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12.06.2009, 14:19
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Психодерматология
Depression in dermatology: an integrative perspective.
Filaković P, Biljan D, Petek A. University Department of Psychiatry, University Hospital Osijek, Osijek, Croatia. Psychiatr Danub. 2008 Sep;20(3):419-25. An example which confirmes the adequacy of the integrative perspective in medicine is depression in dermatology because of the sufficient number of arguments linking depression and some chronic skin conditions in depth more than simply comorbidity. In recent literature, the authors found, how depression in dermatology occurs significantly more frequently than in the general population. In dermatological patients the prevalence of depression is around 30% which is more in comparison to patients in general practice where prevalence of depression is 22%. The authors found a considerable similarity in the various characteristics between depression and psoriasis, based upon recent research findings in immunity disorder and elevated concentrations of proinflammatory cytokines as well as acute phase proteins in both disorders, indicating that both disorders can be considered as immunologicaly mediated, inflammatory states with repetitive chronic progress and similar comorbidity. The afore mentioned theoretical settings evoke the integrative aspect and the integrative interdisciplinary approach placing in the center of attention not only the diseased person with his fears, needs, preocupations and expectations during treatment, but the person who is at risk of becoming burdened with these disorders. PMID: 18827775 [PubMed - indexed for MEDLINE] [Psychodermatology: psychological and psychiatrical aspects of dermatology][Article in Polish] Korabel H, Dudek D, Jaworek A, Wojas-Pelc A. Katedra Psychiatrii CM UJ, Kraków. Przegl Lek. 2008;65(5):244-8.Links Psychodermatology descibes an interaction between dermatology and psychiatry and psychology. The incidence of psychiatric disorders among dermatological patients is estimated at about 30 to 60%. It appears that a significant group of patients who seek dermatologist's advice are those who can reveal psychiatric disorders. The most often diagnosed psychiatric disturbances are mood disorders, especially depressive, suicidal ideation and tendencies, anxiety disorders, obsessive disorders and delusional disorders. Knowledge of the psycho-dermatological diseases can contribute to more profitable therapy in both dermatology and psychiatry. This article characterises the particular disorders with their dermatological and psychological aspects. The basic principles of therapeutic interventions for each disorder are also discussed. PMID: 18853651 [PubMed - indexed for MEDLINE] Therapeutic management of psychodermatological disorders. Shenefelt PD. Department of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, FL 33612, USA. Expert Opin Pharmacother. 2008 Apr;9(6):973-85 BACKGROUND: The skin and the brain interact through psychoneuroimmunoendocrine mechanisms and through behaviors that can strongly influence the initiation or flaring of skin disorders. OBJECTIVE: To obtain knowledge of these factors to assist in designing treatment plans for specific skin disorders. METHODS: Psychocutaneous disease literature for the past 80 years was reviewed. RESULTS/CONCLUSION: Therapeutic options include standard psychotropic drugs and alternative herbs and supplements, the placebo effect, suggestion, cognitive-behavioral methods, biofeedback, and hypnosis. When simple measures fail to produce the desired results, combinations of drugs or addition of nonpharmacological therapies may produce better results. Psychophysiological skin disorders may respond well to nonpharmacological therapies that counteract stress, supplemented when indicated by anxiolytic or antidepressant drugs. Treatment of primary psychiatric disorders that affect the skin often results in improvement of the associated skin disorders. Psychiatric disorders secondary to skin disorders may also require treatment. PMID: 18377340 [PubMed - indexed for MEDLINE] Psychodermatology: a guide to understanding common psychocutaneous disorders. [Ссылки доступны только зарегистрированным пользователям ] Jafferany M.Division of Child and Adolescent Psychiatry, University of Washington School of Medicine, Children's Hospital and Regional Medical Center, Seattle. Prim Care Companion J Clin Psychiatry. 2007;9(3):203-13. Objective: This review focuses on classification and description of and current treatment recommendations for psychocutaneous disorders. Medication side effects of both psychotropic and dermatologic drugs are also considered.Data Sources: A search of the literature from 1951 to 2004 was performed using the MEDLINE search engine. English-language articles were identified using the following search terms: skin and psyche, psychiatry and dermatology, mind and skin, psychocutaneous, and stress and skin.Data Synthesis: The psychotropic agents most frequently used in patients with psychocutaneous disorders are those that target anxiety, depression, and psychosis. Psychiatric side effects of dermatologic drugs can be significant but can occur less frequently than the cutaneous side effects of psychiatric medications. In a majority of patients presenting to dermatologists, effective management of skin conditions requires consideration of associated psychosocial factors. For some dermatologic conditions, there are specific demographic and personality features that commonly associate with disease onset or exacerbation.Conclusions: More than just a cosmetic disfigurement, dermatologic disorders are associated with a variety of psychopathologic problems that can affect the patient, his or her family, and society together. Increased understanding of biopsychosocial approaches and liaison among primary care physicians, psychiatrists, and dermatologists could be very useful and highly beneficial. PMID: 17632653 [PubMed - in process] PMCID: PMC1911167 [Ссылки доступны только зарегистрированным пользователям ] The Psychological Impact of Skin Disorders Edited by Carl Walker (University College London) Linda Papadopoulos (London Metropolitan University) © Cambridge University Press 2005 [Ссылки доступны только зарегистрированным пользователям ] Publisher: Springer | Language: English | ISBN:3540347186 | 298 pages | Data: 2008 | PDF | 7 Mb Description: Psychocutaneous Medicine offers an overview of diseases in psychosomatic dermatology and creates a bridge between cutaneous and emotional disorders using extraordinary illustrations and clinical images of psychosomatic dermatology. It covers both common and rare diseases and helps doctors and psychologists recognize and deal with psychosocial features in dermatology and venerology. This superbly illustrated clinical atlas with concise text passages follows the American diagnosis classification DSM-V and current evidence-based guidelines. It allows rapid recognition of masked emotional disorders and thus administration of the most effective and efficient treatment as early as possible. Hone your diagnostic vision for psychosomatic disorders. Treat your patients efficiently and effectively. Psychocutaneous Medicine is a picture atlas and textbook that is indispensable for dermatologists, psychologists, pediatricians and general practitioners. [Ссылки доступны только зарегистрированным пользователям ] Journal of the European Academy of Dermatology and Venereology, February 2007;21(2):227-234 F Poot, F Sampogna, L Onnis P.S. "Psychodermatology is not an official field," says Dr. Ted Grossbart, an assistant clinical professor of psychology at Harvard Medical School who specializes in skin problems. "It's an informal designation for the territory between conventional medical dermatology and the mental health disciplines." (c) [Ссылки доступны только зарегистрированным пользователям ] 
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#3
12.06.2009, 15:24
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Цитата:
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Линейный вид
