Departments of Dermatology, Royal London Hospital, Barts Health NHS Trust, London, UK.
Psychiatry, Royal London Hospital, Barts Health NHS Trust, London, UK.
Clin Exp Dermatol. 2021 Aug;46(6):1046-1051. doi: 10.1111/ced.14641. Epub 2021 May 15.
Psychodermatology is an emerging subspeciality of dermatology. Psychodermatology clinics use a multidisciplinary approach to deal with psychological or psychiatric elements related to skin disease. Two previous studies in 2004 and 2012 highlighted the deficiency of psychodermatology services in the UK, despite the evidence that these services have high demand and are cost-effective.
To reassess psychodermatology service provision in the UK and outline the developments that have been made.
In conjunction with BBC Radio 5 Live, a survey questionnaire was distributed via email to the UK membership of the British Association of Dermatologists (BAD) and Psychodermatology UK. The survey consisted of 13 questions asking about the availability of psychodermatology services.
Basic percentages were used to analyse quantitative data, and content analysis was used for qualitative data. Our results showed that less than a quarter of the respondents (24%) have access to a nearby dedicated psychodermatology service. Additionally, the psychodermatology units do not have a unified configuration and clinical provision model differs nationally. Only around 5% of the clinicians have access to a clinic that provides psychology-dermatology-oncology service, and even fewer have access to a paediatric psychodermatology (4.8%). Engagement in psychodermatology research was reported by around 12% of the participants.
The psychocutaneous services in the UK have improved to some extent over the past decade; the service has become more widely available nationally, and the investment in research is promising. However, it is still insufficient and unable to fulfil patient demand, especially for vulnerable individuals such as children and dermato-oncology patients.
心理皮肤病学是皮肤病学的一个新兴分支。心理皮肤科诊所采用多学科方法来处理与皮肤疾病相关的心理或精神元素。2004 年和 2012 年的两项先前研究强调了英国心理皮肤病学服务的不足，尽管有证据表明这些服务需求高且具有成本效益。
重新评估英国的心理皮肤病学服务提供情况，并概述已取得的发展。
与 BBC Radio 5 Live 合作，通过电子邮件向英国皮肤病学会（BAD）和英国心理皮肤病学会的英国成员分发了调查问卷。该调查包括 13 个问题，询问心理皮肤病学服务的可用性。
使用基本百分比分析定量数据，使用内容分析分析定性数据。我们的结果表明，不到四分之一的受访者（24%）可以就近获得专门的心理皮肤病学服务。此外，心理皮肤病学单位没有统一的配置，临床提供模式在全国范围内存在差异。只有约 5%的临床医生可以访问提供心理皮肤病学-肿瘤学服务的诊所，而能够访问儿科心理皮肤病学的则更少（4.8%）。约 12%的参与者报告参与了心理皮肤病学研究。
在过去十年中，英国的心理皮肤病服务有所改善；该服务在全国范围内的普及程度有所提高，对研究的投资也很有希望。然而，它仍然不足以为患者提供服务，尤其是儿童和皮肤肿瘤患者等弱势群体。
