Psychodermatology knowledge, awareness and patterns of practice among Moroccan dermatologists: a national survey study

Abstract

We aimed to assess the knowledge, attitudes, and practices patterns of Moroccan dermatologists and their awareness of psychodermatology (PD). A survey questionnaire was distributed to dermatologists and dermatology trainees from May to July 2022. A total of 112 completed surveys were received. 63.4% were dermatologists and 36,6 % were dermatology residents. 72.3% summarized psychodermatology as the psychological impact of dermatological conditions. 50.9% reported frequent involvement with PD. Patients with a psycho-cutaneous condition represented a significant proportion of dermatological consultations (10 to 25% in 41.1%). Only 17% felt “very comfortable” in the management and 56.3% were not confident prescribing psychotropics. Trichotillomania (83%), psychogenic pruritus (67%) and delusions of parasitic infestation (67%) were the main disorders for referral. 88.4% had never participated in PD training. Moroccan dermatologists lack a full understanding and proper training in psychodermatology. We recommend the incorporation of psychodermatology curriculum in training programs and advocate dermatology and psychiatry liaison.