Psychodermatology. Practical guidelines on pharmacotherapy

Koo, John; Pham, Chantal T.

doi:10.1001/archderm.128.3.381

Cited by 50 publications

(39 citation statements)

References 59 publications

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“…Psychiatric treatment may be required. 14 Koblenzer 15 and Koo and Pham 16 underscored the need for liaison between the dermatologist and psychiatrist. However, many patients become suspect at the mention of psychiatric referral and never return.…”

Section: Discussionmentioning

confidence: 99%

Dermatitis Artefacta: A Review of 14 Cases

Obasi

Naguib

1999

Ann Saudi Med

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Background: Dermatitis artefacta (DA) is a self-inflicted dermatologic injury sometimes produced for secondary gains. Laboratory investigations, including histologic examination of lesional tissue biopsy, are usually negative and do not give a clue to the correct diagnosis. Patients and Methods: Over a five-year period, 14 patients were diagnosed with DA at King Fahad Hospital (KFH) in Al Baha during routine outpatient and inpatient dermatologic consultations. The diagnoses were based on vagueness of history given by the patients, and the presence of bizarre skin lesions distributed over sites accessible to the patients' hands. Investigations excluded the possibility of other diseases. In some cases, consultant psychiatric assessment was sought in order to identify possible underlying psychopathologic factors. Seven patients were hospitalized while the rest were managed as outpatients. Results: The 14 patients comprised 12 females and two males aged 12 to 71 (mean 25.9) years. All except one were Saudis. DA in the males was probably caused for secondary gains. The females, four of whom were married and eight single, were aged 12-36 (mean 21.8) years. Nine of the females (64%) had identifiable severe emotional or psychiatric problems. The remaining two were unmarried and had no identifiable underlying factors. Conclusion: This study reveals that the presentation of DA in Saudi Arabia is essentially similar to what has been reported from other parts of the world. It brings into focus a medical problem which needs to be recognized, as greater awareness may bring about earlier correct diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Dermatitis Artefacta: A Review of 14 Cases

Obasi

Naguib

1999

Ann Saudi Med

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“…Psychological factors can affect the course of skin diseases; and up to 50% of females with acne suffer flares that occur following stressful situations [17].…”

Section: Mental Health Problems In Patients With Acnementioning

confidence: 99%

Psychiatric Comorbidity in Patients with Acne

Mufaddel¹,

Elnour²,

Omer³

et al. 2017

OJPsych

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Acne vulgaris is a chronic inflammatory skin disorder which has a high prevalence among adolescents and young adults and can be associated with emotional and psychological burden on patients. This review aimed to explore psychological factors in patients with acne. Several forms of emotional distress and psychological complications can occur with acne. Such complications may be worse than the physical impact of the skin condition. Current literature suggests that skin changes in acne are associated with changed body image, psychological distress, anxiety, social phobia, suicidal ideation and depression. Population-based studies suggest a significant association between acne and mental distress among both male and female adolescents. Presence of psychological distress is related to severity of acne in some studies. However, other case-controlled studies suggest increased risk for psychological problems in patients with acne regardless of its severity. Stress is suspected to have a role in exacerbations of acne, and the quality of life (QoL) is affected particularly in cases with severe facial acne. Acne treatment can be associated with psychiatric side effects. Isotretinoin may be associated with depression and suicide attempts as shown in several studies but with conflicting results. On the other hand, psychotropic medications (such as antidepressants, antipsychotics and mood stabilizers) can also induce acne. The results of this review indicate the importance of vigilant psychiatric assessment for patients with acne, particularly those receiving isotretinoin, is needed for early diagnosis and treatment of the associated psychiatric co-morbidity.

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“…It is also the division of psychodermatological disorders, for example, the one which was presented by Koo and Pham (1992), that indicates the justifiability of taking psychology into consideration in approaching the issues in question. The authors referred to above differentiate: 1) physiopathological disorders (exacerbation of dermatological changes and them becoming more acute is dependent upon the emotional condition of a patient -psoriasis, chronic nettle rash chronic, atopic dermatitis (AD), acne, lichen planus and alopecia areata), 2) primarily psychiatric disorders (mental changes induce dermatological changes -trichotillomania, delusional parasitosis of the skin), and 3) secondarily psychiatric disorders (in which problems of a psychological nature are the result of changes caused by the medical conditions of the skin -anxiety, depression).…”

Section: Psychology In Psychodermatologymentioning

confidence: 99%

Psychodermatology from the perspective of a psychologist

Miniszewska¹

2015

Health Psychology Report

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The development of psychosomatics and health psychology contributed to the holistic perception of a patient, and therefore to the origin of psychodermatology. Psychodermatology is a relatively young field of knowledge, which stemmed from dermatology, psychiatry and psychology. The aim of the present article is to: 1) characterize the issues of psychodermatology and systematize knowledge about it, 2) determine the role of psychology in this interdisciplinary field of knowledge, and 3) draw attention to those aspects of psychodermatology which psychology is particularly focused on. key words psychodermatology; psychological aspects of dermatological diseases; adaptation to a dermatological disease

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Psychodermatology. Practical guidelines on pharmacotherapy

Cited by 50 publications

References 59 publications

Dermatitis Artefacta: A Review of 14 Cases

Dermatitis Artefacta: A Review of 14 Cases

Psychiatric Comorbidity in Patients with Acne

Psychodermatology from the perspective of a psychologist

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