Somatic-type Delusional Disorder: A Case Report and Comments

Kępska, Anna; Hawro, Tomasz; Krupińska-Kun, Maria; Zalewska, Anna

doi:10.2340/00015555-0992

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…Delusions of parasitosis are usually a monosymptomatic dermatopsychiatric disorder manifested by the fixed false belief that insects are crawling over the body, producing an intractable itch [56]. There may be atypical presentations in the form of beliefs that the close personal environment is infested, rather than the body.…”

Section: Somatic Type Delusional Disordermentioning

confidence: 99%

The psychiatric aspects of skin disorders

Osman¹,

Mufaddel²,

Mugaddam

et al. 2011

Expert Review of Dermatology

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The skin is recognized as an important mode of communication between the external and the internal psychic and biological processes [1]. The skin and the psyche are closely related from historical, embryologic, biological, psychological developmental and cultural perspectives.The importance of the skin is that it is literally the initial point of contact between the external and internal environments. Exposure to external pollutants, toxins, allergens and other noxious environmental elements find symptomatic expression through the skin.Embryologically, the shared origins of brain and skin are well recognized. Both are developed from the same embryologic germ layer (ectoderm) and two-way communication influences seem to persist throughout the life cycle.Biologically, the contribution of stress to skin diseases is backed by neuroendocrine and immunologic sciences. Emotional factors influence many skin diseases, and the correlation between stressful life events and disease flares is well-recognized in dermatology [2]. Flares of psoriasis, herpes simplex and atopic eczema are influ enced by proinflammatory cytokines, which are also modulated by psychosocial stressors [3]. The cytokines regulate immunologic responses and also mediate inflammatory processes, with recurrent hormonal secretion leading to central biologic changes in mood, anxiety and vegetative conditions [4].Psychologically, the internal psychological factors and emotional suffer ing may eventually find the skin a suitable organ for a visible expression of turmoil. This close relationship between the skin and the psyche has long been recognized in the sci entific literature. On 7 July 1949, AW Watt read an article at the 25th annual meeting of the British Association for Dermatology and Syphilology in London (UK) in which he encouraged dermatologists to consider psycho logical factors related to dematologic conditions [201].In addition to Watt, there were many proponents of the concept of intercon nection between the skin and the psyche with proposed modelsThe skin and the psyche are linked from embryologic, biological, psychological and cultural perspectives. Both the skin and the brain are developed from the same ectodermic germ layer. New evidence in psychoneuroimmunology suggest that both the skin and the psyche are affected by immunologic vulnerabilities and endocrine reactions. Emotional stress may exacerbate many chronic dermatoses and can initiate a vicious cycle referred to as the 'itch-scratch cycle'; therefore, treatment of such cases may be difficult without addressing stress. The dynamic interaction between the skin and the psyche is also manifest in cosmetic behavior, whereby the psychological state of the individual is altered through the widely utilized cosmetics and cosmetic procedures. The motives for seeking cosmetic procedures may include a desire to enhance selfconfidence, body image and self-empowerment. Individuals of both genders are becoming concerned about their physical appearance and are increasingly seeking cosmetic procedure...

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Section: Somatic Type Delusional Disordermentioning

confidence: 99%

The psychiatric aspects of skin disorders

Osman¹,

Mufaddel²,

Mugaddam

et al. 2011

Expert Review of Dermatology

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“…Osnovna karakteristika deluzionog poremećaja jeste tvrdokornost nebizarnih deluzija. I drugi autori izvještavaju da su pacijenti sa DDST "dobro njegovani", bez pada u sferi generalne funkcionalnosti kakvu bi očekivali u oboljelog od shizofrenije (17). Naš pacijent je funkcionisao relativno dobro u porodičnom okruženju.…”

Section: Diskusijaunclassified

Deluzioni Poremećaj – Somatski Tip

Softić¹,

Osmanović²,

Hajdukov³

et al. 2020

PSY

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Deluzioni poremećaj spada u kategoriju psihotičnih poremećaja. Nekada smatran rijetkim, u psolejdnjevrijeme pomjeren je u centar kliničke pažnje. Još uvijek nema dokaza o efikasnom tretmanu ovog poreećaja.Somatski tip deluzionog poremećaja je posebno intrigantan jer pacijenti odbijaju prihvatiti da su psihičkioboljeli i, po pravilu se protive psihijatrijskom liječenju. Prikaz slučaja: pacijent dobi od 40 godina primljen jena Kliniku za psihijatriju sa tegobama vezanim uz somatske sisteme. Čvrsto je vjerovao da ima intracerebralnuaneurizmu. Predhodno je podvrgavan obimnim medicinskim ispitivanjima i pregledima koji su bili negativni.Započet je tretman sa malim dozama risperidona i paroksetina bez ikakvog pozitivnog učinka tokom tri sedmiceliječenja. Pacijent je insisitrao na otpustu navodeći da želi biti podvrgnut detaljnijim dijagnostičkimprocedurama. Nakon otpusta prekinuo je sa medikacijom i nije se pojavio na zakazanim kontrolnim pregledima.Zaključak: iako rijedak, somatski tip deluzionog poremećaja je prisutan u kliničkoj praksi, posebno nanepsihijatrijskim odjeljenjima. S obzirom na teškoću prihvaćanja psihičkog porijekla tegoba, očekivan jejednostrani prekid terapijskog odnosa od strane pacijenta.

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“…Typically, patients present with delusional disorder in middle age (34 to 45 years old) with an estimated incidence of 20-25% in old age [7,8]. Social risk factors frequently associated with delusional disorder include having low socioeconomic status, being married, being an immigrant, living in a city, having a family history of psychiatric disorders, suffering sensory deficit, and being exposed to stressful events [4,9].…”

Section: Epidemiologymentioning

confidence: 99%