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从初级保健角度看心理皮肤病学的全球意识、知识和实践模式。

Global Awareness, Knowledge, and Practice Patterns of Psychocutaneous Medicine: A Primary Care Perspective.

机构信息

Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Corresponding author: Rachel E. Christensen, BS, Rutgers Robert Wood Johnson Medical School, 125 Paterson St, New Brunswick, NJ 08901 (

出版信息

Prim Care Companion CNS Disord. 2022 Jul 26;24(4):21r03175. doi: 10.4088/PCC.21r03175.

Abstract

To report findings generated from an analysis of available literature on psychodermatology knowledge, awareness, and practice patterns among dermatologists worldwide to better elucidate their educational needs and referral practices. To identify literature from inception to December 23, 2020, the following search strategy was used within PubMed and Google Scholar databases: OR OR OR OR OR . Non-English studies were excluded. Studies were included if they were identified as having collected data from a survey instrument assessing psychodermatology awareness, knowledge, and practice patterns of dermatologists and dermatology trainees. Of 1,347 records screened, a total of 12 cross-sectional studies were identified as having collected data from 2,466 dermatologists in 18 countries worldwide. Individual study and overall response frequencies were extracted for each variable of interest by an independent reviewer. Although most respondents provided weekly psychodermatologic care, only 13% reported feeling very comfortable treating patients with psychocutaneous concerns. Only 19% of respondents had a clear understanding of psychodermatology, and almost two-thirds of participants had no formal training in psychodermatology. Seventy-three percent of dermatologists reported interest in continuing medical education. A considerable number of patients present to their physician with a psychocutaneous concern. As such, dermatologists, psychiatrists, and primary care providers may benefit from an understanding of the presentations and management of the most common psychodermatology complaints. Incorporation of psychodermatology curriculums into training programs and educational activities should be considered.

摘要

报告分析全球皮肤科医生在心理皮肤病学知识、意识和实践模式方面的现有文献的结果,以更好地阐明他们的教育需求和转诊实践。为了从 2020 年 12 月 23 日开始确定文献,我们在 PubMed 和 Google Scholar 数据库中使用了以下搜索策略:或或或或或。排除非英语研究。如果研究通过评估皮肤科医生和皮肤科受训者的心理皮肤病学意识、知识和实践模式的调查工具收集数据,则将其纳入研究。在筛选出的 1347 条记录中,共有 12 项横断面研究被确定为从全球 18 个国家的 2466 名皮肤科医生那里收集了数据。一位独立评审员提取了每个感兴趣变量的个体研究和总体反应频率。尽管大多数受访者每周都提供心理皮肤病学护理,但只有 13%的人表示对治疗有心理皮肤问题的患者感到非常舒适。只有 19%的受访者对心理皮肤病学有清晰的了解,近三分之二的参与者没有接受过心理皮肤病学的正规培训。73%的皮肤科医生表示有兴趣继续接受医学继续教育。相当多的患者因心理皮肤问题就诊。因此,皮肤科医生、精神科医生和初级保健提供者可能受益于了解最常见的心理皮肤病学投诉的表现和管理。应考虑将心理皮肤病学课程纳入培训计划和教育活动。

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