Kemperman Patrick M J H, Saradjzada Vanessa, Vulink Nienke C C, De Rie Menno A, Voskes Yolande
Department of Dermatology, Amsterdam UMC location AMC, Amsterdam, The Netherlands; Department of Dermatology, Dijklander Ziekenhuis location Purmerend, Hoorn, The Netherlands.
Department of Ethics, Law and Humanities, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Acta Derm Venereol. 2025 May 27;105:adv43511. doi: 10.2340/actadv.v105.43511.
Delusional infestation is a rare psychiatric condition where patients falsely believe they are infested by organisms, often accompanied by physical symptoms such as pruritus. Communicating the diagnosis and initiating treatment present significant challenges, as healthcare providers must balance honesty, sensitivity, and trust to avoid damaging the therapeutic relationship. This qualitative study explored ethical and communicative dilemmas through interviews and moral case deliberations with 11 multidisciplinary experts. Three themes emerged: the importance of building trust in the doctor-patient relationship, employing sensitive communication strategies, and enhancing multidisciplinary collaboration. Effective approaches include avoiding stigmatizing terminology, focusing on symptom management, and centralizing care in psychodermatology clinics. These findings provide recommendations to improve care outcomes and highlight the need for guidelines on communication strategies in the management of patients with delusional infestation.
妄想性寄生虫感染是一种罕见的精神疾病，患者错误地认为自己被生物体感染，常伴有瘙痒等身体症状。传达诊断结果并开始治疗面临重大挑战，因为医疗服务提供者必须在诚实、敏感和信任之间取得平衡，以避免破坏治疗关系。这项定性研究通过对11位多学科专家的访谈和道德案例讨论，探讨了伦理和沟通困境。出现了三个主题：在医患关系中建立信任的重要性、采用敏感的沟通策略以及加强多学科协作。有效的方法包括避免使用污名化术语、专注于症状管理以及在心理皮肤科诊所集中护理。这些发现为改善护理结果提供了建议，并强调了在妄想性寄生虫感染患者管理中制定沟通策略指南的必要性。
