Tomas-Aragones Lucía, Consoli Silla M, Consoli Sylvie G, Poot Francoise, Taube Klaus-Michael, Linder M Dennis, Jemec Gregor B E, Szepietowski Jacek C, de Korte John, Lvov Andrey N, Gieler Uwe
Department of Psychology, University of Zaragoza, Calle Pedro Cerbuna 12, ES-50009 Zaragoza, Spain.
Acta Derm Venereol. 2017 Feb 8;97(2):159-172. doi: 10.2340/00015555-2522.
The classification of self-inflicted skin lesions proposed by the European Society for Dermatology and Psychiatry (ESDaP) group generated questions with regard to specific treatments that could be recommended for such cases. The therapeutic guidelines in the current paper integrate new psychotherapies and psychotropic drugs without forgetting the most important relational characteristics required for dealing with people with these disorders. The management of self-inflicted skin lesions necessitates empathy and a doctor-patient relationship based on trust and confidence. Cognitive behavioural therapy and/or psychodynamic and psychoanalytic psychotherapy (alone, or combined with the careful use of psychotropic drugs) seem to achieve the best results in the most difficult cases. Relatively new therapeutic techniques, such as habit reversal and mentalization-based psychotherapy, may be beneficial in the treatment of skin picking syndromes.
欧洲皮肤病学与精神病学学会（ESDaP）小组提出的自我造成的皮肤损伤分类引发了关于针对此类病例可推荐的具体治疗方法的问题。本论文中的治疗指南纳入了新的心理疗法和精神药物，同时不忘处理这些疾病患者所需的最重要的人际关系特征。自我造成的皮肤损伤的管理需要同理心以及基于信任的医患关系。认知行为疗法和/或心理动力与精神分析心理疗法（单独使用，或与谨慎使用精神药物相结合）在最困难的病例中似乎能取得最佳效果。相对较新的治疗技术，如习惯逆转和基于心理化的心理疗法，可能对皮肤搔抓综合征的治疗有益。
