Department of Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.
Arch Dermatol Res. 2020 Oct;312(8):545-558. doi: 10.1007/s00403-020-02050-9. Epub 2020 Feb 25.
Psychiatric disorders are prevalent in dermatology patients. Psychodermatology is the body of knowledge at the intersection of psychiatry and dermatology practice. The purpose of this literature review was to assess the knowledge, attitudes, and practices of health care professionals regarding psychodermatology. A search of relevant articles was conducted in PubMed, CINAHL, ERIC, and PsychInfo databases using a comprehensive set of search terms. Studies were included if (1) study participants were health care professionals, (2) studies contained data that could be extracted, and (3) studies were published in peer-reviewed journals. A review of study findings was conducted. A total of nine studies were included in the review. Studies were conducted in several countries. Findings from the review confirmed that providers frequently reported psychocutaneous disorders in their practice. There were, however, gaps and variations in providers' knowledge base and level of comfort treating these patients. Further, providers acknowledged a lack of training in the practice of psychodermatology. The findings from this review suggest that health care professionals from multiple areas of the world may lack a full understanding, level of comfort, and proper training in psychodermatology. Improving the knowledge base and increasing level of comfort in treating psychodermatological disorders can improve the practice of psychodermatology amongst providers. Further, addressing knowledge and comfort level among providers through training and continuing education may improve outcomes for patients with psychocutaneous disorders.
精神障碍在皮肤科患者中很常见。精神皮肤病学是精神病学和皮肤病学实践交叉领域的知识体系。本次文献综述的目的是评估医疗保健专业人员对精神皮肤病学的知识、态度和实践。使用一套全面的搜索词，在 PubMed、CINAHL、ERIC 和 PsychInfo 数据库中搜索相关文章。如果符合以下条件，则纳入研究：(1)研究参与者为医疗保健专业人员，(2)研究包含可提取的数据，以及(3)研究发表在同行评议的期刊上。对研究结果进行了综述。综述共纳入了 9 项研究。这些研究在多个国家进行。综述结果证实，提供者在其实践中经常报告精神皮肤病。然而，提供者的知识库和治疗这些患者的舒适度存在差距和差异。此外，提供者承认缺乏精神皮肤病学实践方面的培训。这项综述的结果表明，来自世界多个地区的医疗保健专业人员可能对精神皮肤病学缺乏全面的理解、舒适度和适当的培训。提高治疗精神皮肤病学障碍的知识库和舒适度可以提高提供者的精神皮肤病学实践水平。此外，通过培训和继续教育来解决提供者的知识和舒适度水平，可以改善精神皮肤病患者的治疗效果。
