Jafferany Mohammad, Ferreira Barbara Roque, Abdelmaksoud Ayman, Mkhoyan Ruzanna
Department of Psychodermatology and Psychiatry, Central Michigan University, Saginaw, Michigan, USA.
Department of Dermatology, Centre Hospitalier de Mouscron, Mouscron, Belgium.
Dermatol Ther. 2020 Nov;33(6):e13969. doi: 10.1111/dth.13969. Epub 2020 Jul 27.
Psychodermatology is a growing specialty which is gaining momentum in different parts of the world. It focuses on the connection between skin and psyche. Psychocutaneous conditions are characterized by those disorders where stress is the key element in exacerbating skin conditions or flare ups of dermatoses like psoriasis and atopic dermatitis. There is a direct relationship of stress with the course, and prognosis of the skin disease. In some situations, there is no skin condition but the lesions are self-inflicted and such disorders are always associated with underlying psychopathology or psychological conflicts. Sometimes emotional problems are more prominent as a result of having skin disease, and the psychological consequences may be more severe than the physical symptoms. Management of these conditions require a combination of psychpharmacology, psychotherapy, and liaison clinics of psychiatry and dermatology. This review focuses on the common management approach which can be adopted by dermatologists in treating patients with psychodermatological disorders, improving doctor-patient relationship and therapeutic bond.
心理皮肤病学是一个不断发展的专业领域，正在世界不同地区蓬勃发展。它专注于皮肤与心理之间的联系。心理皮肤疾病的特点是，在诸如银屑病和特应性皮炎等皮肤病的病情加重或发作中，压力是关键因素。压力与皮肤病的病程和预后有着直接关系。在某些情况下，不存在皮肤疾病，但损伤是自我造成的，此类病症总是与潜在的精神病理学或心理冲突相关。有时，由于患有皮肤病，情绪问题会更加突出，而且心理后果可能比身体症状更严重。这些病症的治疗需要结合心理药理学、心理治疗以及精神科和皮肤科的联络门诊。本综述重点关注皮肤科医生在治疗心理皮肤疾病患者时可采用的常见管理方法，以改善医患关系和治疗联系。
