Kieć-Swierczyńska Marta, Dudek Bohdan, Krecisz Beata, Swierczyńska-Machura Dominika, Dudek Wojciech, Garnczarek Adrianna, Turczyn Katarzyna
Przychodnia Chorób Zawodowych, Instytut Medycyny Pracy im. prof. J. Nofera, Lódź.
Med Pr. 2006;57(6):551-5.
In this paper, the relation between psychological factors and psychiatric disorders in patients with skin diseases is discussed. On the one hand psychological factors (stress, negative emotions) can influence the generation and aggravation of skin disorders (urticaria, atopic dermatitis, vitiligo), on the other hand psychological disorders can result in some skin diseases (psoriasis, atopic dermatitis). In the majority of cases the quality of life is poorly estimated by patients with skin problems. Psychodermatology is divided into three categories according to the relationship between skin diseases and mental disorders: 1) psychophysiologic disorders caused by skin diseases triggering different emotional states (stress), but not directly combined with mental disorders (psoriasis, eczema); 2) primary psychiatric disorders responsible for self-induced skin disorders (trichotillomania); and 3) secondary psychiatric disorders caused by disfiguring skin (ichthyosis, acne conglobata, vitiligo), which can lead to states of fear, depression or suicidal thoughts.
本文讨论了皮肤病患者心理因素与精神障碍之间的关系。一方面，心理因素（压力、负面情绪）会影响皮肤疾病（荨麻疹、特应性皮炎、白癜风）的产生和加重，另一方面，心理障碍会导致一些皮肤病（银屑病、特应性皮炎）。在大多数情况下，有皮肤问题的患者对生活质量的评估很低。根据皮肤病与精神障碍之间的关系，心理皮肤病学分为三类：1）由皮肤病引发不同情绪状态（压力）但不直接与精神障碍相关的心理生理障碍（银屑病、湿疹）；2）导致自我诱发皮肤疾病的原发性精神障碍（拔毛癖）；3）由毁容性皮肤（鱼鳞病、聚合性痤疮、白癜风）引起的继发性精神障碍，可导致恐惧、抑郁或自杀念头。
