Die Behandlung des atopischen Ekzems in interdisziplinärer Zusammenarbeit zwischen Dermatologie und Psychosomatik

Traenckner, I.; Hölscher, K; Abeck, Dietrich; Berger, M; Ring, Johannes

doi:10.1007/s001050050480

Cited by 3 publications

(2 citation statements)

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“…In zahlreichen Kasuistiken und anhand kleinerer, meist ambulanter Patientengruppen wird die Wirksamkeit kognitiv-behavioraler Maßnahmen bei Hautpatienten belegt [14,18,20,22,27,39]. Demgegenüber waren kombinierte dermatologisch-verhaltenstherapeutische Konzepte unter stationären Bedingungen unter Einbeziehung der Patien-| Der Hautarzt 11·99 [21].…”

Section: Besprechungunclassified

Effekte kombinierter therapeutischer Maßnahmen bei Patienten mit Psoriasis und atopischer Dermatitis

Lange¹,

Zschocke

Langhardt³

et al. 1999

Der Hautarzt

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The present study examined the effectiveness of combined dermatological and behavioural medicine therapy on the skin status and disease-specific stress of eighty-six patients with psoriasis and fifty-eight patients with atopic dermatitis who were hospitalized in the PsoriSol Clinic, Hersbruck, Germany. In addition to receiving instruction about their stain disease, the patients were offered, practice in relaxation techniques, social contacts and scratching control as well as individual psychological counselling. The clinical change was assessed by PASI and SCORAD, respectively. The Marburg questionnaire for coping with skin diseases (MHF) and a questionnaire for health-related control attributes (GKU-S) served as psychometric measures. Patients showed significant improvement in skin status and psychosocial parameters in pre-post comparison. Social fears, avoidance and helplessness were reduced by significant improvement of the emotional status in both groups. Patients with psoriasis also showed an increase in internal control attributes. Dermatological treatment combined with behavioural medicine therapy can be considered an effective method in patients with atopic dermatitis and psoriasis.

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Section: Besprechungunclassified

Effekte kombinierter therapeutischer Maßnahmen bei Patienten mit Psoriasis und atopischer Dermatitis

Lange¹,

Zschocke

Langhardt³

et al. 1999

Der Hautarzt

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“…Zahlreiche Kasuistiken belegen bisher die Wirksamkeit einer psychotherapeutischen Mitbehandlung bei Hauterkrankungen [9,13,16,17]. Sowohl tiefenpsychologisch orientierte Verfahren [2] wie auch verhaltenstherapeutische Strategien [15] scheinen nicht unterschiedlich erfolgreich zu sein.…”

Section: Integrative Kurzzeitpsychotherapie Bei Hauterkrankungenunclassified

Integrative Kurzzeitpsychotherapie bei Hauterkrankungen

1998

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The effectiveness of concurrent psychotherapeutic treatment for various skin diseases can be regarded as sufficiently validated. Contributions on in-patient treatment concepts are rare, and there are up to now no reports on methods integrating psychotherapeutic treatment approaches. Our concept of a 4-week short-term psychotherapy-starting from a conflict hypothesis in the complaint intensifying, acute situation-includes the bimodal work on both understanding and practice oriented treatment focus. By means of 2 case studies with 1-year-follow-up, insight is given into the treatment approach from which effective factors of psychotherapeutic treatment were tentatively in with patients with skin diseases.

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Optimal Management of Atopic Dermatitis

Abeck

Ström²

2000

American Journal of Clinical Dermatology

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Optimal treatment of patients with atopic dermatitis requires the knowledge of its pathogenetic factors and the often time-consuming attention to the course of the disease in each individual patient. In the therapeutic attempt, altered skin barrier function, possible provocation factors and psychological matters have to be taken into account. Basic therapy should comprise optimal skin care and the strict avoidance of triggering factors if possible. During periods of acute exacerbation, topical glucocorticosteroids in combination with classic antihistamines with sedative effects are still the drugs of first choice and will result in the rapid relief of symptoms in most patients. UVA1 phototherapy has proven to be a glucocorticoid-equivalent alternative therapy for exacerbated atopic dermatitis. If superinfection with Staphylococcus aureus is evident, topical antiseptics are useful in treating localized lesions, while a general superinfected eczema should be treated with systemic staphylococcal-effective antibacterials. Cyclosporin or extracorporeal photochemotherapy are reserved for patients with very severe atopic dermatitis that is unresponsive to conventional treatment protocols. Promising future therapeutic approaches consist of an improvement in the antipruritic treatment options, the topical application of immunomodifying treatment modalities or phosphodiesterase inhibitors, and possibly Chinese herbal therapies and psychological intervention strategies.

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Die Behandlung des atopischen Ekzems in interdisziplinärer Zusammenarbeit zwischen Dermatologie und Psychosomatik

Cited by 3 publications

References 0 publications

Effekte kombinierter therapeutischer Maßnahmen bei Patienten mit Psoriasis und atopischer Dermatitis

Effekte kombinierter therapeutischer Maßnahmen bei Patienten mit Psoriasis und atopischer Dermatitis

Integrative Kurzzeitpsychotherapie bei Hauterkrankungen

Optimal Management of Atopic Dermatitis

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