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Psychodermatology

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https://www.readbyqxmd.com/read/27884006/current-psychosomatic-practice
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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...
March 30, 2016: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27001316/psychodermatologic-effects-of-atopic-dermatitis-and-acne-a-review-on-self-esteem-and-identity
#12
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
https://www.readbyqxmd.com/read/26932754/dysaesthetic-penoscrotodynia-may-be-a-somatoform-disorder-results-from-a-two-centre-retrospective-case-series
#13
M C Anyasodor, R E Taylor, A Bewley, J M R Goulding
BACKGROUND: Dysaesthetic penoscrotodynia (DPSD) is a poorly understood disorder, in which men experience distressing symptoms such as burning pain in their genital skin. Drugs for neuropathic pain are often used, but with little success. AIM: To review a series of patients with DPSD to highlight common themes and response to treatment. METHODS: Ten consecutive patients with DPSD were identified from specialist male genital dermatology and psychodermatology clinics at two centres...
July 2016: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/26445688/psychodermatology-knowledge-awareness-practicing-patterns-and-attitudes-of-dermatologists-in-turkey
#14
Tuba Ocek, Ayse Sakalli Kani, Alper Baş, Murat Yalcin, Senol Turan, Murat Emul, Mohammad Jafferany
OBJECTIVE: Approximately, 1 in 3 patients in dermatology settings has psychiatric comorbidity. Thus, we conducted a survey in Turkey to explore the awareness, knowledge, practicing patterns, and attitudes of dermatologists toward psychocutaneous disorders. METHOD: The questionnaire-based study was performed from March 1, 2013, to May 20, 2013. Study participants included 115 dermatologists. The questionnaire consisted of 9 multiple-choice questions and 2 open-ended questions...
2015: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/26250752/book-review-practical-psychodermatology-by-anthony-bewley-ruth-e-taylor-jason-s-reichenberg-and-michelle-magid-chichester-west-sussex-uk-wiley-2014-278-pages-isbn-978-1-118-56068-6
#15
https://www.readbyqxmd.com/read/26137346/psychogenic-purpura-gardner-diamond-syndrome
#16
Mohammad Jafferany, Gaurav Bhattacharya
Psychogenic purpura, also known as Gardner-Diamond syndrome or autoerythrocyte sensitization syndrome, is a rare condition characterized by spontaneous development of painful edematous skin lesions progressing to ecchymosis over the next 24 hours. Severe stress and emotional trauma always precede the skin lesions. The condition is most commonly seen in women, but isolated cases have been reported in adolescents and in males. Psychodermatologic evaluation and dermatology and psychiatry liaison have been successful in the treatment of these patients...
2015: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/26058478/dermatitis-artefacta-in-childhood-a-retrospective-analysis-of-44-patients-1976-2006
#17
Sara Alcántara Luna, Begoña García Bravo, Antonio Rodríguez Pichardo, Francisco M Camacho Martínez
BACKGROUND: Dermatitis artefacta (DA) consists of self-inflicted skin lesions that the patient denies having produced. OBJECTIVES: To conduct a single-center retrospective clinical review of children and adolescents diagnosed with DA. METHODS: From 1976 to 2006, data were collected on children diagnosed with DA who were seen in the Department of Dermatology in our hospital. Clinical and epidemiologic features are described. Forty-four children (mean age 12...
September 2015: Pediatric Dermatology
https://www.readbyqxmd.com/read/25832518/psychodermatology
#18
REVIEW
Gabrielle E Brown, Mona Malakouti, Eric Sorenson, Rishu Gupta, John Y M Koo
Psychodermatology is an underappreciated field that studies psychocutaneous disorders, which are conditions that have both dermatologic and psychiatric characteristics. Underlying psychiatric comorbidity is estimated to occur in up to one-third of dermatologic patients, and psychiatric illness may either be the cause or the consequence of dermatologic disease. Psychodermatologic patients lack insight and often do not recognize a psychiatric etiology for their symptoms and therefore comprise some of the most challenging cases to treat...
2015: Advances in Psychosomatic Medicine
https://www.readbyqxmd.com/read/25455069/dermatological-manifestations-of-stress-in-normal-and-psychiatric-populations
#19
REVIEW
Edgardo Rodriguez-Vallecillo, Michel A Woodbury-Fariña
This article explores the way stress affects the skin, both at the molecular level, where the skin has an intricate connection to the neurocutaneous and immune systems, and at the clinical level. The concept of psychodermatology is reviewed with regard to the way skin reacts to stress, how stress is a trigger for several common skin diseases, and how neuropsychiatric disorders may have skin manifestations. The article is directed at making the dermatologist, the psychiatrist, the psychologist, and the primary physician familiar with the brain-skin mechanisms involved in stress and the resultant clinical expressions on the skin...
December 2014: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/25441470/psychologic-consequences-of-facial-dermatoses
#20
REVIEW
Edith Orion, Ronni Wolf
The attractiveness of the human body has always been an important issue in the fields of sociology, psychology, and psychiatry and also in the field of dermatology. In psychodermatology, one often discovers how all these fields intermingle to produce elaborate situations and extreme human difficulties. Perfect skin is widely adored in literature, poetry, and biblical texts, as well as in advertisements, movies, and television. Because in most societies the face is the body part that is visible, imperfections of the skin are also visible; therefore, its flawed appearance bears the potential to become a source of misery to some...
November 2014: Clinics in Dermatology
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