Niemeier V, Peters E, Gieler U
Institut für Psychoanalyse und Psychotherapie Gießen, Ludwigstraße 73, 35392, Gießen, Deutschland.
Hautarzt - Allergologie, Psychotherapie - Psychoanalyse, Universitäts-Hautklinik, UKGM, Giessen, Gaffkystraße 14, 35392, Gießen, Deutschland.
Hautarzt. 2015 Oct;66(10):781-90; quiz 791-2. doi: 10.1007/s00105-015-3685-y.
The disorder is characterized by compulsive repetitive skin-picking (SP), resulting in skin lesions. The patients must have undertaken several attempts to reduce or stop SP. The disorder must have led to clinically significant limitations in social, professional, or other important areas of life. The symptoms cannot be better explained by another emotional disorder or any other dermatological disease. In the new DSM-V, skin-picking disorder has been included in the diagnostic system as an independent disorder and describes the self-injury of the skin by picking or scratching with an underlying emotional disorder. SP is classified among the impulse-control disorders and is, thus, differentiated from compulsive disorders as such. There are often emotional comorbidities. In cases of pronounced psychosocial limitation, interdisciplinary cooperation with a psychotherapist and/or psychiatrist is indicated.
该病症的特征为强迫性重复抠皮肤(SP),导致皮肤损伤。患者必须多次尝试减少或停止抠皮肤行为。该病症必须在社交、职业或生活的其他重要领域导致临床上显著的限制。这些症状不能用另一种情绪障碍或任何其他皮肤病更好地解释。在新的《精神疾病诊断与统计手册》第五版(DSM-V)中,抠皮肤障碍已作为一种独立病症被纳入诊断系统,描述了因潜在情绪障碍而通过抠或抓挠造成的皮肤自我损伤。抠皮肤行为被归类于冲动控制障碍,因此与强迫症有所区别。通常存在情绪共病情况。在心理社会限制明显的病例中,建议与心理治疗师和/或精神科医生进行跨学科合作。