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在心理皮肤科就诊的患者的主观和客观特征:瑞典马尔默的一年经验。

Subjective and Objective Characteristics of Patients Seen at a Psychodermatology Unit: One-year Experience in Malmö, Sweden.

机构信息

Department of Dermatology and Venereology, Skåne University Hospital, SE-214 21 Malmö, Sweden.

出版信息

Acta Derm Venereol. 2020 Apr 29;100(8):adv00126. doi: 10.2340/00015555-3460.

Abstract

Clinical epidemiological knowledge concerning psychodermatology patients is scarce. The objective of this study was to assess morbidity in a new psychodermatology service. Information was gathered from patient records at the psychodermatology unit in Skåne University Hospital, Malmö, Sweden, from 1 February 2017 to 31 January 2018. All patients were screened with the Hospital Anxiety and Depression Scale (HADS) and the Dermatology Life Quality Index (DLQI) at baseline and after 12 months. Additional information was collated from the patient records. A total of 50 patients were treated during the 12 months, 86% were women, mean age 44 years (standard deviation (SD) 16 years). Itch was present in 72% of patients. Forty-two percent of patients were diagnosed with mood disorders, 30% with personality disorders, and 16% with delusional disorders. At baseline 40% of patients had a DLQI score >11, clinical depression was present in 14%, and clinical anxiety in 28%. These data emphasize the need for access to a multidisciplinary unit for dermatology patients.

摘要

有关心理皮肤病患者的临床流行病学知识较为匮乏。本研究旨在评估新开设的心理皮肤病学服务的发病率。研究信息来自 2017 年 2 月 1 日至 2018 年 1 月 31 日期间瑞典马尔默斯科讷大学医院心理皮肤病学病房的患者病历。所有患者在基线和 12 个月时均使用医院焦虑抑郁量表(HADS)和皮肤病生活质量指数(DLQI)进行筛查。此外,还从患者病历中收集了其他信息。在 12 个月期间,共治疗了 50 名患者,其中 86%为女性,平均年龄为 44 岁(标准差 16 岁)。72%的患者存在瘙痒症状。42%的患者被诊断为情绪障碍,30%为人格障碍,16%为妄想障碍。基线时,40%的患者 DLQI 评分>11,14%的患者存在临床抑郁,28%的患者存在临床焦虑。这些数据强调了皮肤科患者需要获得多学科单位的支持。

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本文引用的文献

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Cost-effectiveness in Psychodermatology: A Case Series.心理皮肤病学中的成本效益:病例系列
Acta Derm Venereol. 2017 May 8;97(5):663-664. doi: 10.2340/00015555-2620.
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Psychodermatology in Clinical Practice: Main Principles.临床实践中的心理皮肤病学:主要原则
Acta Derm Venereol. 2016 Aug 23;96(217):30-4. doi: 10.2340/00015555-2370.

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