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心理皮肤病学的知识与认知:伊比利亚-拉丁美洲皮肤科医生的调查结果

Knowledge and awareness in psychodermatology: Findings from a survey among Ibero-Latin American dermatologists.

作者信息

Torales Julio, Barrios Iván, Echagüe Alejandra, Paredes Ximena, Torres-Romero Anthon, Malvido Karina, Vázquez María Alejandra, O'Higgins Marcelo, Caycho-Rodríguez Tomás, Jafferany Mohammad, Castaldelli-Maia João Mauricio, Ventriglio Antonio

机构信息

Cátedra de Psicología Médica, Facultad de Ciencias Médicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay.

Instituto Regional de Investigación en Salud, Universidad Nacional de Caaguazú, Coronel Oviedo, Paraguay.

出版信息

Ind Psychiatry J. 2025 Jan-Apr;34(1):16-24. doi: 10.4103/ipj.ipj_388_24. Epub 2025 Feb 6.

Abstract

BACKGROUND

Psychodermatology is an interdisciplinary field that bridges psychiatry and dermatology, addressing the psychosocial and psychiatric aspects of skin diseases. Managing such cases presents a challenge for both dermatologists and psychiatrists as patients often resist psychiatric consultations, complicating diagnosis and treatment.

AIM

This study aimed to assess the level of knowledge and awareness of psychodermatology among dermatologists in Ibero-Latin America, explore their experiences with psychodermatological conditions, and identify the educational needs and challenges in this interdisciplinary field.

MATERIALS AND METHODS

An observational, descriptive, cross-sectional study was conducted through an online survey from December 2023 to March 2024. The survey was distributed through messaging apps and emails and targeted a sample of dermatologists from Ibero-Latin America to explore their experience, training, and perceived challenges in psychodermatology. The participants were selected through non-probabilistic sampling from the staffing records of the Ibero-Latin American College of Dermatology.

RESULTS

Of 301 dermatologists, the vast majority (99%) reported a good level of knowledge in the field of psychodermatology; however, only 36.5% had substantial clinical experience with these conditions. Approximately 70.1% did not prescribe psychotropic medications, reflecting hesitancy or lack of confidence in managing the psychiatric issues of dermatological conditions. The study also highlighted a strong preference (86.7%) for a multidisciplinary approach for managing psychodermatological disorders. Significant perceived challenges included limited access to professional training and patients' reluctance to accept psychological contributions to their dermatological conditions.

CONCLUSION

The level of knowledge in psychodermatology is widespread among Ibero-Latin American dermatologists, even though a significant gap in practical experience and confidence in integrating psychological management into their dermatological practice was found. These findings emphasize the need for enhanced professional training programs and an interdisciplinary approach to effectively address psychodermatological conditions.

摘要

背景

心理皮肤病学是一个跨学科领域,它连接了精神病学和皮肤病学,处理皮肤病的心理社会和精神方面的问题。管理此类病例对皮肤科医生和精神科医生来说都是一项挑战,因为患者通常抗拒精神科会诊,这使得诊断和治疗变得复杂。

目的

本研究旨在评估伊比利亚 - 拉丁美洲皮肤科医生对心理皮肤病学的知识和认识水平,探索他们处理心理皮肤病情况的经验,并确定这一跨学科领域的教育需求和挑战。

材料与方法

2023年12月至2024年3月通过在线调查进行了一项观察性、描述性横断面研究。该调查通过即时通讯应用程序和电子邮件分发,目标是伊比利亚 - 拉丁美洲的皮肤科医生样本,以探索他们在心理皮肤病学方面的经验、培训和感知到的挑战。参与者通过非概率抽样从伊比利亚 - 拉丁美洲皮肤科协会的人员记录中选取。

结果

在301名皮肤科医生中,绝大多数(99%)报告在心理皮肤病学领域有良好的知识水平;然而,只有36.5%的人对这些情况有丰富的临床经验。约70.1%的人不开具精神药物,这反映出在处理皮肤病的精神问题时存在犹豫或缺乏信心。该研究还突出显示,对于管理心理皮肤病疾病,强烈倾向于采用多学科方法(86.7%)。显著的感知挑战包括获得专业培训的机会有限以及患者不愿接受心理因素对其皮肤病状况的影响。

结论

心理皮肤病学的知识水平在伊比利亚 - 拉丁美洲皮肤科医生中较为普遍,尽管在将心理管理融入皮肤科实践的实际经验和信心方面发现了显著差距。这些发现强调需要加强专业培训项目和采用跨学科方法来有效处理心理皮肤病情况。

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The global prevalence of primary psychodermatologic disorders: a systematic review.原发性精神皮肤障碍的全球患病率:系统综述。
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