Dermatology and Psychosomatics / Dermatologie und Psychosomatik最新文献

{"title":"Subject Index Vol. 5, 2004","authors":"","doi":"10.1159/000083109","DOIUrl":"https://doi.org/10.1159/000083109","url":null,"abstract":"","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"38 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114289197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Living with Vitiligo: A Controlled Investigation into the Effects of Group Cognitive-Behavioural and Person-Centred Therapies","authors":"L. Papadopoulos, C. Walker, L. Anthis","doi":"10.1159/000083091","DOIUrl":"https://doi.org/10.1159/000083091","url":null,"abstract":"Background: Vitiligo is a progressive condition involving a loss of pigmentation in the skin. It can be disfiguring and no fully effective treatment or cure exists. Although medical effects of vitiligo have been studied extensively, less attention has been paid to its psychological impact. Methods: This research compared the efficacy of group cognitive-behavioural therapy (CBT) and group personcentred therapy with respect to ameliorating the disabling effects of the condition. Participants were randomly allocated to either the control group, the CBT treatment group or the person-centred treatment group. Participants underwent 8 consecutive weeks of therapy and psychological and physiological gains were recorded before therapy, after therapy and at 6 and 12-month follow-up. The study used a mixed factorial design for the questionnaire analysis. The independent factor was the three different experimental conditions; control, CBT and person-centred therapy and the repeated measures factor was assessment point; pre-treatment, post-treatment, 6-month follow-up and 12-month follow-up. Results: Unlike previous work with different psychotherapy formats, little psychosocial or physiological benefits were gained as a result of the two group therapy programmes. Conclusion: This research helps us to understand more fully the efficacy of psychological therapy with a vitiligo population and will help direct health professionals to the most appropriate format for future use.","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126583410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author Index Vol. 5, 2004 / Autorenverzeichnis Band 5, 2004","authors":"","doi":"10.1159/000083108","DOIUrl":"https://doi.org/10.1159/000083108","url":null,"abstract":"","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129732251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgement to the Reviewers","authors":"","doi":"10.1159/000083086","DOIUrl":"https://doi.org/10.1159/000083086","url":null,"abstract":"B. Brosig, Gießen A. Buske-Kirschbaum, Dresden S.G. Consoli, Paris S. Garnis-Jones, Oakville, ON U. Gieler, Gießen V. Griuceva-Panovska, Skopje W. Harth, Berlin M. Hashiro, Osaka A. Hillert, Prien C.-M. Höring, Stuttgart Y. Kataoka, Osaka C. Koblenzer, Philadelphia, PA J. Kupfer, Gießen M. Musalek, Wien V. Niemeier, Gießen E. Panconesi, Sicei F. Poot, Brussells C. Salewski, Greifswald S. Scheewe, Westerland/Sylt G. Schmid-Ott, Hannover K. Seikowski, Leipzig W. Söllner, Nürnberg K.-M. Taube, Halle L. Tomás Aragones, Zaragoza P.C.M. van de Kerkhof, Nijmegen J. Wehrmann, Bad Berleburg T. Werfel, Hannover W.-I. Worret, München I. Zschocke, Freiburg i.Br. Dokumentation und Evaluation der Weiterbildung","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128600585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alopecia Areata and Psychiatric Disorders: An Association Often Overlooked and Left Untreated","authors":"Sergio Ruiz-Doblado, M.B. Estepa-Zabala, M.R. García-Solier, M. García-Hernández","doi":"10.1159/000083090","DOIUrl":"https://doi.org/10.1159/000083090","url":null,"abstract":"Alopecia areata is a multifactorial, chronic inflammatory disease of the hair follicles. The role of psychosocial factors in the course of the illness, and the psychiatric disorders resulting from the esthetic and social repercussions of hair loss, are analyzed and reviewed in this article. Psychiatric comorbidity is high; depressive episodes, generalized anxiety disorders, social phobia and adjustment disorders are frequently found. Alopecia areata often occurs after stress and critical life-events. Neuropeptides and psychoneuroimmunological factors may play a role in the development of the disease. Still, several studies do not support the pathogenic role of emotional variables, whereas others find that critical lifeevents may play an important role in triggering episodes of alopecia areata. The results of personality studies carried out in patients with alopecia areata are inconsistent; alexithymic traits, type-A behavior and normal personality traits have been reported. In severe forms of alopecia areata, psychotherapeutic approaches and social therapy have been documented as useful in the global management of disease. Anxiolytics or antidepressants may also be useful. The authors hold that consultation-liaison psychiatry is an appropriate setting for an integral, biopsychosocial treatment of these patients.","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130921506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pimozide: The Opiate Antagonist Hypothesis and Use in Delusions of Parasitosis","authors":"M. Lee, J. Koo","doi":"10.1159/000083097","DOIUrl":"https://doi.org/10.1159/000083097","url":null,"abstract":"Introduction: Pimozide, a neuroleptic agent frequently used in the treatment of delusions of parasitosis, has been thought to have a better therapeutic efficacy for delusions of parasitosis than other antipsychotic agents because of its dual effect of blocking opiate as well as dopamine transmission. If so, this may present a problem in patients who are dependent on opiates, who would undergo withdrawal when given a strong opiate antagonist such as naloxone. Methods and Results: A literature search was conducted and evidence was found to alleviate these fears that pimozide would precipitate opiate withdrawal. Although no reports of human studies were found, several studies have shown that withdrawal is not observed when giving pimozide to opiatedependent animals. Moreover, the bases for the mechanism of pimozide as an opiate antagonist and for the role of opiate neurotransmission in delusions of parasitosis were found to be still controversial.","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129165464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Table of Contents · Inhaltsverzeichnis","authors":"","doi":"10.1159/000083083","DOIUrl":"https://doi.org/10.1159/000083083","url":null,"abstract":"","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127797036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting the Claims of Psychodermatologic Research and Clinical Practice","authors":"I. Zschocke","doi":"10.1159/000083085","DOIUrl":"https://doi.org/10.1159/000083085","url":null,"abstract":"We have started the fifth year of DERMATOLOGY+PSYCHOSOMATICS with the intention to be part of a process that includes psychological issues into a broad diversity of dermatologic issues and to present a number of articles that may be integrated into the readers’ clinical practice or research activities. During the past five years of establishing and shaping the journal’s profile we have found more and more ways to meet practitioners’ interests and stick to a scientific approach to psychosomatic dermatology. To this end, we introduced the section ‘For the Practitioner’ that reflects clinicians’ experiences under their individual conditions and in their respective cultural context. Another section established to serve the requirements of clinicians is the ‘Education’ that summarizes clinical and psychosomatic issues of selected dermatologic diseases, such as Urticaria [Raap et al., 2004], balanced to clinical practice. Nevertheless, we have not failed to present a variety of scientific issues of interest and relevance for psychodermatologic therapy and research, including neurobiologic issues, endocrinologic topics and articles dealing with coping aspects in dermatoses as well as the more traditional subject of personality aspects in patients with psychodermatologic conditions. These different perspectives illuminate a broad spectrum of dermatoses including common skin diseases such as psoriasis and atopic dermatitis and less frequent dermatoses such as glossodynia, delusional parasitosis, plantar petechiae, etc. The present issue completes the fifth volume of the journal, and presents once again various psychodermatologic topics relevant for clinical practice and research: The original article by Papadopoulus et al. [2004] deals with coping aspects in patients with vitiligo and reflects the disfiguring aspect of the disease that has to be understood in its cultural context with a particularly pronounced psychosocial impact in Mediterranean countries. By comparing cognitive-behavioral therapy and person-centered therapy the effects of psychotherapeutic approaches on vitiligo patients can be better understood. Schmid-Ott and colleagues [2004] focus on coping aspects in patients with psoriasis and emphasize the relevance of the severity of the disease for the patients’ need for psychosocial support. The experiences with a combined educational and medical program for children with atopic dermatitis and their parents [Ricci et al., 2004] support results of investigations on psychotherapeutic interventions in the present issue. The results achieved are encouraging because they show that the families’ quality of life improved during participation in the program. In the present issue of DERMATOLOGY+PSYCHOSOMATICS, delusional parasitosis is dealt with in two case reports by a Polish author group [Pacan et al., 2004] and in an original article on the use of pimozide in that disorder [Lee and Koo, 2004]. Delusional parasitosis as a psychotic disorder represen","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116039600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Reviews · Buchbesprechungen","authors":"H. C. Williams","doi":"10.1159/000083105","DOIUrl":"https://doi.org/10.1159/000083105","url":null,"abstract":"Unsere Sprache ist reich an hautbezogenen Bildern, was sich im Alltags etwa mit Zuschreibungen wie «dünnhäutig und dickfellig», «sensibel und erregbar», «erbleichend und errötend», «verschwitzt und erkaltet» offenbart. So lässt sich die Haut oft auch als Ausdruck des aktuellen Affekts, aber auch der Biographie, des sozialen Status und einer – oft genetisch begründeten – Individualität erkennen – oder verdecken. Dabei schlagen sich – vor allem auch frühe – Erfahrungen auf der Haut nieder und kennzeichnen diese. Gleichzeitig schafft die Haut als flächenmäßig größtes und überlebenswichtiges Sinnesorgan an der Grenze zur Außenwelt Abstand und sichert damit auch die körperliche Integrität des Individuums. So liegt der Gedanke nicht fern, dem Menschen, der in dieser Welt die Seele immer auch körperlich erleben und bestimmen muss, ein «Haut-Ich» zuzuordnen. «Ohne die Haut abzuziehen» können dann seelische Vorgänge im Kontext des Hauterlebens verständlicher erscheinen. Aus dieser Grundidee und als Zwischenstand einer langjährigen Zusammenarbeit in einer dermatologisch-psychosomatischen Stationsgruppe stellen Burkhard Brosig und Uwe Gieler als Herausgeber anhand klinischer Fälle ein Konzept zur Psychosomatik der Haut-Erkrankten vor und betten dies in den Kontext psychoanalytischer Entwicklungen ein. Dabei haben sie Arbeitsansätze der französischen Arbeitsgruppe um Anzieu aufgegriffen. Damit schlagen die Autoren eine Brücke zur Psychoanalyse in der Nachfolge von Jacques Lacan. Sie riskieren dabei eine – aus deutscher Sicht vielleicht gewagte – Verknüpfung unterschiedlicher theoretischer Konzepte. Lacan hatte die Linguistik und ihre Regeln für psychische Prozesse eingebunden und dem Unbewussten die Struktur einer Sprache zugeschrieben. Dies eröffnet – auch für Hauterkrankungen – ein flexibles sprachliches Register für jene Prozesse, die zwischen primären Sinnes-Erfahrungen und sprachlicher Symbolik vermitteln können. So kann die Haut einer als Fallbeispiel vorgestellten Hysterikerin als «rot glühendes Schutzschild» gesehen werden, welche eine erregte Resonanz nur vortäuscht, erregbar wirkt, dabei gleichzeitig jedoch, weil eben maximal stimuliert, unempfindlich bleibt und das Individuum genau durch diese Situation zu schützen weiß. Des Weiteren wird am Beispiel von Neurodermitis, Selbstbeschädigung und Hysterie auch eine klinische Anwendung in der psychosomatischen Therapie verdeutlicht, die sicherlich nicht eins zu eins umzusetzen ist, sehr wohl aber weiteres Nachdenken anregt und gekrönt wird durch einen Ausblick auf die Kulturtheorie des Körpers und in einer literaturwissenschaftlichen Arbeit zu Körper und Haut. In diesem Sinne ist dieses Buch auch für den Hautarzt sicherlich nicht einfach zu lesen, dafür aber für den an seelischen Zuständen Interessierten mehr als spannend. Inhaltlich ist es jedenfalls gelungen, hinter der Haut als organischer Hülle auch einen Spiegel psychischer Vorgänge zu entdecken und eine Kennzeichnung der sozialen, interaktionalen ","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127566688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Illness Severity and Coping in Psoriasis Patients: A 1-Year Follow-up","authors":"G. Schmid‐Ott, N. Hofste, H. Niederauer, F. Lamprecht, H. Künsebeck","doi":"10.1159/000083095","DOIUrl":"https://doi.org/10.1159/000083095","url":null,"abstract":"Objective: The aim of this longitudinal study is to compare different dimensions of coping in psoriasis patients dependent on the development of the severity of this chronic skin disease. For this purpose we examined the patients’ coping and their skin state in a 1-year follow-up. Methods: We assessed the severity of psoriasis with the Psoriasis Area and Severity Index (PASI) and the Self-Administered PASI (SPASI), and coping with the ‘Trier Coping with Illness Scales’ in 262 inpatients. The severity of psoriasis estimated with the (S)PASI was defined as ‘mild’ ([S]PASI 0.0 - 5.0), ‘moderate’ ([S]PASI > 5.0 - 12.0), or ‘severe’ ([S]PASI > 12.0). We divided the sample into five patient groups based on the somatic course of the (S)PASI in the 1-year follow-up: ‘improved’, ‘equally mild’, ‘equally moderate’, ‘equally severe’, and ‘worse’. Results: Psoriasis patients of the ‘improved’ and ‘equally mild’ groups showed a significant increase on the scale ‘Search for Social Integration’ (p = 0.041 and p = 0.005) and a significant decrease in the dimensions ‘Threat Minimization’ (p = 0.040 and p = 0.022) and ‘Search for Information and Exchange of Experiences’ (p = 0.003 each) in the follow-up. However, significantly higher values in the dimensions ‘Rumination’ (p = 0.029) and ‘Search for Support in Religion’ (p = 0.001) in the follow- up were revealed for the patients of the ‘worse’ group. Conclusion: The analysis firstly shows a clear empirically-based challenge in which areas patients with ‘equally severe’ or ‘worse’ psoriasis should be supported, i.e. the fields ‘Search for Social Integration’, ‘Threat Minimization’, and ‘Search for Information and Exchange of Experiences’. In addition, results suggest that special psychological or psychotherapeutic efforts are necessary to help this group to develop an alternative behavior to the depression-associated ‘rumination’.","PeriodicalId":377728,"journal":{"name":"Dermatology and Psychosomatics / Dermatologie und Psychosomatik","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114257932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}