{"title":"[PSYCHODERMATOLOGY].","authors":"M Šitum, M Kolić, M Buljan","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Psychodermatologic disorders are conditions involving an interaction between the mind and the skin. Correlation between\npsychiatric and dermatological disorders is a highly complex relation considering etiology, diagnostic procedures and treatment.\nThere are three major groups of psychodermatological disorders: psychosomatic (psychophysiologic) disorders,\nprimary psychiatric disorders and secondary psychiatric disorders. Psychosomatic disorders are dermatological diseases\nwhich can be exacerbated or worsened by emotional stress, but are not caused directly by stress. Emotional stress can\nexacerbate many chronic dermatoses like urticaria, eczema, psoriasis, acne, seborrheic dermatitis, atopic dermatitis, alopecia\nareata, psychogenic purpura, rosacea, atypical pain syndromes and hyperhidrosis. The treatment of patients with the\nresistant chronic dermatosis can be difficult when stress is not recognized as a provoking factor. Primary psychiatric disorders\nare psychiatric conditions which induce development of various skin changes, e.g trichotillomania, factitial dermatitis,\nneurotic excoriations, delusions of parasitosis and dysmorphophobia. They include psychiatric disorders with anxiety, compulsive-\nopsessive and depressive symptoms and pathologic delusional ideas or hallucinations regarding the skin. Secondary\npsychiatric disorders appear as a result of a certain disfiguring skin disease that induces psychologic suffering such as loss\nof self-confidence, anxiety and social phobia. This category includes diseases like psoriasis, chronic eczema, various ichthyosiform\nsyndromes, rhinophyma, multiple neurofibromas, severe acne, and other cosmetically disfiguring cutaneous lesions.\nThe therapeutic approach of psychodermatological disorders should be multidisciplinary including primary care physicians,\ndermatologist, psychiatrist and psychologist. It is very important to educate dermatologists in the diagnostic procedures and\ntherapy of psychiatric disorders which sometimes coexist with the skin disease. Majority of psychodermatological disorders\ncan be treated with cognitive-bihevioral psychotherapy, psychotherapeutic stress-and-anxiety-management techniques and\npsychotropic drugs. Psychopharmacologic treatment includes anxiolytics, antidepressants, antipsychotics and mood stabilizer.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Psychodermatologic disorders are conditions involving an interaction between the mind and the skin. Correlation between
psychiatric and dermatological disorders is a highly complex relation considering etiology, diagnostic procedures and treatment.
There are three major groups of psychodermatological disorders: psychosomatic (psychophysiologic) disorders,
primary psychiatric disorders and secondary psychiatric disorders. Psychosomatic disorders are dermatological diseases
which can be exacerbated or worsened by emotional stress, but are not caused directly by stress. Emotional stress can
exacerbate many chronic dermatoses like urticaria, eczema, psoriasis, acne, seborrheic dermatitis, atopic dermatitis, alopecia
areata, psychogenic purpura, rosacea, atypical pain syndromes and hyperhidrosis. The treatment of patients with the
resistant chronic dermatosis can be difficult when stress is not recognized as a provoking factor. Primary psychiatric disorders
are psychiatric conditions which induce development of various skin changes, e.g trichotillomania, factitial dermatitis,
neurotic excoriations, delusions of parasitosis and dysmorphophobia. They include psychiatric disorders with anxiety, compulsive-
opsessive and depressive symptoms and pathologic delusional ideas or hallucinations regarding the skin. Secondary
psychiatric disorders appear as a result of a certain disfiguring skin disease that induces psychologic suffering such as loss
of self-confidence, anxiety and social phobia. This category includes diseases like psoriasis, chronic eczema, various ichthyosiform
syndromes, rhinophyma, multiple neurofibromas, severe acne, and other cosmetically disfiguring cutaneous lesions.
The therapeutic approach of psychodermatological disorders should be multidisciplinary including primary care physicians,
dermatologist, psychiatrist and psychologist. It is very important to educate dermatologists in the diagnostic procedures and
therapy of psychiatric disorders which sometimes coexist with the skin disease. Majority of psychodermatological disorders
can be treated with cognitive-bihevioral psychotherapy, psychotherapeutic stress-and-anxiety-management techniques and
psychotropic drugs. Psychopharmacologic treatment includes anxiolytics, antidepressants, antipsychotics and mood stabilizer.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.