Barankin Benjamin, DeKoven Joel
Division of Dermatology, Department of Medicine, University of Alberta, Edmonton.
Can Fam Physician. 2002 Apr;48:712-6.
To increase awareness of the psychosocial effect of acne, atopic dermatitis, and psoriasis.
A literature review was based on a MEDLINE search (1966 to 2000). Selected articles from the dermatologic and psychiatric literature, as well as other relevant medical journals, were reviewed and used as the basis for discussion of how skin disease affects patients' lives and of appropriate management. Studies in the medical literature provide mainly level III evidence predominantly based on descriptive studies and expert opinion.
Dermatologic problems can result in psychosocial effects that seriously affect patients' lives. More than a cosmetic nuisance, skin disease can produce anxiety, depression, and other psychological problems that affect patients' lives in ways comparable to arthritis or other disabling illnesses. An appreciation for the effects of sex, age, and location of lesions is important, as well as the bidirectional relationship between skin disease and psychological distress. This review focuses on the effects of three common skin diseases seen by family physicians: acne, atopic dermatitis, and psoriasis.
How skin disease affects psychosocial well-being is underappreciated. Increased understanding of the psychiatric comorbidity associated with skin disease and a biopsychosocial approach to management will ultimately improve patients' lives.
提高对痤疮、特应性皮炎和银屑病心理社会影响的认识。
基于MEDLINE搜索（1966年至2000年）进行文献综述。对从皮肤病学和精神病学文献以及其他相关医学期刊中挑选出的文章进行了综述，并以此作为讨论皮肤病如何影响患者生活以及适当管理方法的基础。医学文献中的研究主要提供III级证据，主要基于描述性研究和专家意见。
皮肤病问题可导致心理社会影响，严重影响患者生活。皮肤病不仅仅是一种影响美观的麻烦，还会引发焦虑、抑郁和其他心理问题，其对患者生活的影响程度与关节炎或其他致残性疾病相当。了解性别、年龄和皮损部位的影响以及皮肤病与心理困扰之间的双向关系非常重要。本综述重点关注家庭医生常见的三种皮肤病：痤疮、特应性皮炎和银屑病的影响。
皮肤病对心理社会幸福感的影响尚未得到充分认识。增强对与皮肤病相关的精神共病的理解以及采用生物心理社会方法进行管理最终将改善患者生活。
