Stierle Christian, Hilkenmeier Frederic, Jasarevic Diana, Wolters Ephraim, Schut Christina
Psychology School, Hochschule Fresenius, Alte Rabenstr. 1, 20148, Hamburg, Deutschland.
Institute for Health Psychology and Paedagogy, Stradins University, Riga, Lettland.
Dermatologie (Heidelb). 2025 Sep 26. doi: 10.1007/s00105-025-05583-0.
Chronic inflammatory skin diseases such as psoriasis, acne, or atopic dermatitis are frequently associated with psychological comorbidities including depression, anxiety disorders, or sleep disturbances. These burdens are clinically relevant and have a significant impact on both the course of the disease and patients' quality of life. However, access to psychotherapeutic care is often hindered by long waiting times and a lack of established structures within standard dermatological care. The integration of digital interventions therefore appears both important and promising. The aim of this work is to provide a structured overview of currently available digital health applications (DiGAs) that are relevant for managing psychological and behavioral concomitant issues in dermatology, and to critically appraise their opportunities and challenges in clinical use. The data source was the official DiGA directory maintained by BfArM (cut-off: May 2025). Following a complete screening, 31 applications were identified based on predefined criteria: patient-guided, and theoretically grounded interventions targeting depression, anxiety, sleep, stress/burnout, substance use, eating disorders/obesity, or pain. These were categorized by indication (ICD-10), therapeutic approach, platform, intended duration of use, and availability of contact/support elements. Opportunities for implementation and integration into routine dermatological care, as well as remaining challenges, are discussed.
银屑病、痤疮或特应性皮炎等慢性炎症性皮肤病常伴有包括抑郁症、焦虑症或睡眠障碍在内的心理合并症。这些负担具有临床相关性，对疾病进程和患者生活质量均有重大影响。然而，获得心理治疗护理常常受到漫长等待时间以及标准皮肤科护理中缺乏既定结构的阻碍。因此，数字干预措施的整合显得既重要又有前景。这项工作的目的是对目前可用的数字健康应用程序（DiGAs）进行结构化概述，这些应用程序与管理皮肤科的心理和行为伴随问题相关，并批判性地评估它们在临床应用中的机遇和挑战。数据来源是联邦药物和医疗器械研究所（BfArM）维护的官方DiGA目录（截止日期：2025年5月）。经过全面筛选，根据预定义标准确定了31个应用程序：以患者为导向且理论基础扎实的干预措施，针对抑郁症、焦虑症、睡眠、压力/倦怠、物质使用、饮食失调/肥胖或疼痛。这些应用程序按适应症（国际疾病分类第十版，ICD - 10）、治疗方法、平台、预期使用时长以及是否有联系/支持元素进行了分类。文中还讨论了将这些应用程序实施并整合到常规皮肤科护理中的机遇以及尚存的挑战。
