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Psychodermatology

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https://www.readbyqxmd.com/read/28299553/history-of-morgellons-disease-the-same-name-for-different-psychodermatologic-diseases
#1
Bárbara Roque Ferreira, Maria Grazia Roccia, José Carlos Cardoso, Katlein França, Uwe Wollina, Torello Lotti, Massimo Fioranelli
"Morgellons disease" has been a controversial topic in the history of psychodermatology. The most consensual scientific opinion is that it is a primary psychiatric disorder, particularly, a delusional disorder, although others were also pointed out. Some authors have suggested that it may correspond to a common dermatosis with secondary psychopathology. The Morgellons Research Foundation has advocated that it is "an emerging infectious" entity. This paper intends to critically review the main ideas and controversies, since its first description...
March 15, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28225970/trichotillomania-a-case-report-with-clinical-and-dermatoscopic-differential-diagnosis-with-alopecia-areata
#2
Ana Cecília Versiani Duarte Pinto, Tatiana Cristina Pedro Cordeiro de Andrade, Fernanda Freitas de Brito, Gardênia Viana da Silva, Maria Lopes Lamenha Lins Cavalcante, Antonio Carlos Ceribelli Martelli
Trichotillomania is a psychodermatologic disorder characterized by uncontrollable urge to pull one's own hair. Differential diagnoses include the most common forms of alopecia such as alopecia areata. It is usually associated with depression and obsessive-compulsive disorder. Trichotillomania treatment standardization is a gap in the medical literature. Recent studies demonstrated the efficacy of N-acetylcysteine (a glutamate modulator) for the treatment of the disease. We report the clinical case of a 12-year-old female patient who received the initial diagnosis of alopecia areata, but presented with clinical and dermoscopic features of trichotillomania...
January 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28225959/the-need-of-dermatologists-psychiatrists-and-psychologists-joint-care-in-psychodermatology
#3
Roberto Doglia Azambuja
The mind-skin connection has been studied since the nineteenth century. The last 40 years have set the development of new research areas which allowed the clarifying of how these two dimensions interact. The diseases that involve skin and mind constitute the field of psychodermatology and require that specialists in dermatology, psychiatry and psychology together and integrated take part in it, since skin, nervous system and mind are simultaneously affected. This paper aims to expose how psychodermatoses are currently conceptualized and the need of integration of these three specialties for conveniently treating the patients...
January 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28220373/body-dysmorphic-disorder-history-and-curiosities
#4
Katlein França, Maria Grazia Roccia, David Castillo, Mana ALHarbi, Georgi Tchernev, Anastasia Chokoeva, Torello Lotti, Massimo Fioranelli
Body dysmorphic disorder is a chronic psychiatric disorder characterized by excessive preoccupation with an absent or minimal physical deformity. It causes severe distress and impairs normal functioning. In the last centuries, this disorder has been mentioned in the medical literature by important mental health practitioners by different names, such as "dysmorphophobia" or "dermatologic hypochondriasis". However, not until the last century was it included among the obsessive-compulsive disorders, although its classification has changed over time...
February 20, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28213676/-psychosomatic-disorders-of-the-scalp
#5
REVIEW
W Harth
Psychosomatic disorders of the scalp have some special characteristics due to the visibility, possible stigmatization, and amount/patterns of hair. Of practical relevance is trichotillomania, which is now classified as an obsessive-compulsive disorder (OCD). Patients who are obsessed with normal physiological hair loss represent a further psychodermatological challenge. Psychosomatic therapy includes basic psychosomatic care, behavior therapy, or treatment with psychopharmaceuticals.
February 17, 2017: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/28181031/psychosocial-aspects-associated-with-use-of-sunscreen-natural-sunlight-exposure-and-artificial-tanning
#6
Jessica Ventenilla, Katlein França, Torello Lotti, Jonette Keri
Natural and artificial tanning have become very popular in Western culture, yet at the same time, there is still a psychodermatology concern for this activity. Not much has been examined with the psychological aspects of tanning and sunscreen use. The purpose of this study is to examine the psychosocial effects associated with sun protection, natural, and artificial tanning among individuals 18 years old or older visiting the University of Miami Dermatology Outpatient Clinic. We distributed a survey on tanning and sunscreen use to 150 dermatology outpatients, hospital employees, and hospital visitors for three weeks during June/July 2015 asking about how often they tan, use sunscreen, and how they feel about this topic...
February 8, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28162226/differences-between-men-and-women-in-chronic-scratching-a-psychodermatologic-study-in-lichen-simplex-chronicus
#7
R Martín-Brufau, C Suso-Ribera, C Brufau Redondo, J Corbalán Berná
INTRODUCTION: Chronic scratching is common to many skin disorders. Being a female and presenting a high level of psychopathology are risk factors for chronic scratching. Yet, it is unclear why. Certain personality characteristics that are more prevalent in women are also known to influence emotional states (i.e. emotional tension). OBJECTIVE: The present study aims to explore whether these personality styles might help understand why gender and emotional distress are associated with scratching...
February 2, 2017: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/28120000/cost-effectiveness-in-psychodermatology-a-case-series
#8
Jon M R Goulding, Natasha Harper, Liam Kennedy, Kate R Martin
is missing (Short communication).
January 25, 2017: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27884006/current-psychosomatic-practice
#9
Giovanni A Fava, Fiammetta Cosci, Nicoletta Sonino
Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder...
2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/27658538/obsessive-compulsive-skin-disorders-a-novel-classification-based-on-degree-of-insight
#10
Tian Hao Zhu, Mio Nakamura, Benjamin Farahnik, Michael Abrouk, Jason Reichenberg, Tina Bhutani, John Koo
Individuals with obsessive-compulsive features frequently visit dermatologists for complaints of the skin, hair, or nails, and often progress towards a chronic relapsing course due to the challenge associated with accurate diagnosis and management of their psychiatric symptoms. The current DSM-5 formally recognizes body dysmorphic disorder, trichotillomania, neurotic excoriation, and body focused repetitive behavior disorder as psychodermatological disorders belonging to the category of Obsessive Compulsive and Related Disorders...
September 23, 2016: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/27578081/psychogenic-itch-management
#11
Jacek C Szepietowski, Radomir Reszke
Pruritus is a bothersome and prevalent symptom reported by patients suffering from both cutaneous and extracutaneous diseases. Psychogenic pruritus, also referred to as functional itch disorder, is a distinct clinical entity. According to the definition proposed by the French Psychodermatology Group (FPDG) in 2007, the disorder is characterized by pruritus which is the chief complaint and psychologic factors that contribute to eliciting, worsening, and sustaining the symptoms. Specific diagnostic criteria were proposed, including 3 compulsory and 7 optional, of which 3 have to be met in order to establish the diagnosis...
2016: Current Problems in Dermatology
https://www.readbyqxmd.com/read/27536769/major-depression-and-psoriasis-a-psychodermatological-phenomenon
#12
REVIEW
Hassaan Tohid, Daniyal Aleem, Chantal Jackson
OBJECTIVE: The aim of this paper was to highlight the mechanisms involved and the relationship between depression and psoriasis. METHOD: A comprehensive literature search was performed in various databases, and finally 88 studies were deemed relevant. RESULTS: A significant link was found between depression and psoriasis, primarily through immune mechanisms related but not limited to the actions of inflammatory cytokines such as tumor necrosis factor-α, interleukin 1 (IL-1), IL-2, IL-10, interferon-γ, IL-1β, prostaglandin E2, C-reactive protein, IL-6, and IL-8...
2016: Skin Pharmacology and Physiology
https://www.readbyqxmd.com/read/27386050/psoriasis-and-associated-psychiatric-disorders-a-systematic-review-on-etiopathogenesis-and-clinical-correlation
#13
REVIEW
Bárbara Isabel Roque Cunha Ferreira, José Luís Pio Da Costa Abreu, José Pedro Gaspar Dos Reis, Américo Manuel Da Costa Figueiredo
INTRODUCTION AND OBJECTIVE: Psoriasis is a chronic skin disease with a high impact on self-esteem and patients' health-related quality of life. In the last decades some studies have pointed out mental disorders associated with psoriasis and the etiopathogenic mechanisms behind that co-existence. This work compiles psychopathology associated with psoriasis and further analyzes the etiopathogenesis of psoriasis and mental disorders. METHODS: A systematic review of the literature was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and using the "5S" levels of organization of evidence from healthcare research, as previously described...
June 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27283953/hypochondriasis-circumscripta-a-neglected-concept-with-important-implications-in-psychodermatology
#14
Anatoly B Smulevich, Andrey N Lvov, Dmitry V Romanov
The article is devoted to a psychodermatological disorder with self-destructive behavior - hypochondriasis circumscripta. Presented data are based on a clinical analysis of 22 consecutive cases (15 female; mean age - 56.1 ± 12.6 years) observed in the dermatologic department of First Moscow State Medical University and managed in a multidisciplinary approach by dermatologists and a consultation-liaison psychiatrist. Psychopathology, clinical presentations, historical aspects and treatment options are discussed...
August 23, 2016: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27283859/psychodermatology-in-clinical-practice-main-principles
#15
REVIEW
Claire Marshall, Ruth Taylor, Anthony Bewley
Psychodermatology is a newer and emerging subspecialty of dermatology, which bridges psychiatry, psychology, paediatrics and dermatology. It has become increasingly recognised that the best outcomes for patients with psychodermatological disease is via a multidisciplinary psychodermatology team. The exact configuration of the multidisciplinary team is, to some extent, determined by local expertise. In addition there is a growing body of evidence that it is much more cost effective to manage patients with psychodermatological disease in dedicated psychodermatology clinics...
August 23, 2016: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27282585/psychodermatology-basics-concepts
#16
REVIEW
Mohammad Jafferany, Katlein Franca
Psychodermatology is a relatively new field of medicine. It encompasses the interaction of mind and skin. The role of psychoneuroimmunology in the causation of psychocutaneous disorders and psychosocial aspects of skin disease have gained momentum lately. The treatment of psychodermatological disorders focus on improving function, reducing physical distress, diagnosing and treating depression and anxiety associated with skin disease, managing social isolation and improving self esteem of the patient. Both pharmacological and psychological interventions are used in treating psychocutaneous disorders...
August 23, 2016: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27223249/dsm-5-update-in-psychodermatology
#17
D A Nowak, S M Wong
Up to a third of dermatology outpatients have a significant psychiatric issue complicating their skin complaint. Although the ideal would frequently involve psychiatric assessment, those with comorbid mental illness often refuse psychiatric referral. As a result, it is imperative that dermatologists be mindful of psychiatric comorbidity in their patients and comfortable with the fundamentals of psychodermatologic diagnosis and therapy. This update summarizes current concepts, relevance, and therapeutics in psychodermatology, including aspects pertinent to depression, anxiety, obsessive-compulsive, impulse-control, and delusional disorders as described in the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5, published in 2013 by the American Psychiatric Association)...
May 2016: Skin Therapy Letter
https://www.readbyqxmd.com/read/27137710/anxiety-sensitivity-in-dermatological-patients
#18
Laura J Dixon, Aaron A Lee, Andres G Viana, Nancye K McCowan, Robert T Brodell, Matthew T Tull
BACKGROUND: Anxiety symptoms commonly occur in dermatological patients and can affect the severity of dermatological symptoms. Anxiety sensitivity (AS), defined as the fear of anxiety symptoms, is a well-supported cognitive vulnerability factor that may be particularly significant in these patients. OBJECTIVE: This study compared the severity of AS between patients with psychodermatological (e.g., psoriasis) and nonpsychodermatological disorders (e.g., skin cancer)...
September 2016: Psychosomatics
https://www.readbyqxmd.com/read/27026055/exploring-the-psychological-profile-of-patients-with-delusional-infestation
#19
Reena Shah, Ruth E Taylor, Anthony Bewley
Delusional infestation (DI) is an uncommon psychiatric disorder in which patients present with the false and fixed belief (i.e. a delusion) that their skin and/or their environment is infested despite objective evidence to the contrary. Within psychodermatology specialist clinics there is a high rate of DI referrals. What is not known is the level of psychiatric and psychological co-morbidities associated with DI and whether psychiatric or psychological assessment would be warranted. One-hundred and thirty-eight adult patients with DI attending an outpatient psychodermatology clinic were given 3 standardised questionnaires...
January 4, 2017: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27001316/psychodermatologic-effects-of-atopic-dermatitis-and-acne-a-review-on-self-esteem-and-identity
#20
REVIEW
Catherine M Nguyen, John Koo, Kelly M Cordoro
Atopic dermatitis (AD) and acne vulgaris are among the most-prevalent skin diseases in children. Both have been well documented in the literature to have significant negative effects on quality of life. Herein, we discuss the results of a comprehensive literature review aimed at assessing the impact of acne and AD on self-esteem and identity. We highlight clinical tools for their assessment and offer coping strategies for patients and families. Multiple factors including relationships with parents and classmates, sports participation, and the sex of the patient contribute to the development of self-esteem and identity in individuals with AD and acne...
March 2016: Pediatric Dermatology
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