Psychosomatic Liaison Service in Dermatology

Fritzsche, Kurt; Ott, Johannes; Zschocke, I.; Scheib, Peter; Bürger, Thorsten; Augustin, Matthias

doi:10.1159/000051699

Cited by 28 publications

(27 citation statements)

References 20 publications

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“…In several studies, psychiatric disorders were reported to be observed more in people with dermatological diseases (23)(24)(25)(26)(27)(28). In a study done in cases with vitiligo, 40% of cases were found to be depressive and had low self-esteem (29).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Balaban¹,

Atagün²,

Özgüven³

et al. 2011

Dusunen Adam

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Section: Discussionmentioning

confidence: 99%

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Balaban¹,

Atagün²,

Özgüven³

et al. 2011

Dusunen Adam

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“…Thus, the interpretation of physiological, pharmacological and psychological studies of autonomic abnormalities in AD is rendered difficult by the complexity of mechanisms that maintain homeostasis, and further studies on isolated aspects of the disease will be needed to clarify its pathogenesis. Nevertheless, AD patients seem to have a higher activation level, physiologically as well as psychologically, further emphasizing that the use of psychotherapeutic intervention [40], even in disease-free intervals, in addition to the necessary dermatological treatment may be beneficial. …”

Section: Discussionmentioning

confidence: 99%

Psychophysiological Reactivity under Mental Stress in Atopic Dermatitis

et al. 2005

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Background: An association of mental stress with atopic dermatitis is widely accepted. However, no long-term evaluation of psychophysiological reactivity over the course of disease has yet been performed. Objective: We examined whether atopic dermatitis patients have an increased psychophysiological reactivity compared to healthy controls and in between acute and disease-free phases, and whether they differ in psychological state and trait variables. Methods: Fifteen patients with atopic dermatitis underwent a stress test during acute exacerbation and after symptom improvement and were compared to matched controls. Results: Psychophysiological responsesto stress were not stronger in the patient group than in the controls. Nevertheless, the patients had a higher heart rate and lower vagal activity throughout the resting and stress phases at both examination times. The patients showed significantly higher anxiety, depression and emotional excitability, and self-ratings of inactivity clearly distinguished acute phases from remission. Conclusion: There is an increased vegetative excitability level in patients with atopic dermatitis, which cannot be attributed solely to increased disease activity.

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“…Data from the literature have shown that 51% of patients with dermatological problems require psychotherapeutic treatment, 28% have been willing to have psychotherapy and 38% of them have received psychiatric help. Liaison services do provide assistance for patients who have psychiatric problems that relate to skin disorders [ 23 ]. In a survey study, 23.2% of medical managers provide psychosomatic treatment in addition to dermatological care and treatment.…”

Section: Discussionmentioning

confidence: 99%

Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents

Turan¹,

Kandemır²,

Yeşilova³

et al. 2015

pdia

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IntroductionCutaneous leishmaniasis (CL) is a common parasitic infectious disease caused by different species of the leishmania genus. The skin lesions are usually found on exposed areas, especially the face, arms and legs. Although the disease does not cause significant morbidity, the lesions can be troublesome and unsightly. The disease have negative impacts in areas such as patients’ psychological well-being, social life and daily activities in adults.AimTo determine the frequency of psychiatric morbidity in children and adolescents who have cutaneous leishmaniasis (CL) and to determine the effect of CL on their levels of depression and anxiety and on their quality of life (QoL).Material and methodsFifty-four patients with CL (29 males and 25 females), who were 7 to 18 years of age, were assessed with the Child Depression Inventory (CDI) and the State-Trait Anxiety Inventories for Children (STAIC). The patients and their mothers were assessed with the Pediatric Quality of Life Inventory Parent and Child Versions (PedQL-P and C, respectively). This questionnaires were filled in by the control group consisting of 40 healthy children and adolescents (20 males and 20 females) and their parents from the local community matched for age, gender, and education level of the parents.ResultsBoth the patient group and the control group had high scores on the depression measurement scale (t = 5.36, p < 0.05). These measurements also show significant differences between children and adolescents, who were defined as 12 years of age and under as well as older than 12 years, respectively (12 years of age and under (t = 3.14, p = 0.04); over 12 years (t = 5.37, p < 0.001)). However, there was no significant difference between the anxiety scores of the general patient group and the control group when classified according to age. The anxiety sensitivity index scores did not differ in either group from those of the control group. The patients’ and the mothers’ QoL scores for all of the scales, including all subscale scores, were significantly different from those of the control group (both 12 years of age and under as well as older than 12 years).ConclusionsThe results have shown that the frequency of depressive symptoms is much higher in patients who have CL than in healthy controls. In addition, the QoL of children and adolescents with CL and of their mothers was found to be much lower than that of the control group. Therefore, the follow-up for patients with CL who are referred to dermatology clinics should include a psychiatric evaluation. If necessary, they should be referred for psychiatric support.

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Psychosomatic Liaison Service in Dermatology

Cited by 28 publications

References 20 publications

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Psychiatric morbidity in patients with vitiligo / Vitiligolu hastalarda psikiyatrik morbidite

Psychophysiological Reactivity under Mental Stress in Atopic Dermatitis

Assessment of psychiatric morbidity and quality of life in children and adolescents with cutaneous leishmaniasis and their parents

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