Brahe Catherine
Department of Dermatology, Naval Readiness and Training Command San Diego, California.
Cutis. 2022 Jun;109(6):310-313. doi: 10.12788/cutis.0541.
It is well established that many common skin diseases may result in mild to severe cosmetic disfigurement. Similarly, patients with these conditions have an increased risk for depression, anxiety, feelings of stigmatization, and self-harm ideation. There also is an increased risk for hospitalizations for mental health in patients with acne, rosacea, and hidradenitis suppurativa (HS). Cutaneous body image (CBI) is an individual's mental perception of the condition of their hair, nails, and skin. A positive CBI may be related to increased quality of life, and a negative CBI may be associated with poorer outcomes, such as insomnia, worsened overall morbidity of dermatologic disease, and intentional self-injury. For military service members who face a multitude of operational demands and who must be ready to "fight tonight," a holistic approach that addresses both physical and mental health is critical. Military dermatologists have the tools and expertise available to treat cutaneous disease, which by extension may improve body image, quality of life, and morale in military service members. Herein, we discuss how dermatologic treatments that often are thought of as nonessential cosmetic therapies can positively influence CBI and thus increase military readiness.
众所周知，许多常见的皮肤病可能导致轻度至重度的容貌毁损。同样，患有这些疾病的患者出现抑郁、焦虑、受歧视感和自伤意念的风险增加。痤疮、玫瑰痤疮和化脓性汗腺炎（HS）患者因心理健康问题住院的风险也会增加。皮肤身体意象（CBI）是个体对自己头发、指甲和皮肤状况的心理认知。积极的CBI可能与生活质量提高有关，而消极的CBI可能与较差的结果相关，如失眠、皮肤病总体发病率恶化和故意自我伤害。对于面临众多作战需求且必须随时准备“今晚战斗”的军人来说，一种兼顾身心健康的整体方法至关重要。军队皮肤科医生拥有治疗皮肤病的工具和专业知识，这进而可能改善军人的身体意象、生活质量和士气。在此，我们讨论通常被认为是非必要美容疗法的皮肤科治疗如何能对CBI产生积极影响，从而提高军队作战准备状态。
