Ocek Tuba, Kani Ayse Sakalli, Baş Alper, Yalcin Murat, Turan Senol, Emul Murat, Jafferany Mohammad
Department of Psychiatry, Medical School of Cerrahpasa, Istanbul University, Istanbul, Turkey (Drs Ocek, Kani, Baş, Turan, and Emul); Erenkoy Mental Health and Neurology Training and Research Hospital, Istanbul, Turkey (Dr Yalcin); and Psychodermatology Clinic, Jafferany Psychiatric Services and Department of Psychiatry and Behavioral Sciences, Central Michigan University, Saginaw, Michigan (Dr Jafferany).
Prim Care Companion CNS Disord. 2015 Apr 30;17(2). doi: 10.4088/PCC.14m01628. eCollection 2015.
Approximately, 1 in 3 patients in dermatology settings has psychiatric comorbidity. Thus, we conducted a survey in Turkey to explore the awareness, knowledge, practicing patterns, and attitudes of dermatologists toward psychocutaneous disorders.
The questionnaire-based study was performed from March 1, 2013, to May 20, 2013. Study participants included 115 dermatologists. The questionnaire consisted of 9 multiple-choice questions and 2 open-ended questions.
Of the 115 dermatologists in the study, 38 were men and 77 were women. More than 85% of dermatologists indicated that they examine > 30 patients per week in their practice, while only 2% saw < 10 patients per week. The most frequent dermatologic condition associated with psychiatric involvement seen by dermatologists was acne (49.1%). The top 3 diagnoses referred by dermatologists to psychiatrists were psoriasis (42.6%), alopecia areata (38.2%), and pruritus (27.8%).
A need for collaboration between primary care, psychiatry, and dermatology disciplines in handling patients with psychocutaneous conditions is widely accepted. Investigating the knowledge, attitudes, and awareness of dermatologists about psychocutaneous disorders might contribute to the development of new educational strategies and elicit qualified biopsychosocial approaches.
在皮肤科就诊的患者中，约三分之一患有精神疾病合并症。因此，我们在土耳其开展了一项调查，以探究皮肤科医生对精神皮肤疾病的认知、了解程度、诊疗模式及态度。
基于问卷调查的研究于2013年3月1日至2013年5月20日进行。研究参与者包括115名皮肤科医生。问卷由9道多项选择题和2道开放式问题组成。
在参与研究的115名皮肤科医生中，男性38名，女性77名。超过85%的皮肤科医生表示，他们在日常工作中每周诊治的患者超过30例，而只有2%的医生每周诊治的患者少于10例。皮肤科医生所见到的与精神疾病相关的最常见皮肤病是痤疮（49.1%）。皮肤科医生转诊给精神科医生的前三位诊断是银屑病（42.6%）、斑秃（38.2%）和瘙痒症（27.8%）。
在处理精神皮肤疾病患者时，初级保健、精神病学和皮肤科各学科之间需要合作，这一点已得到广泛认可。调查皮肤科医生对精神皮肤疾病的知识、态度和认知，可能有助于制定新的教育策略，并引出合格的生物心理社会治疗方法。
