Liaison Dermatology

Koblenzer, Caroline S.

doi:10.1111/j.1365-4362.1986.tb03398.x

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Even if a psychiatric disorder has been ruled out, it should be kept in mind that many patients nonetheless show distinct signs of psychological distress which, in turn, may affect subjective perception of skin symptoms and exacerbate their suffering [88]. Thus, a substantial number of patients may benefit from a mutual and respectful collaboration among dermatologists, psychiatrists and clinical psychologists [138, 139, 140, 141]. …”

Section: Discussionmentioning

confidence: 99%

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Picardi

Abeni²

2001

Psychother Psychosom

223

149

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The possibility of a causal influence of emotional stress, especially of stressful life events, on the course of various skin diseases has long been postulated. Clinical wisdom and experience, as well as many anecdotal observations and uncontrolled case series, support this opinion. We reviewed the available evidence on the role of stressful life events in triggering or exacerbating skin diseases. The role of stressful events in vitiligo, lichen planus, acne, pemphigus and seborrhoeic dermatitis was either controversial or insufficiently explored. The role of stressful events in psoriasis, alopecia areata, atopic dermatitis and urticaria was apparently clearer. However, only a few studies met acceptable methodological standards for stress measurement. Also, few studies considered common potential confounding factors (e.g. age, duration of illness, familial factors), and no study controlled adequately for the influence of other crucial factors (e.g. discontinuation of treatment, seasonal effects). Adding that the large majority of studies were retrospective, it seems wise to conclude that only preliminary evidence has been published so far on the role of stressful life events in bringing on or worsening any dermatological disease. Further research is mandatory, either in the form of prospective studies or, more feasibly, of well-designed case-control studies with adequate statistical power. Future studies should also pay more attention to protective as well as vulnerability factors in stressful events. Further, it would be important to investigate other sources of psychological stress, such as chronic stress and everyday stress. Measuring stress appraisal, although difficult, would also be important.

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Section: Discussionmentioning

confidence: 99%

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Picardi

Abeni²

2001

Psychother Psychosom

223

149

View full text Add to dashboard Cite

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Stress and the skin: Significance of emotional factors in dermatology

Koblenzer

1988

Stress Med.

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This article reviews findings from clinical observation, developmental research, and research in the neurosciences that demonstrate the developmental significance of skin as an organ of perception, and the importance of appropriate tactile cutaneous stimulation within the context of the mother‐child relationship for healthy physical and emotional development. Psychological regression to that emotional developmental level in inherently predisposed individuals under stress is invoked to account for stress‐induced or stress perpetuated skin symptoms, and stress‐triggered pathophysiologic mechanisms are described. A classification of psychocutaneous disease is offered as a guide to evaluation and treatment and the possible operative psychopathophysiologic pathways are discussed. Complete dermatologic evaluation and treatment must include consideration of possible stress effects and stress mechanisms; the somatopsychic effect‐as‐stress also cannot be ignored.

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Cutaneous Manifestations of Psychiatric Disease That Commonly Present to the Dermatologist—Diagnosis and Treatment

Koblenzer

1992

Int J Psychiatry Med

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Patients whose psychopathology is expressed in cutaneous lesions often consult a dermatologist rather than a psychiatrist. Dermatologists may not be interested in working with these difficult patients. The need for liaison dermatology is becoming more widely recognized. This article discusses the place of psychiatric consultation in the dermatology setting, and describes the common dermatologic presentations of psychopathology: cutaneous delusions, obsessive-compulsive symptoms, expressions of depression, and dermatitis-artefacta. Diagnostic criteria for these conditions are outlined and a treatment approach, within the competence of the interested dermatologist, is offered.

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Liaison Dermatology

Cited by 3 publications

References 15 publications

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Stress and the skin: Significance of emotional factors in dermatology

Cutaneous Manifestations of Psychiatric Disease That Commonly Present to the Dermatologist—Diagnosis and Treatment

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