Psychodermatology: An Association of Primary Psychiatric Disorders With Skin

Tohid, Hassaan; Shenefelt, Philip D.; Burney, Waqas; Aqeel, Noorulain

doi:10.1016/j.rcpeng.2018.12.003

Cited by 15 publications

(22 citation statements)

References 66 publications

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“…Psychodermatology is as much about the mind as about the skin. [21][22][23] Reviews and training material have discussed the role of psychiatric treatment modalities therein, including psychotropic medications, 2,4,5 but it is a neglected specialty and lacks scientific practice in India. 1 Counseling by the dermatologist may convince the patient about the relationship between the mind and the cutaneous condition, but if the pharmacist discourages or refuses to give them the prescribed medications, it may make the patients apprehensive about this association.…”

Section: Discussionmentioning

confidence: 99%

Psychodermatology – a case for sensitization of pharmacists in Mumbai, India

Malkani¹,

Parekh²,

Karmakar³

et al. 2021

IJDVL

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Background: Though studies have looked at the attitudes of dermatologists towards psychodermatology, few have highlighted the attitudes of pharmacists towards these conditions. Objectives: To study the knowledge, attitudes and practices of pharmacists towards the prescription of psychotropic medications to dermatology patients. Methods: This cross-sectional analysis included 80 pharmacists from Mumbai, India. We used an interviewer-administered questionnaire to collect information from pharmacists on their demographics, psychotropic medications in dermatological patients, knowledge about psychocutaneous conditions and comfort about dispensing these medications. Results: In our study, 37 (46%) of pharmacists received prescriptions of psychotropic drugs from dermatologists; however, 24 (30%) were not comfortable dispensing them. Sixty (75%) pharmacists felt that only psychiatrists should prescribe psychotropic drugs and 37 (46%) felt that they had a right to refuse to dispense prescribed medication; of these, 15 (19%) had actually refused to give medications to patients. Pharmacists who disagreed with the statement that 'the state of mind is associated with medical conditions', were more likely to discourage psychotropic prescription from dermatologists (29% vs 11%, P = 0.04). Pharmacists with experience of more than five years were significantly more likely to refuse to dispense medications (odds ratio: 5.14, 95% confidence interval: 1.02, 25.83; P = 0.047). Limitations: We did not have a list of all pharmacists in Mumbai; thus, no sampling frame could be applied. Conclusion: Pharmacists do comment on doctors’ prescriptions, discourage certain medications and even refuse to dispense them based on their personal opinions. Since they are the last stop for patients between the doctor and the medication, their inclusion (in addition to dermatologists, psychiatrists and psychologists) in integrated awareness, training and care programs would improve the quality of care of patients with psychocutaneous disorders.

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Section: Discussionmentioning

confidence: 99%

Psychodermatology – a case for sensitization of pharmacists in Mumbai, India

Malkani¹,

Parekh²,

Karmakar³

et al. 2021

IJDVL

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“…Psychiatric more focus on the invisible disease on the psyche and dermatology is focused on the visible disease on the skin. 1,3 Connecting the two disciplines requires a complex interaction between the neuroendocrine and immune systems, involving the release of various mediators to play an adverse role in inflammatory skin diseases and psychiatric conditions. 1,4 In more than one third of dermatology patients, effective management of the skin condition involves consideration of associated psychological factors.…”

Section: Categorization Of Psychodermatologymentioning

confidence: 99%

“…More than a third of patients treated with skin disorders have psychiatric problems that underlie their skin condition. 1 Despite the high prevalence of psychodermatological problems in daily practice, it is still not well-recognized or understood by most dermatologists and psychiatrists, because of the lack of understanding and confidence in discussing, diagnosing, and treating the patients. 2 The skin and the nervous system are both derived from the same embryogenic origin, both come from the same germ layer.…”

Section: Introductionmentioning

confidence: 99%

Basic Concept and Approach to the Psychodermatology Patient

Yusuf

2021

SciPsy

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The association of the nervous system with skin is well documented, with close anatomical, physiological and functional connections between skin and nervous system, known to be ontogenetically related. Psychodermatology is a branch of science that is still underdeveloped, described concerning possible interaction between dermatology and psychiatry. The physician often feels challenges for treating patients with Psychodermatology conditions, due to the difficulty of extracting the medical history, which makes a lot of misunderstanding between clinical symptoms and the diagnostic criteria. The treatment of psychodermatological disorders focuses on elaborating on how an effective approach to the psychodermatology patient can help build such an alliance and improve outcomes. The aim of the approach is to improve function, reducing physical distress, diagnosing and treating depression and anxiety associated with skin disease, managing social isolation, and improving self-esteem of the patient.

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“…Moreover, psychiatric disorders have been found associated with dermatologic disorders and vice versa 1 . Tohid et al 2 reported that almost all common psychiatric disorders can lead to skin disorders. Although different classifications of psychodermatologic conditions can be found in the literature, one of the most usual divides psychodermatology into three categories: primary dermatologic conditions causing secondary psychiatric conditions, primary dermatologic conditions exacerbated by stress or psychiatric conditions, and primary psychiatric conditions that manifest as skin concerns 3 .…”

Section: Introductionmentioning

confidence: 99%

Management of psychocutaneous disorders: A practical approach for dermatologists

Jafferany

Ferreira

Abdelmaksoud

et al. 2020

Dermatologic Therapy

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Psychodermatology is a growing specialty which is gaining momentum in different parts of the world. It focuses on the connection between skin and psyche. Psychocutaneous conditions are characterized by those disorders where stress is the key element in exacerbating skin conditions or flare ups of dermatoses like psoriasis and atopic dermatitis. There is a direct relationship of stress with the course, and prognosis of the skin disease. In some situations, there is no skin condition but the lesions are self-inflicted and such disorders are always associated with underlying psychopathology or psychological conflicts. Sometimes emotional problems are more prominent as a result of having skin disease, and the psychological consequences may be more severe than the physical symptoms. Management of these conditions require a combination of psychpharmacology, psychotherapy, and liaison clinics of psychiatry and dermatology. This review focuses on the common management approach which can be adopted by dermatologists in treating patients with psychodermatological disorders, improving doctor-patient relationship and therapeutic bond.

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Psychodermatology: An Association of Primary Psychiatric Disorders With Skin

Cited by 15 publications

References 66 publications

Psychodermatology – a case for sensitization of pharmacists in Mumbai, India

Psychodermatology – a case for sensitization of pharmacists in Mumbai, India

Basic Concept and Approach to the Psychodermatology Patient

Management of psychocutaneous disorders: A practical approach for dermatologists

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