Psychiatric Disorders in Patients Attending a Dermatology Outpatient Clinic

Aktan, Şebnem; Özmen, Erol; Şanlı, Berna

doi:10.1159/000018002

Cited by 80 publications

(63 citation statements)

References 10 publications

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“…A high prevalence of psychiatric morbidity in patients with skin diseases has been documented in several studies [1,2,3,4,5,6,7]. The relationship between psychiatric and dermatological morbidity is complex.…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic Assessment of Skin Diseases in Clinical Practice

Picardi

Pasquini

Abeni

et al. 2005

Psychother Psychosom

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Background: Psychiatric disorders are frequent in dermatology patients, and many studies pointed out complex, mutual relationships between psyche and skin. Our aim was to provide a systematic psychosocial evaluation of a large and heterogeneous population of patients with skin diseases, including assessments of quality of life, psychiatric status according to the DSM-IV and psychological conditions with psychosomatic relevance according to established criteria (Diagnostic Criteria for Psychosomatic Research, DCPR). Methods: We studied 545 dermatological inpatients aged 18–65 years, free from dementia and cognitive impairment. They completed the Skindex-29 and the 12-item General Health Questionnaire (GHQ-12) and were administered the SCID-I and the Structured Interview for Psychological Conditions of Psychosomatic Relevance by a trained mental health professional blinded to questionnaire scores. Results: Overall, 38% of patients received a DSM-IV diagnosis. The most common diagnoses were mood (20%) and anxiety disorders (16%); 48% of patients also received a DCPR diagnosis. The most common were demoralisation, irritable mood, type A behaviour and various forms of abnormal illness behaviour. Adjusting for gender, age, and education, the presence of DSM-IV or DCPR diagnoses was significantly associated with high scores on the GHQ-12 and on the Functioning and Emotions scales of the Skindex-29. Also, DCPR diagnoses were significantly associated with high scores on the Symptoms scale of the Skindex-29. Conclusions: These findings highlight the high frequency of psychosocial problems in patients with skin disease and suggest that the joint use of DSM-IV and DCPR criteria may help identify those patients in whom psychiatric issues are worthy of increased clinical attention.

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Section: Introductionmentioning

confidence: 99%

Psychosomatic Assessment of Skin Diseases in Clinical Practice

Picardi

Pasquini

Abeni

et al. 2005

Psychother Psychosom

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“…Numerous psychological/psychiatric conditions can be found in association with SISL, but in most cases 3 groups are encountered: adjustment disorders, depressive disorders and personality disorders [3]. The frequency of emotional disorders in dermatological patients has been reported to range between 25.2% and 33.4% [7][8][9]. The prevalence of psychosomatic disorders among patients with skin problems is three times higher in comparison with somatically healthy control cohorts [8,10].…”

Section: Discussionmentioning

confidence: 99%

Self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach

Dimitrov¹,

Reszke²,

Szepietowski³

2016

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Introduction. Patients with self-inflicted skin lesions (SISL) are most often referred to dermatologists. Since psychological and psychiatric conditions might be the underlying reasons for the behavior of these patients, the psychology-associated component should always be kept in mind when approaching such individuals. Objective. To discuss distinctive aspects of the approach towards patients with SISL and emphasize the most relevant issues concerning the management of psychodermatoses. Case report. We present a case of a 13-year-old girl with a 6-month history of skin lesions misdiagnosed as allergic contact dermatitis. Conscientious history taking and physical examination enabled the diagnosis of SISL. Conclusions. The proper approach to patients presenting with psychodermatoses differs from that for other dermatological patients and requires considering several additional aspects. We would like to emphasize the distinguishing aspects and importance of the proper approach to patients with SISL that might aid clinicians in diagnosing and treating these individuals in the future. streszczenie Wprowadzenie. Pacjenci z dermatozą wywołaną są zwykle kierowani do dermatologów. Schorzenia o podłożu psychologicznym i psychiatrycznym mogą wpływać na zachowanie pacjentów, dlatego należy zawsze rozważyć czynniki związane z psychiką w postępowaniu z takimi osobami. Cel pracy. Omówienie szczególnych aspektów podejścia do pacjenta z objawami samouszkodzeń i podkreślenie najważniejszych odmienności w postępowaniu z pacjentami z psychodermatozami. Opis przypadku. Opisujemy przypadek 13-letniej dziewczynki, u któ-rej od 6 miesięcy rozwijały się zmiany skórne błędnie diagnozowane jako alergiczne kontaktowe zapalenie skóry. Dokładne zebranie wywiadu od rodziców wraz z badaniem fizykalnym umożliwiło ustalenie rozpoznania dermatozy wywołanej. Wnioski. Prawidłowe podejście do pacjentów z psychodermatozami różni się od podejścia do pacjentów z pozostałymi schorzeniami skór-self-inflicted skin lesions: the importance of a proper diagnostic and therapeutic approach Dermatoza wywołana -znaczenie prawidłowego podejścia diagnostycznego i leczniczego

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“…It plays essential role in social and sexual communication. A person with healthy normal skin feels more confident in society 1 . ial impairments are reported in various dermatological disorder.…”

Section: Introductionmentioning

confidence: 99%