

References 1 publication

Stressful Life Events and Depression in Patients Suffering from Psoriasis Vulgaris

Stressful Life Events and Depression in Patients Suffering from Psoriasis Vulgaris

S3 – Guidelines on the treatment of psoriasis vulgaris (English version). Update

S3 – Guidelines on the treatment of psoriasis vulgaris Update 2011

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