Winchell S A, Watts R A
Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030.
J Am Acad Dermatol. 1988 Jan;18(1 Pt 1):101-4. doi: 10.1016/s0190-9622(88)70015-8.
Psychologic factors play a role in many dermatologic disorders, giving rise to the possible use of psychotherapeutic modalities in treatment. Regarding psoriasis, emotional factors have a strong correlation with onset and flare-ups. The psychophysiologic mechanisms involved are not known; however, stress and its effect on the autonomic nervous system and the immune system may play a significant role in the onset and course of psoriasis. Relaxation and mere suggestion also affect the autonomic nervous system and the immune system and therefore may affect the course of the skin disorder. A few case studies have documented successful treatment of psoriasis with hypnosis and biofeedback. Further study of this process is needed, and the role of stress in dermatologic diseases must always be given consideration.
心理因素在许多皮肤病中都起作用，这使得心理治疗方法有可能用于治疗。对于银屑病，情绪因素与发病和病情加重密切相关。其中涉及的心理生理机制尚不清楚；然而，压力及其对自主神经系统和免疫系统的影响可能在银屑病的发病和病程中起重要作用。放松和单纯的暗示也会影响自主神经系统和免疫系统，因此可能会影响皮肤病的病程。一些案例研究记录了催眠和生物反馈成功治疗银屑病的情况。需要对这一过程进行进一步研究，并且必须始终考虑压力在皮肤病中的作用。
