Torales Julio, Melgarejo Osvaldo, González Israel, García Oscar, Barrios Iván, Jafferany Mohammad
Department of Psychiatry, National University of Asunción, San Lorenzo, Paraguay.
Department of Psychiatry, Central Michigan University, Mount Pleasant, Michigan, USA.
Dermatol Ther. 2020 Jul;33(4):e13557. doi: 10.1111/dth.13557. Epub 2020 Jun 29.
The role of psychotropic drugs in psychodermatology is still debatable, due to the quality of the evidence that supports it. There are several case reports and open trials with variable results. There is an additional difficulty in finding therapists trained in effective psychotherapy techniques, justify the need for more research on the available pharmacological options. The present review emphasizes pharmacological treatment in psychodermatology, specifically in cases of primary psychiatric disorders that are expressed with self-inflicted cutaneous signs and symptoms, in which drugs can play a central role in ameliorating symptoms or be useful in combination with psychotherapeutic approach of these disorders.
由于支持精神药物在心理皮肤病学中应用的证据质量问题，其作用仍存在争议。有几例病例报告和结果各异的开放试验。此外，找到接受过有效心理治疗技术培训的治疗师存在困难，这证明有必要对现有的药物治疗选择进行更多研究。本综述着重介绍心理皮肤病学中的药物治疗，特别是在原发性精神障碍表现为自我造成的皮肤体征和症状的情况下，在这些病例中药物在改善症状方面可发挥核心作用，或与这些疾病的心理治疗方法联合使用时会很有用。
