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[以皮肤科为例探讨气候与环境变化所致精神障碍]

[Mental disorders from climate and environmental changes using the example of dermatology].

作者信息

Dohm Lea, Saha Susanne, Fronhoffs Kristina, Gieler Uwe

机构信息

Deutsche Allianz Klimawandel und Gesundheit e. V. (KLUG e. V.), Cuvrystr. 1, 10997, Berlin, Deutschland.

Arbeitsgemeinschaft Nachhaltigkeit in der Dermatologie (AGN) e. V., Guntramstr. 8, 79106, Freiburg, Deutschland.

出版信息

Dermatologie (Heidelb). 2024 Sep;75(9):704-710. doi: 10.1007/s00105-024-05396-7. Epub 2024 Aug 8.

DOI:10.1007/s00105-024-05396-7
PMID:39117980
Abstract

BACKGROUND

Global climate and environmental changes impose a significant impact on human health by increasing prevalences of chronic and acute skin diseases. Climate-associated environmental changes can also trigger or intensify mental illnesses independently of a skin disease.

AIM

Discussion of the effects of the climate and environmental changes on dermatological diseases applying the biopsychosocial model.

MATERIALS AND METHODS

A selective literature search in the PubMed database and other sources was conducted.

RESULTS

The biopsychosocial model considers complex interactions between biological, psychological, and social factors. In view of the consequences of climate and environmental changes, an extension of the model is proposed for the first time in order to address new challenges. The modified presentation supports the understanding of the dynamics and underscores that in dermatological care not only direct health effects of climate and environmental changes have to be dealt with, but also with an increasing number of mental illnesses, which in turn are to be regarded as direct and indirect health effects.

CONCLUSION

Coping with the predicted increase in the burden of disease and the decline in the available labor force associated with demographic change poses a major challenge. In order to maintain the functionality of the healthcare system, the prompt implementation of resource-efficient, sustainable measures in all areas of society is essential. The integrative consideration of dermatological and psychological complaints in the context of climate and environmental changes requires the adaptation of content for the education, training, and continuing education of specialists.

摘要

背景

全球气候和环境变化通过增加慢性和急性皮肤病的患病率对人类健康产生重大影响。与气候相关的环境变化也可独立于皮肤病引发或加剧精神疾病。

目的

运用生物心理社会模型探讨气候和环境变化对皮肤病的影响。

材料与方法

在PubMed数据库及其他来源进行了选择性文献检索。

结果

生物心理社会模型考虑了生物、心理和社会因素之间的复杂相互作用。鉴于气候和环境变化的后果,首次提出对该模型进行扩展以应对新挑战。修改后的表述有助于理解其动态变化,并强调在皮肤病护理中,不仅要应对气候和环境变化对健康的直接影响,还要应对越来越多的精神疾病,而这些精神疾病又应被视为直接和间接的健康影响。

结论

应对预计的疾病负担增加以及与人口变化相关的可用劳动力减少带来了重大挑战。为维持医疗保健系统的功能,在社会各领域迅速实施资源高效、可持续的措施至关重要。在气候和环境变化背景下综合考虑皮肤病和心理疾病,需要调整专科医生教育、培训和继续教育的内容。

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本文引用的文献

1
Symptoms of Cognitive Impairment Among Children With Atopic Dermatitis.特应性皮炎儿童认知障碍的症状。
JAMA Dermatol. 2024 Apr 1;160(4):447-452. doi: 10.1001/jamadermatol.2024.0015.
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[Global environmental changes and the epithelial barrier hypothesis].[全球环境变化与上皮屏障假说]
Dermatologie (Heidelb). 2024 Feb;75(2):118-125. doi: 10.1007/s00105-023-05286-4. Epub 2024 Jan 11.
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[Skin cancer from solar ultraviolet radiation exposure at work].[工作中因暴露于太阳紫外线辐射而导致的皮肤癌]
Dermatologie (Heidelb). 2024 Feb;75(2):104-111. doi: 10.1007/s00105-023-05254-y. Epub 2023 Nov 14.
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Diabetes and climate change: current evidence and implications for people with diabetes, clinicians and policy stakeholders.糖尿病与气候变化:当前的证据及其对糖尿病患者、临床医生和政策利益相关者的影响。
Diabetologia. 2023 Jun;66(6):1003-1015. doi: 10.1007/s00125-023-05901-y. Epub 2023 Mar 25.
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Comorbidities of atopic dermatitis-what does the evidence say?特应性皮炎的共病情况——现有证据如何说明?
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Climate change and allergies.气候变化与过敏
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Climate change, the cutaneous microbiome and skin disease: implications for a warming world.气候变化、皮肤微生物群与皮肤疾病:对变暖世界的影响
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Relationship between Immune Cells, Depression, Stress, and Psoriasis: Could the Use of Natural Products Be Helpful?免疫细胞、抑郁、压力和银屑病之间的关系:天然产物的使用是否有帮助?
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