[Psychological aspects in occupational dermatology].

The prevalence of psychological disorders in the general population and, therefore, in dermatological and allergological patients continues to increase. Psychodermatology as a branch of dermatology is also becoming ever more relevant in occupational dermatology. Psychological comorbidities and cofactors like depression and anxiety disorders or stress are increasingly important, which must be considered regarding diagnostics and therapy selection. Especially stress is becoming recognized as a possible aggravating factor. There have been numerous studies on selected clinical diseases like atopic dermatitis (AD) regarding the psychological influence on the disease in recent years, but for hand eczema (HE), especially occupational HE, there is hardly any data, especially on psychological comorbidities and cofactors regarding causality. Stress seems to play an increasingly important role in the work environment of patients and their private lives. This article provides an overview of psychological cofactors and comorbidities in occupational dermatoses. The current literature and our own observations and experiences in an occupational dermatology center are taken into account.