Department of Psychiatry, New York University School of Medicine, New York, NY 10016, USA.
Int J Dermatol. 2012 Jan;51(1):12-26. doi: 10.1111/j.1365-4632.2011.05071.x.
Psoriasis is a common dermatologic disorder with psychiatric comorbidity that often goes undetected and untreated. Psoriasis has higher associations with psychiatric illness than do other dermatologic conditions. We conducted a comprehensive qualitative review of all published medical literature on psoriasis and psychiatric comorbidities since 2005. We found that psoriasis patients suffer psychiatric and psychosocial morbidity that is not commensurate with the extent of cutaneous lesions. Biologic therapies and nonpharmacologic psychosocial interventions show promise in treating comorbid psychiatric illness. The main limitations of this review are the low quality of published studies and the infrequent use of basic science endpoints in reporting treatment outcomes. The literature examining the psychiatric comorbidity of psoriasis is expanding but remains of variable quality. Stronger studies will be necessary to more accurately estimate comorbidities and help identify and comprehensively treat suffering patients.
银屑病是一种常见的皮肤科疾病，常伴有精神共病，但往往未被发现和治疗。银屑病与精神疾病的关联度高于其他皮肤科疾病。我们对 2005 年以来所有已发表的关于银屑病和精神共病的医学文献进行了全面的定性综述。我们发现，银屑病患者患有精神和心理社会疾病，但与皮肤损伤的严重程度不成比例。生物疗法和非药物心理社会干预在治疗共病性精神疾病方面显示出希望。本综述的主要局限性在于发表研究的质量较低，以及在报告治疗结果时很少使用基础科学终点。研究银屑病精神共病的文献正在不断增加，但质量仍参差不齐。需要更强有力的研究来更准确地估计共病，并帮助识别和全面治疗受痛苦的患者。
