Prävalenz psychosomatischer Charakteristika in der Dermatologie Erfahrungen mit Liaisonmodellen an 2 Hautkliniken

Niemeier, V.; Harth, W.; Kupfer, Jörg; Mayer, Karin; Linse, R; Schill, Wolf‐Bernhard; Gieler, Uwe

doi:10.1007/s00105-002-0380-6

Cited by 24 publications

(6 citation statements)

References 23 publications

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“…Generalised anxiety disorder, panic disorder and major depression were frequently reported. Hence our findings are consistent with those of previous studies showing a high prevalence of psychiatric morbidity in dermatological patients, with estimates ranging from 21 to 43% [1,2,3,4,5]. Classic psychocutaneous disorders such as trichotillomania (an impulse control disorder in the DSM-IV) and Ekbom’s syndrome or delusions of parasitosis (a delusional disorder in the DSM-IV) were not detected in our sample.…”

Section: Discussionsupporting

confidence: 82%

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Psychosomatic Assessment of Skin Diseases in Clinical Practice

Picardi

Pasquini

Abeni

et al. 2005

Psychother Psychosom

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Background: Psychiatric disorders are frequent in dermatology patients, and many studies pointed out complex, mutual relationships between psyche and skin. Our aim was to provide a systematic psychosocial evaluation of a large and heterogeneous population of patients with skin diseases, including assessments of quality of life, psychiatric status according to the DSM-IV and psychological conditions with psychosomatic relevance according to established criteria (Diagnostic Criteria for Psychosomatic Research, DCPR). Methods: We studied 545 dermatological inpatients aged 18–65 years, free from dementia and cognitive impairment. They completed the Skindex-29 and the 12-item General Health Questionnaire (GHQ-12) and were administered the SCID-I and the Structured Interview for Psychological Conditions of Psychosomatic Relevance by a trained mental health professional blinded to questionnaire scores. Results: Overall, 38% of patients received a DSM-IV diagnosis. The most common diagnoses were mood (20%) and anxiety disorders (16%); 48% of patients also received a DCPR diagnosis. The most common were demoralisation, irritable mood, type A behaviour and various forms of abnormal illness behaviour. Adjusting for gender, age, and education, the presence of DSM-IV or DCPR diagnoses was significantly associated with high scores on the GHQ-12 and on the Functioning and Emotions scales of the Skindex-29. Also, DCPR diagnoses were significantly associated with high scores on the Symptoms scale of the Skindex-29. Conclusions: These findings highlight the high frequency of psychosocial problems in patients with skin disease and suggest that the joint use of DSM-IV and DCPR criteria may help identify those patients in whom psychiatric issues are worthy of increased clinical attention.

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Section: Discussionsupporting

confidence: 82%

“…A high prevalence of psychiatric morbidity in patients with skin diseases has been documented in several studies [1,2,3,4,5,6,7]. The relationship between psychiatric and dermatological morbidity is complex.…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic Assessment of Skin Diseases in Clinical Practice

Picardi

Pasquini

Abeni

et al. 2005

Psychother Psychosom

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“…[1][2][3][4] In addition, concerns have been raised about the potential for deliberate self-harm among patients with skin diseases. Indeed, several cases of patients with dermatologic conditions who completed suicide have been reported.…”

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confidence: 99%

Prevalence and correlates of suicidal ideation among patients with skin disease

Picardi

Mazzotti

Pasquini

2006

Journal of the American Academy of Dermatology

141

101

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“…Experience has shown that these patients already represent a selected group in whom the proportion of emotional factors is probably higher than in a nonselected random group. Fritzsche et al [2001], Schaller et al [1998], and Niemeier et al [2002] arrive at the conclusion that primarily patients with atopic dermatitis, urticaria, prurigo, psoriasis, various forms of alopecia, acne and glossodynia are referred to them. iv) The last approach deals with psychosomatic factors in nonselected groups of outpatients and inpatients at skin clinics and in dermatological practices.…”

Section: Introductionmentioning

confidence: 99%

Frequency and Clinical Relevance of Psychosomatic Complaints in Skin Patients

Seikowski¹,

Reinwardt²

2004

Dermatol Psychosom

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Background: There are relatively few studies on the frequency and clinical relevance of psychosomatic complaints in skin patients. In the present study a larger group of dermatological patients was examined for the frequency with which clinically relevant psychosomatic complaints occur and for the prevalences of these complaints in different types of skin diseases. The results should be of assistance in determining the need for psychosocial interventions depending on the dermatological diagnosis. Patients and Methods: The data of 700 outpatients and inpatients of the Dermatology Clinic at the University of Leipzig were analyzed. Between 1984 and 1997 these patients filled out the following three standardized screening instruments: i) the Complaint Questionnaire (Beschwerdenfragebogen; BFB), ii) the Behavioral Questionnaire (Verhaltenssfragebogen; VFB) of Höck and Hess to measure neuroticism and make assignments to the categories ‘no neurosis’, ‘questionable neurosis’ and ‘probable neurosis’, and iii) the Psychosomatic Complaint Questionnaire (Beschwerdenerfassungsbogen; BEB) of Kasielke and Hänsgen to detect various psychosomatic problem areas (digestion, respiratory/cardiovascular balance, fluid balance; neurasthenia/psychasthenia; hypochondria/anancasm; social inhibition; anxiety/phobias). Data were obtained from 12 different diagnosis groups: urticaria, somatoform disorders, atopic dermatitis, psoriasis vulgaris, prurigo simplex subacuta, malignant melanoma, alopecia areata, alopecia diffusa, allergic reactions, orofacial pain syndrome, acne vulgaris, and mycoses. Results: Nearly 50% of all examined skin patients presented with clinically relevant psychosomatic complaints. The highest neuroticism values in the BFB were attained by patients with orofacial pain syndrome, followed by patients with allergies and by patients of the prurigo and the somatoform disorders groups. The values were lowest in the diagnosis groups urticaria, alopecia diffusa and melanoma. At the behavioral level patients with malignant melanoma, psoriasis, and somatoform disorders had the highest and patients with alopecia areata, alopecia diffusa, and acne vulgaris the lowest values. Physical-functional complaints as well as emotional complaints were found more frequently among patients with orofacial pain syndrome, somatoform disorders, psoriasis, and alopecia areata. They occurred less frequently in patients with malignant melanoma, urticaria, and mycoses. Conclusions: Based on various conflict coping concepts, the results were critically discussed with respect to their practical consequences for psychosocial intervention strategies in skin patients.

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Prävalenz psychosomatischer Charakteristika in der Dermatologie Erfahrungen mit Liaisonmodellen an 2 Hautkliniken

Cited by 24 publications

References 23 publications

Psychosomatic Assessment of Skin Diseases in Clinical Practice

Psychosomatic Assessment of Skin Diseases in Clinical Practice

Prevalence and correlates of suicidal ideation among patients with skin disease

Frequency and Clinical Relevance of Psychosomatic Complaints in Skin Patients

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