2013
DOI: 10.1111/bjd.12392
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Delusional infestation and patient adherence to treatment: an observational study

Abstract: This is the first study to assess the adherence of patients with DI to treatment. The majority of patients on psychotropic medication were compliant. Secondary nonadherence was mainly due to drug side-effects. The adherence to dermatological medications is high. Thorough counselling of patients with regard to indication, dosage and side-effects of psychotropic agents can improve adherence to medication and is an essential part of the treatment process for DI.

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Cited by 33 publications
(33 citation statements)
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“…Observational data suggest that specialised outpatient clinics where a psychiatrist and a dermatologist or tropical disease physician see the patient together can achieve good adherence. 13 However, this would require further investment, as few such services exist worldwide. 1 12 13 Because of patients' reluctance to see psychiatrists, it will mostly fall to general practitioners or dermatologists to have the discussion about the nature of the symptoms with a patient and cautiously discuss effective treatment options.…”
Section: What Is the Next Step?mentioning
confidence: 99%
“…Observational data suggest that specialised outpatient clinics where a psychiatrist and a dermatologist or tropical disease physician see the patient together can achieve good adherence. 13 However, this would require further investment, as few such services exist worldwide. 1 12 13 Because of patients' reluctance to see psychiatrists, it will mostly fall to general practitioners or dermatologists to have the discussion about the nature of the symptoms with a patient and cautiously discuss effective treatment options.…”
Section: What Is the Next Step?mentioning
confidence: 99%
“…Sometimes intense behaviours are pursued to target the putative infestation, including excessive bathing and cleaning of self and family (see (Freudenmann and Lepping, 2009) for examples). This constellation of symptoms and reactions are difficult to manage therapeutically although, for some, neuroleptic pharmacotherapy can be anecdotally useful (Huber et al, 2011, Bostwick, 2011, Ahmed and Bewley, 2013.…”
Section: Introductionmentioning
confidence: 99%
“…The European Society for Dermatology and Psychiatry (ESDaP) has recently developed a classification for patients with self‐inflicted skin lesions . Patients with primary psychiatric diseases such as delusional infestation and body dysmorphic disease find it difficult to engage with psychiatric services, and hence, are suited to a psychocutaneous medicine unit …”
Section: Introductionmentioning
confidence: 99%