Gooderham Melinda, Gavino-Velasco Jennifer, Clifford Cole, MacPherson Alex, Krasnoshtein Flora, Papp Kim
Skin Centre for Dermatology, Peterborough, ON, Canada Probity Medical Research, Waterloo, ON, Canada
Skin Centre for Dermatology, Peterborough, ON, Canada.
J Cutan Med Surg. 2016 Jul;20(4):293-303. doi: 10.1177/1203475416648323. Epub 2016 May 5.
Many chronic medical disorders are associated with psychiatric morbidity. Yet the psychological burden of these disorders often goes unnoticed. In dermatology, psoriasis has a higher association with psychiatric illness, including depression and suicide risk, compared with many other conditions. Studies suggest that effective treatment of psoriasis results in the improvement of psychiatric morbidity, particularly depression and anxiety. New biologic treatments for psoriasis may offer help beyond clearing of the skin in these patients and may lead to a reduction of psychiatric morbidity. Although concerns have been raised regarding the potential link between interleukin-17R blockade in the treatment of psoriasis and suicide, current literature provides no evidence to support this association.
许多慢性疾病都与精神疾病相关。然而,这些疾病所带来的心理负担常常被忽视。在皮肤科领域,与许多其他病症相比,银屑病与精神疾病(包括抑郁症和自杀风险)的关联度更高。研究表明,银屑病的有效治疗可改善精神疾病状况,尤其是抑郁症和焦虑症。针对银屑病的新型生物治疗方法可能不仅有助于清除这些患者的皮肤症状,还可能降低精神疾病的发病率。尽管有人对银屑病治疗中白细胞介素 - 17R 阻断与自杀之间的潜在联系表示担忧,但目前的文献并无证据支持这一关联。