Dermatopsychosomatics: Classification, physiology, and therapeutic approaches

Medansky, Roland S.; Handler, Raymond M.

doi:10.1016/s0190-9622(81)70081-1

Cited by 80 publications

(29 citation statements)

References 50 publications

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“…The issue of secondary psycho logical reactions to dermatological disorders (e.g. anxiety, depression, social phobia) is best dealth with in this third category [9],…”

Section: The Clinical Field Of Psychosomatic Dermatosesmentioning

confidence: 99%

Psychodermatology: An Overview

Moffaert

1992

Psychother Psychosom

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As the skin is an organ that has a primary function in tactile receptivity and reacts directly upon emotional stimuli, dermatological practice involves a psychosomatic dimension. It is, however, the high visibility of dermatoses and their easy accessibility which make the skin a direct target for behavioural problems. Furthermore, self-destructive tendencies and hypochondriacal features often express themselves through dermatological symptoms: dermatits artefacta and skin hypochondriasis are among the specific psychocutaneous disorders discussed here. In view of the clinical interface between dermatology and psychiatry, general guidelines are formulated and specific aspects of psychotherapy, behavioural treatment and psychotropic drug treatment are discussed.

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“…The issue of secondary psycho logical reactions to dermatological disorders (e.g. anxiety, depression, social phobia) is best dealth with in this third category [9],…”

Section: The Clinical Field Of Psychosomatic Dermatosesmentioning

confidence: 99%

Psychodermatology: An Overview

Moffaert

1992

Psychother Psychosom

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“…We do believe that this phenomenon should be taken into consideration when treatment is prescribed for this group of patients, and we completely agree with Medansky and Handler [1981] that one of the objectives of every dermatologist is to treat the entire patient -the psyche along with the soma. Moreover, more detailed studies on psychological status, including analysis of the anxiety level, depression and quality of life in hospital staff suffering from hand dermatitis are required to confirm our preliminary observations.…”

Section: Discussionmentioning

confidence: 55%

Psychological Distress in Hospital Staff with Self-Reported Hand Dermatitis

Szepietowski¹,

Salomon²,

Nowicka³

et al. 2002

Dermatol Psychosom

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Background: Hospital staff is regarded as a risk group for hand dermatitis – a condition which may influence social and psychic well-being. Objective: The present study was undertaken to evaluate prevalence of psychological distress in hospital staff with self-reported hand dermatitis and to analyze factors which may influence the psychological status of these subjects. Material and Methods: 181 hospital employees with self-reported hand dermatitis were included into the study. They answered a specially designed questionnaire on demographic data, working conditions, skin symptoms and life-impact of dermatosis. Results: 48.1% of respondents declared psychological distress caused by their hand dermatitis. Patients with psychological distress worked statistically longer (p = 0.01) and their skin symptoms were more severe (p = 0.0016). Moreover, they looked for medical advice more frequently (p = 0.00043) and also tried to treat their hand lesions more frequently (p = 0.00037). Conclusions: Psychological distress is common among hospital staff suffering from hand dermatitis. Its frequency mainly depends on the severity of skin lesions and the number of years in the job.

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“…Geniş serili bir çalışmada izotretinoinin suisidal riskte anlamlı bir artış yapmadığı gösterilmiştir 12 . Bazı yazarlar izotretinoin kullanımı sonrası görülen depresyonun tesadüfi olduğunu, buna karşılık aslında izotretinoinin vücut imajında düzelme ile birlikte anksiyete ve depresyon bulgularında azalma sağladığını ileri sürmüşlerdir 5,13,14,15 . İzotretinoinin anksiyete ve depresyon ile ilişkisi olduğu yönünde genel bir kanı olmasına rağmen izotretinoinin depresyon gelişimindeki rolü tam olarak aydınlatılamamıştır.…”

Section: Discussionunclassified

Akne Vulgarisli Hastalarda İzotretinoin Kullanımının Anksiyete ve Depresyon Skorlarına Etkisi

Azaklı¹,

Derviş²,

Altunay³

et al. 2012

Turkderm

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ÖzetAmaç: Bu çalışmada akne vulgaris tedavisinde kullanılan izotretinoinin depresyon ve anksiyete ölçeği skorları üzerine etkisine bakarak depresyon ve anksiyete semptomlarına neden olup olmadığının saptanması amaçlandı. Gi riflİzotretinoin akne patogenezinde rol oynayan bütün faktörlere etkili tek ilaçtır 1 . Şiddetli nodülokistik akne dışında, topikal ve diğer geleneksel tedavilere yanıt vermeyen, skar oluşumuna neden olan, psikolojik olarak problem yaratan akne formlarında ve şiddetli seborede yaygın olarak kullanılmaktadır 2,3 . İzotretinoin ve depresyon arasındaki ilişki halen tartışmalı bir konudur. Toplumdaki depresyon insidansının yüksek olması, izotretinoin gibi başka nedenlerle tetiklenen depresyonların ayırt Ori ji nal Arafl t›r ma Ori gi nal In ves ti ga ti on

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Dermatopsychosomatics: Classification, physiology, and therapeutic approaches

Cited by 80 publications

References 50 publications

Psychodermatology: An Overview

Psychodermatology: An Overview

Psychological Distress in Hospital Staff with Self-Reported Hand Dermatitis

Akne Vulgarisli Hastalarda İzotretinoin Kullanımının Anksiyete ve Depresyon Skorlarına Etkisi

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