Mercan Sibel, Kivanç Altunay Ilknur
Turk Psikiyatri Derg. 2006 Winter;17(4):305-13.
Dermatology is of special importance in consultation-liaison practice. The brain and the skin originate from the same germ layer, the ectoderm, in the embryo. In later periods of life, the various ways these two organs influence each other has been the subject of many studies published in this field. These studies are divided into three groups: 1- studies about stress and dermatologic diseases, 2- psychoanalytic and psychodynamic approaches to psychodermatologic diseases, and 3- clinical research and treatment of psychodermatologic diseases. Recently, in some countries which are aware of the importance of the subject, in the psychodermatology section psychiatrists, dermatologists, psychologists and residents work together as a team. In fact, it has been already accepted that there is a need for association between psychiatry and dermatology in many cases. This association between the two disciplines aims to enhance the success of therapy and psychiatric support for patients who primarily have psychiatric disease, but project that as a dermatologic disease, on the one hand. On the other hand, it provides a more holistic, and satisfying approach for both doctors and patients having primarily dermatologic disease, but who develop psychiatric problems secondarily. In this article, psychodermatology investigations and the relationship between the skin and psyche, diseases discussed in this context, and overlapping areas of psychiatry and dermatology are reviewed, and it is aimed to attract attention to this topic.
皮肤科在会诊 - 联络实践中具有特殊重要性。在胚胎中,大脑和皮肤起源于同一胚层,即外胚层。在生命后期,这两个器官相互影响的各种方式一直是该领域发表的众多研究的主题。这些研究分为三组:1 - 关于压力与皮肤病的研究;2 - 对心理皮肤病的精神分析和心理动力学方法;3 - 心理皮肤病的临床研究与治疗。最近,在一些意识到该主题重要性的国家,在心理皮肤科领域,精神科医生、皮肤科医生、心理学家和住院医师作为一个团队共同工作。事实上,在许多情况下,精神病学与皮肤科之间的关联已被认可。这两个学科之间的这种关联旨在提高治疗的成功率,并为主要患有精神疾病但表现为皮肤病的患者提供精神支持。另一方面,它为主要患有皮肤病但继发精神问题的医生和患者提供了一种更全面、更令人满意的方法。在本文中,对心理皮肤病学研究、皮肤与心理的关系、在此背景下讨论的疾病以及精神病学和皮肤科的重叠领域进行了综述,旨在引起对该主题的关注。