Department of Dermatology, Ipanema Hospital, Rio de Janeiro, Brazil.
Br J Dermatol. 2014 Jul;170 Suppl 1:38-43. doi: 10.1111/bjd.13084.
Psychodermatology is an evolving area of science that focuses on the interaction between the mind, skin and body. It is known that various neuroendocrine mediators - including adrenocorticotropin, β-endorphin, catecholamines and cortisol - are produced in response to stress. The resulting increase in endogenous glucocorticoids can disrupt the skin's barrier function, leaving it vulnerable to inflammatory disorders like atopic dermatitis (AD). In turn, AD is associated with high levels of stigmatization, social withdrawal, anxiety and depression among patients and their carers. It is well known that the stress caused by AD can make the symptoms of the disease worse. Therefore, the goal of psychodermatological treatment is not only to improve the condition of the skin, but also to teach patients/carers how to cope with the disease. This requires a multifaceted approach, and time and patience, to ascertain the needs of individual patients. A multidisciplinary team that includes a dermatologist, psychiatrist and psychologist will be necessary to deliver high-quality, tailored care to patients.
心理皮肤病学是一个不断发展的科学领域，专注于研究心理、皮肤和身体之间的相互作用。众所周知，各种神经内分泌介质——包括促肾上腺皮质激素、β-内啡肽、儿茶酚胺和皮质醇——会在受到压力时产生。由此导致的内源性糖皮质激素增加会破坏皮肤的屏障功能，使其容易受到特应性皮炎（AD）等炎症性疾病的影响。反过来，AD 会导致患者及其护理者出现高水平的污名化、社交退缩、焦虑和抑郁。众所周知，AD 引起的压力会使疾病症状恶化。因此，心理皮肤病学治疗的目标不仅是改善皮肤状况，还要教导患者/护理者如何应对疾病。这需要采取多方面的方法，并花费时间和耐心，来确定每位患者的需求。一个包括皮肤科医生、精神科医生和心理学家的多学科团队，对于为患者提供高质量、定制化的护理是必要的。
