Psoriasis and psychiatry: An update

Gupta, Madhulika A.; Gupta, Aditya K.; Haberman, Herbert F.

doi:10.1016/0163-8343(87)90001-6

Cited by 81 publications

(61 citation statements)

References 65 publications

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“…For patients with atopic dermatitis, increased anxiety and depression values, as well as symptoms of neuroses and hypochondria, were reported [10, 11, 12]. Psychosocial factors are important in the onset and the exacerbation of psoriasis in 40–80% of the cases [13]. Psoriasis patients presented with clearly increased levels of alcohol abuse, at 18%, compared to a 2% rate observed in all other dermatology patients [14].…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic Liaison Service in Dermatology

et al. 2001

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Background: Empirical investigations examining the psychosocial distress and need for care of dermatology patients are rare. Little is known about the use of psychotherapeutic interventions in routine care. Objective: To evaluate the psychosocial distress of dermatological inpatients, the need for psychotherapeutic interventions and their realization in the framework of a psychosomatic liaison service. Methods: 86 patients from one unit at the University Dermatology Clinic in Freiburg underwent psychodiagnostic interviews and completed self-rating instruments, elucidating mental disorders, psychosocial distress, coping methods, quality of life, treatment motivation and psychotherapeutic interventions. Results: Using ICD-10 criteria, mental and behavioral disorders were diagnosed in 46%; most frequent were mood and anxiety disorders. Professional assessment indicated a need for psychotherapeutic treatment in 51%, while 28% of the patients wished for psychotherapy; actual intervention occurred in 38%. Conclusions: The need for psychotherapeutic treatment can only be handled within the framework of a liaison service in close collaboration with care givers.

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Section: Introductionmentioning

confidence: 99%

Psychosomatic Liaison Service in Dermatology

et al. 2001

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“…Amongst these, maladaptive coping styles had the major impact as supported by the study by Leibovici V et al, Fortune DG et al and A Finzi et al rather than the stressful events in life. [29][30][31][32][33] This explains that more than stress the coping to the stress was having more adverse effect on patient's life in QOL and the vulnerability for the psychiatric disorders. We suggest that if we can change the coping style of these patients from maladaptive to adaptive then the out-come of disease and quality of life could be made better and also reduce the psychopathology associated with the diseases.…”

Section: Discussionmentioning

confidence: 99%

Psoriasis and neurodermatitis: comparing psychopathology, quality of life and coping mechanisms

et al. 2017

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INTRODUCTIONSkin is the largest organ of the body and also an organ of expression, it responds to emotion with blushing, pallor, piloerection, and perspiration. Brain and skin originate from the same germ layer, the embryonic ectoderm, and are affected by same hormones and neurotransmitters. Psychiatry is focused on the "internal visible disease" and dermatology is focused on "external visible disease". The field of psycho-dermatology or psychocutaneous medicine focuses on the interaction between the mind, the brain and the skin. The interaction between mind, brain and skin is variable. It's not uncommon for dermatological patients to suffer the psychosocial consequences of disfigurement; also psychopathological factors can play an etiological role in development of skin disorders and exacerbation of pre-existing skin disorders. Various studies have reported significant psychiatric and psychosocial comorbidity in at least 30 percent of dermatological patients. 1 ABSTRACT Background: Both psoriasis and neurodermatitis patients report psychological distress and impaired quality of life, but how they cope with it is area of interest. The objective of this study was to study and compare psychopathology, quality of life and coping mechanism in psoriasis and neurodermatitis patients. Methods: 30 cases each of psoriasis and neurodermatitis were assessed at dermatology out-patient department of a tertiary care hospital by using Symptom check list -90-Revised (SCL-90-R), dermatological life quality index (DLQI) and Brief cope scale (BCS). Results: All Patients with neurodermatitis perceived it as a problem and in psoriasis it was 90%.The quality of life (QOL) was affected in both more in neurodermatitis as compared with psoriasis. Neurodermatitis showed significant psychopathology on SCL-90-Rin parameters of interpersonal sensitivity and Psychoticism. Depression, Anxiety, Somatisation, Obsessive-compulsiveness were seen in both groups. Self-blame, religion, positive-reframing were used commonly as coping mechanisms in neurodermatitis while in psoriasis there was acceptance, active coping, planning, and self-distraction, use of emotional and instrumental support, positive-reframing. Conclusions: Quality of life is significantly lower in neurodermatitis. Psychopathologies were significantly high in neurodermatitis. Maladaptive coping styles were used in both groups.

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“…A growing number of dermatologists have completed the basic qualification in psychosomatic care and are aiming for additional qualification in psychotherapy [15]. Meanwhile, numerous studies have examined the influence of psychosocial factors on the onset and course of skin diseases such as atopic dermatitis [11,15,43], psoriasis [3,[16][17][18]31], urticaria [18,19], malignant melanoma [36,37,47] and allergic disorders [5]. Vice versa, a growing number of studies indicates the great impact of skin diseases on the patient's quality of life [5,6,9,13,24,39,45].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Patients Receiving Psychotherapeutic Interventions within a Psychosomatic Liaison Service in Dermatology

Fritzsche¹,

Ott²,

Wetzlar³

et al. 2001

Dermatol Psychosom

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Objective: To determine how patients undergoing psychotherapeutic intervention in the dermatological psychosomatic liaison service differ from patients without such intervention. Patients and Methods: From a total of 112 patients in one ward of the University Dermatology Hospital 86 patients were consecutively enrolled in the study. Mental disorders, psychosocial distress, coping with disease and motivation for treatment (FBB) as well as psychotherapeutic interventions of the psychosomatic liaison service were recorded using a psychodiagnostic interview and self-rating instruments (HADS, FQCI, SOMS, EDLQ). Results: The patients who received psychotherapeutic interventions differed significantly from untreated patients in the following factors: severity of the dermatological disease, gender, anxiety, depression, depressive coping with disease, stress in everyday living and the presence of a mental disorder according to ICD-10. They were more likely to be motivated for psychological intervention and were also rated by external experts as being in need of treatment. There were no differences between groups regarding the duration of disease, stress in social life or in the coping strategies ‘active problem-oriented coping’ and ‘minimization and wishful thinking’. Conclusion: Most of the patients treated by the liaison therapist fulfilled the objective criteria for psychosocial distress. Male patients and patients with maladaptive strategies of coping with disease and stress in social life require increased attention. In addition, because the points of view of patients, experts, and caregivers differ, it is important that all three levels should be taken into account in rating the need for psychosocial intervention.

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Psoriasis and psychiatry: An update

Cited by 81 publications

References 65 publications

Psychosomatic Liaison Service in Dermatology

Psychosomatic Liaison Service in Dermatology

Psoriasis and neurodermatitis: comparing psychopathology, quality of life and coping mechanisms

Characteristics of Patients Receiving Psychotherapeutic Interventions within a Psychosomatic Liaison Service in Dermatology

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