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功能性瘙痒障碍或精神性瘙痒:法国心理皮肤病学组的建议诊断标准

Functional itch disorder or psychogenic pruritus: suggested diagnosis criteria from the French psychodermatology group.

作者信息

Misery Laurent, Alexandre Sophie, Dutray Sabine, Chastaing Myriam, Consoli Sylvie G, Audra Hubert, Bauer Domitille, Bertolus Sylviane, Callot Valérie, Cardinaud Fabienne, Corrin Eliane, Feton-Danou Nathalie, Malet Robert, Touboul Sylviane, Consoli Silla M

机构信息

Department of Dermatology, Brest University Hospital, Brest Cedex, France.

出版信息

Acta Derm Venereol. 2007;87(4):341-4. doi: 10.2340/00015555-0266.

Abstract

Functional itch disorder or psychogenic pruritus is a poorly defined diagnosis. This paper sets out the proposed diagnostic criteria of the French Psychodermatology Group (FPDG). There are three compulsory criteria: localized or generalized pruritus sine materia, chronic pruritus (>6 weeks) and the absence of a somatic cause. Three additional criteria from the following seven items should also be present: a chronological relationship of pruritus with one or several life events that could have psychological repercussions; variations in intensity associated with stress; nocturnal variations; predominance during rest or inaction; associated psychological disorders; pruritus that could be improved by psychotropic drugs; and pruritus that could be improved by psychotherapies.

摘要

功能性瘙痒障碍或心因性瘙痒是一种定义不明确的诊断。本文阐述了法国心理皮肤病学小组(FPDG)提出的诊断标准。有三项强制性标准:无皮疹的局限性或全身性瘙痒、慢性瘙痒(>6周)以及不存在躯体病因。还应具备以下七项中的另外三项标准:瘙痒与一个或多个可能产生心理影响的生活事件之间的时间关系;与压力相关的强度变化;夜间变化;休息或不活动时瘙痒加剧;伴有心理障碍;瘙痒可通过精神药物改善;以及瘙痒可通过心理治疗改善。

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