Psychiatric morbidity and skin disease: what dermatologists think they see

Humphreys, F.; Humphreys, Martin

doi:10.1046/j.1365-2133.1998.02467.x

Cited by 42 publications

(32 citation statements)

References 6 publications

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“…This seems to be different from that what Humphreys and Humphreys [26] found about psychiatric morbidity. Dermatologists perceive psychiatric disorders and the risk of suicide, but they do not perceive the more subtle psychosomatic components and need to be helped in order to distinguish those patients who could benefit from a specific psychosomatically oriented approach besides their medical treatment.…”

Section: (2) Comparison Of Groups Pi 2 and Npi 2 (Based On Cut-off Pocontrasting

confidence: 51%

Psychosomatics and Dermatology: Comparison between Objective Data and Subjective Impressions Given by Patients and Dermatologists

Poot¹,

Janne²,

Tordeurs³

et al. 2000

Dermatol Psychosom

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The authors wanted to assess the psychological part in the etiology of different skin diseases in adult outpatients in a dermatological university clinic. The other aim of this study was to explore the dermatologist’s perception of a psychological involvement in the etiology of some skin diseases. This was compared with the patients’ perception of it and with objective data obtained by self-rating questionnaires. 554 outpatients consulting for psoriasis, alopecia areata, eczema, and benign tumors were studied with multiple comparison statistics about family functioning, depression, tendency to complain, perceived stress, life events, and coping skills. When based on the dermatologist’s impression of a psychosomatic involvement, significant mean differences do exist about tendency to complain, depression, life events before the onset of the disease, and coping with the treatment. When comparing psoriasis, alopecia areata and eczema patients with patients consulting for benign tumor, significant differences are quite the same. According to the patients, life events with an impact on the onset of the disease happened during the last year for psoriasis and during the years before for alopecia areata. Only about 35% of patients with difficulties in family relationships and 48% of patients with depression are correctly recognized by dermatologists. They seem to be influenced by the patients’ assumptions and by the dermatological diagnosis. This suggests that patients who are not aware of a psychological influence in the etiology of their disease could not be recognized by the dermatologist and could thus not be treated optimally. The authors point out the necessity of better tools in order to recognize the psychological part in the etiology of skin diseases.

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Section: (2) Comparison Of Groups Pi 2 and Npi 2 (Based On Cut-off Pocontrasting

confidence: 51%

Psychosomatics and Dermatology: Comparison between Objective Data and Subjective Impressions Given by Patients and Dermatologists

Poot¹,

Janne²,

Tordeurs³

et al. 2000

Dermatol Psychosom

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“…In der weiteren Differenzierung der Skalen des MHF schätzten sich Aknepatienten als besonders hilflos ein und sollten daher möglicherweise in der Routinetherapie mehr Beachtung finden, insbesondere da es Hinweise gibt, dass Aknepatienten, vorwiegend Män-ner mit ausgeprägter Acne conglobata, suizidgefährdet sein können [7,20]. Schweregrad der Akne und psychische Beeinträchtigung korrelieren jedoch häufig nicht, sodass sich auch Patienten mit nur gering ausgeprägter Akne stark eingeschränkt fühlen können [25,44].…”

Section: Der Hautarzt 7•2002 | 475unclassified

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

et al. 2002

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The biopsychosocial characteristics of the patients treated in the dermato-psychosomatic units in Erfurt and Giessen show no significant differences. Patients with diseases such as alopecia and acne are underestimated in regard to the need for additional psychosocial care. The liaison therapy model is an effective approach to diagnose psychosomatic-dermatological disorders and decide if further psychosomatic treatment is indicated.

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“…The multidisciplinary approach, namely the collaboration of specialists form the fields of psychiatry and dermatology and co-leading of the diagnostic process and treatment is essential for patients with psychodermatological diseases [26]. Dermatologists emphasize the importance of collaborating with psychiatrists as psychological factors play a significant part in such difficult to treat, chronic diseases of the skin as eczema, psoriasis and neurodermatitis [27,28]. However, patients with skin diseases with factors of psychological background often refuse the proposal of a psychiatric consultation, even thought it was proven that the cooperation between primary care physician, dermatologists and psychiatrists is very useful and effective in the treatment of such disorders [29].…”

Section: Resultsmentioning

confidence: 99%

The occurrence of emotional problems in somatic diseases based on psychodermatology

Makara-Studzińska¹,

Partyka²,

Ziemecki³

et al. 2014

Arch Psych Psych

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The general aim of this study is to present selected aspects of psychosocial problems in chronic somatic diseases based on the example of dermatology with impact on psoriasis as a model type of psychodermatological disease. This review does not include a theoretical basis for somatization as the issue exceeds the size of this article. Although a basic theory of the connection between skin disorders (as a perfect example of psychosomatic illness) and emotional mechanisms is briefly explained as an introduction to following issues. Another particular goal of this review is to present a number of researches that show the relation between selected demographic and environmental factors in psychosomatic problem using the example of dermatological and cardiologic diseases. This paper also shows the newest trends of multicenter and culturally-varied studies concerning such factors as quality of life, depression and suicide risk in course of dermatological illnesses and as a consequence highlights the need of creating tools for evaluation of those psychopathological variables. Another important aim of this reveiw is to present a series of analysis that deal with the impact of social support and the phenomenon of

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Psychiatric morbidity and skin disease: what dermatologists think they see

Cited by 42 publications

References 6 publications

Psychosomatics and Dermatology: Comparison between Objective Data and Subjective Impressions Given by Patients and Dermatologists

Psychosomatics and Dermatology: Comparison between Objective Data and Subjective Impressions Given by Patients and Dermatologists

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

The occurrence of emotional problems in somatic diseases based on psychodermatology

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