Effekte kombinierter therapeutischer Maßnahmen bei Patienten mit Psoriasis und atopischer Dermatitis

Lange, Sabine; Zschocke, I.; Langhardt, Silke; Amon, Ulrich; Augustin, Matthias

doi:10.1007/s001050050986

Cited by 36 publications

(14 citation statements)

References 21 publications

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“…In addition to dermatological training programs, group therapy is successfully applied, in which social competence behavior, relaxation techniques and coping with itching/scratching are practiced [8,15,18]. Identification of 'risk patients' by means of the predictors could contribute to a greater extent to differential therapy of patients with atopic dermatitis.…”

Section: Discussionmentioning

confidence: 99%

“…If a high level of social anxieties has a negative influence on the QoL, the therapeutic consequence must be the use of supporting psychological, e.g. behavioral-therapeutic, measures to improve social competence and self-confidence in public [18]. In practice, this means identifying patients with conspicuous social anxieties by means of clinical estimates or methodical test procedures [3,6,10,24] and taking these anxieties into account in treatment.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of the Quality of Life in Patients with Atopic Dermatitis

Lange¹,

Zschocke²,

Seidenglanz³

et al. 2000

Dermatol Psychosom

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Background: Quality of Life (QoL) is an all-encompassing term which includes all factors influencing the person’s well-being, especially the psychological, social and physical aspects. The QoL of patients with chronic skin diseases may be limited to a great extent. This applies particularly for patients with atopic dermatitis. Usable predictor models for QoL have been tested for clinical use in various diseases (e.g. coronary bypass patients, COPD). However, no studies have been performed on predictors for QoL of patients with skin diseases so far. Objective: Study of the factors influencing QoL of patients with atopic dermatitis. Methods: 254 patients with atopic dermatitis were recruited. The internationally applied disease-specific questionnaire Dermatology Life Quality Index (DLQI) was used as the parameter of QoL. The Questionnaire on Coping with Skin Dis-ease (QCSD) and the Freiburger Questionnaire on Coping with Disease (FQCD) were used as psychometric instruments. The following factors were applied as independent variables: age, sex, age at first diagnosis, duration of disease, clinical score, FQCD total score, and the QCSD scales ‘Social anxieties,’ ‘Itching.’, ‘Helplessness’ and ‘Anxious-depressive mood’. Bivariate correlations and a multiple regression analysis were calculated to determine the influence factors. Results: The QCSD scale ‘Social anxieties’ and the SCORAD contributed most to the variance elucidation of the DLQI total score (T value: 14.81 and 5.71, respectively). The total FQCD score and the QCSD scale ‘Itching’ were also predictors. Overall, a variance elucidation of 64% resulted from the independent variables. Conclusion: Identification of specific predictive factors in QoL could help in designing differentiated therapies for patients with atopic dermatitis and in improving the QoL of these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predictors of the Quality of Life in Patients with Atopic Dermatitis

Lange¹,

Zschocke²,

Seidenglanz³

et al. 2000

Dermatol Psychosom

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show abstract

“…Infolge der in Tab das sowohl auf die Therapie der Hautkrankheit als auch auf die Behandlung der psychischen Störung ausgerichtet ist und beide nach einem übergeordneten Konzept aufeinander bezieht und integriert [12,15,19,28,29]. Die stationäre Rehabilitation setzt sich aus verschiedenen, aufeinander abgestimmten Behandlungselementen (.…”

Section: Tab 2 Einschränkungen Der Aktivitätenunclassified

Dermatologisch-psychosomatische Rehabilitation

Wehrmann

2010

Hautarzt

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Dermatologic-psychosomatic rehabilitation is indicated when a patient has both cutaneous and psychological disease, as well as when psychosocial factors have a negative influence on the course of disease or coping mechanisms. The goals of multimodal dermatologic and psychotherapeutic treatment are increased empowerment and self-action, as well as acceptance of disability. Requirements for admission are given with regard to ICF. The course of rehabilitation is explained and the most important therapeutic tools are presented.

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“…It focuses in particular on patients with chronic inflammatory skin diseases such as atopic dermatitis and psoriasis. Its interdisciplinary method of treatment tends to have a favorable influence on the chronic course of diseases and to restore the often reduced quality of life [5,18]. The hospital was opened in 1991.…”

Section: Own Experiencesmentioning

confidence: 99%

Quality Management in Health Care – Example of a German Hospital for Dermatology and Allergology

Zollinger¹,

Schiffler²,

Amon³

2000

Dermatol Psychosom

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German health care has changed dramatically within the last decade and still continues to do so. Terms such as economic efficiency, customer orientation, and competition gain in importance. Quality management constitutes an appropriate response to this challenge. It is a way to organize work flows in hospitals or outpatient departments as useful as possible and to achieve an optimum of outcome quality, i.e., clinical outcome, patient satisfaction and economic aspects, with the staff available. These results can be presented in a transparent way to-wards third parties such as health insurance companies or the legislative body. At the moment, the certification according to DIN EN ISO 9001 combined with the model of the European Foundation for Quality Management (EFQM) is regarded as a suitable approach for implementation and demonstration of total quality management.

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Effekte kombinierter therapeutischer Maßnahmen bei Patienten mit Psoriasis und atopischer Dermatitis

Cited by 36 publications

References 21 publications

Predictors of the Quality of Life in Patients with Atopic Dermatitis

Predictors of the Quality of Life in Patients with Atopic Dermatitis

Dermatologisch-psychosomatische Rehabilitation

Quality Management in Health Care – Example of a German Hospital for Dermatology and Allergology

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