Dohm Lea, Saha Susanne, Fronhoffs Kristina, Gieler Uwe
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.
Dermatologie (Heidelb). 2024 Sep;75(9):704-710. doi: 10.1007/s00105-024-05396-7. Epub 2024 Aug 8.
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.
Discussion of the effects of the climate and environmental changes on dermatological diseases applying the biopsychosocial model.
A selective literature search in the PubMed database and other sources was conducted.
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.
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.
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。
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。
在PubMed数据库及其他来源进行了选择性文献检索。
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。
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。