Does psychological intervention help chronic skin conditions?

Capoore, H. S.; Payne, Collin R.; Goldin, David

doi:10.1136/pgmj.74.877.662

Cited by 33 publications

(22 citation statements)

References 3 publications

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“…The role of psychological stress might be of particular relevance in patients affected by chronic or intractable skin conditions, as suggested by a recent study in which 69% of 64 patients with a chronic or treatment-refractory dermatological condition reported that a significant life event occurred at or about the time of onset of the skin condition [115]. However, the problem is to assess whether stress-induced onset or exacerbation represents idiosyncratic reactions in a few particular individuals or rather a phenomenon that occurs in a substantial proportion of cases, though probably not in all patients.…”

Section: Discussionmentioning

confidence: 99%

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Picardi

Abeni²

2001

Psychother Psychosom

220

149

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The possibility of a causal influence of emotional stress, especially of stressful life events, on the course of various skin diseases has long been postulated. Clinical wisdom and experience, as well as many anecdotal observations and uncontrolled case series, support this opinion. We reviewed the available evidence on the role of stressful life events in triggering or exacerbating skin diseases. The role of stressful events in vitiligo, lichen planus, acne, pemphigus and seborrhoeic dermatitis was either controversial or insufficiently explored. The role of stressful events in psoriasis, alopecia areata, atopic dermatitis and urticaria was apparently clearer. However, only a few studies met acceptable methodological standards for stress measurement. Also, few studies considered common potential confounding factors (e.g. age, duration of illness, familial factors), and no study controlled adequately for the influence of other crucial factors (e.g. discontinuation of treatment, seasonal effects). Adding that the large majority of studies were retrospective, it seems wise to conclude that only preliminary evidence has been published so far on the role of stressful life events in bringing on or worsening any dermatological disease. Further research is mandatory, either in the form of prospective studies or, more feasibly, of well-designed case-control studies with adequate statistical power. Future studies should also pay more attention to protective as well as vulnerability factors in stressful events. Further, it would be important to investigate other sources of psychological stress, such as chronic stress and everyday stress. Measuring stress appraisal, although difficult, would also be important.

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Section: Discussionmentioning

confidence: 99%

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Picardi

Abeni²

2001

Psychother Psychosom

220

149

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“…The multidisciplinary approach, namely the collaboration of specialists form the fields of psychiatry and dermatology and co-leading of the diagnostic process and treatment is essential for patients with psychodermatological diseases [26]. Dermatologists emphasize the importance of collaborating with psychiatrists as psychological factors play a significant part in such difficult to treat, chronic diseases of the skin as eczema, psoriasis and neurodermatitis [27,28]. However, patients with skin diseases with factors of psychological background often refuse the proposal of a psychiatric consultation, even thought it was proven that the cooperation between primary care physician, dermatologists and psychiatrists is very useful and effective in the treatment of such disorders [29].…”

Section: Resultsmentioning

confidence: 99%

The occurrence of emotional problems in somatic diseases based on psychodermatology

Makara-Studzińska¹,

Partyka²,

Ziemecki³

et al. 2014

Arch Psych Psych

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The general aim of this study is to present selected aspects of psychosocial problems in chronic somatic diseases based on the example of dermatology with impact on psoriasis as a model type of psychodermatological disease. This review does not include a theoretical basis for somatization as the issue exceeds the size of this article. Although a basic theory of the connection between skin disorders (as a perfect example of psychosomatic illness) and emotional mechanisms is briefly explained as an introduction to following issues. Another particular goal of this review is to present a number of researches that show the relation between selected demographic and environmental factors in psychosomatic problem using the example of dermatological and cardiologic diseases. This paper also shows the newest trends of multicenter and culturally-varied studies concerning such factors as quality of life, depression and suicide risk in course of dermatological illnesses and as a consequence highlights the need of creating tools for evaluation of those psychopathological variables. Another important aim of this reveiw is to present a series of analysis that deal with the impact of social support and the phenomenon of

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“…A study of 64 patients suffering from a chronic dermatological disease and who were resistant to a well-managed treatment shows the presence of stressful life events for 69% of them [15]. …”

Section: Discussionmentioning

confidence: 99%

Stressful Life Events and Pemphigus

Morell-Dubois¹,

Carpentier²,

Cottencin

et al. 2008

Dermatology

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Background: Stress might be a triggering factor causing pemphigus. We studied 11 consecutive cases of pemphigus over 5 years. Objective: Studying and looking for a link between severe life events and the history of the disease. Methods: An epidemiological retrospective and prospective study was carried out, including an interview and a collection of the clinical history; then the life events were integrated into the clinical history with the patient blind. Two scales were used: Paykel’s inventory (assessing the negative impact of life events) and the Mini International Neuropsychiatric Interview DSM-IV (MINI). Results: 10 patients out of 11 were included. With the MINI, 2 patients presented anxiety. Paykel’s inventory showed type 3 life events for numerous patients, life event type 4 for 7 patients and type 5 for 3 patients, happening from 1 to 6 months before the first signs or worsening of pemphigus. We found stressful life events before the start or worsening of pemphigus for all patients with no other risk factors. Conclusion: Stressful life events can worsen or trigger off a pemphigus. Psychological care, associated with the immunosuppressive treatment, should entail a better management of these patients.

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Does psychological intervention help chronic skin conditions?

Cited by 33 publications

References 3 publications

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth

The occurrence of emotional problems in somatic diseases based on psychodermatology

Stressful Life Events and Pemphigus

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