Gieler U, Niemeier V, Kupfer J, Harth W
Universitätsklinikum Giessen und Marburg, Standort Giessen.
Hautarzt. 2008 May;59(5):415-32; quiz 433. doi: 10.1007/s00105-008-1536-9.
Psychosomatic dermatology deals with skin disorders that are substantially influenced by psychosocial causes, sequelae or circumstances or in which these are important in the selection of therapy for the particular patient. In this context, skin diseases have been recognized in a biopsychosocial model for holistic medicine. In a wider sense, psychosomatic dermatology embraces every aspect of intra- and interpersonal problems relating to skin disorders and psychosomatic trigger mechanisms and/or ways of coping with skin disorders. A distinction is made between primarily psychic conflicts, psychosomatic diseases and somatopsychic aspects. Approaches to treatment take account of the doctor (doctor's-assistant)-patient relationship, compliance factors, the dermatosis patient's quality of life and the psychosocial health of the dermatologist, and also steps that can be implemented in the context of the practice management and basic psychosomatic treatment including referral for special psychotherapy.
心身皮肤病学研究的是那些受到社会心理因素、后遗症或环境显著影响的皮肤疾病，或者在为特定患者选择治疗方法时这些因素起重要作用的皮肤疾病。在此背景下，皮肤疾病已在整体医学的生物心理社会模型中得到认可。从更广泛的意义上讲，心身皮肤病学涵盖了与皮肤疾病以及心身触发机制和/或应对皮肤疾病方式相关的人际和个人内问题的各个方面。主要的心理冲突、心身疾病和躯体心理方面是有区别的。治疗方法会考虑医生（医生助手）与患者的关系、依从性因素、皮肤病患者的生活质量以及皮肤科医生的社会心理健康，还包括在实践管理和基本心身治疗背景下可以实施的步骤，包括转介进行特殊心理治疗。
