White paper on psychodermatology in Europe: A position paper from the EADV Psychodermatology Task Force and the European Society for Dermatology and Psychiatry (ESDaP)
Journal of the European Academy of Dermatology and Venereology,
Journal Year:
2023,
Volume and Issue:
37(12), P. 2419 - 2427
Published: Aug. 24, 2023
Psychodermatology
is
a
subspecialty
of
dermatology
that
increasing
interest
to
dermatologists
and
patients.
The
case
for
the
provision
at
least
regional
psychodermatology
services
across
Europe
robust.
have
been
shown
better,
quicker
more
cost-efficient
clinical
outcomes
patients
with
psychodermatological
conditions.
Despite
this,
are
not
uniformly
available
Europe.
In
fact
many
countries
yet
establish
dedicated
services.
other
in
development.
Even
where
psychodermatolgy
units
established,
whole
country.
This
especially
true
paediatric
Also
whilst
most
states
keen
develop
services,
rate
which
this
development
being
implemented
very
slow.
Our
paper
maps
current
indicates
there
still
much
work
be
done
order
comprehensive
Europe,
so
crucial
our
Language: Английский
Chronic pruritus: From pathophysiology to drug design
Biochemical Pharmacology,
Journal Year:
2023,
Volume and Issue:
212, P. 115568 - 115568
Published: April 27, 2023
Pruritus,
the
most
common
symptom
in
dermatology,
is
an
innate
response
capable
of
protecting
skin
against
irritants.
Nonetheless,
when
it
lasts
more
than
six
weeks
assumed
to
be
a
chronic
pathology
having
negative
impact
on
people's
lives.
Chronic
pruritus
(CP)
can
occur
and
rare
diseases,
high
prevalence
global
population.
The
existing
therapies
are
unable
counteract
CP
or
associated
with
adverse
effects,
so
development
effective
treatments
pressing
issue.
pathophysiological
mechanisms
underlying
not
yet
completely
dissected
but,
based
current
knowledge,
involve
wide
range
receptors,
namely
neurokinin
1
receptor
(NK1R),
Janus
kinase
(JAK),
transient
potential
(TRP)
ion
channels,
especially
vanilloid
(TRPV1)
ankyrin
(TRPA1).
This
review
will
address
relevance
these
molecular
targets
for
treatment
molecules
modulating
receptors
that
have
already
been
studied
clinically
possibly
alleviate
this
pathology.
According
scientific
clinical
literature,
there
increase
expression
lesioned
patients
experiencing
compared
non-lesioned
skin,
highlighting
their
importance
efficacious
drugs
through
design
antagonists/inhibitors.
Language: Английский
Beyond Anxiety and Depression: Loneliness and Psychiatric Disorders in Adults with Atopic Dermatitis
Acta Dermato Venereologica,
Journal Year:
2023,
Volume and Issue:
103, P. adv9378 - adv9378
Published: Aug. 22, 2023
There
is
a
lack
of
knowledge
concerning
loneliness
and
psychiatric
disorders
other
than
anxiety
depression
in
patients
with
atopic
dermatitis.
This
cross-sectional
study
was
conducted
within
the
Lifelines
Cohort
Study,
Netherlands,
by
sending
an
dermatitis
questionnaire
to
adult
participants
(n
=
135,950)
2020.
Psychiatric
were
measured
self-reported
question
validated
instrument
(Mini
International
Neuropsychiatric
Interview;
M.I.N.I.),
assessed
6-item
De
Jong
Gierveld
Loneliness
Scale.
In
total,
56,896
subjects
(mean
age
55.8
years,
39.7%
males)
included.
Atopic
showed
positive
associations
chronic
fatigue
syndrome,
burnout,
depression,
social
phobia,
panic
disorder,
attention
deficit
hyperactivity
eating
disorder
participants'
lifetimes.
Based
on
M.I.N.I.,
positively
associated
at
least
1
disorder.
addition,
more
likely
experience
compared
those
without
These
observed
only
moderate-to-severe,
but
not
mild,
group.
raises
awareness
that
significant
proportion
adults
feel
lonely
are
affected
several
disorders,
especially
severely
Further
studies
required
evaluate
if
interdisciplinary
care,
such
as
collaboration
between
dermatologists
psychiatrists,
could
optimize
medical
care
for
this
vulnerable
patient
Language: Английский
Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
Xiujie Zhang,
No information about this author
Jingrong Lin,
No information about this author
Min-xing Ou
No information about this author
et al.
BMC Public Health,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Sept. 25, 2023
Abstract
Background
The
ultimate
goal
of
medical
care
is
to
eradicate
disease
and
restore
normality
a
person’s
life.
Quality
life
(QOL)
concern
as
dermatologists
researchers
strive
find
better
drug
treatments.
However,
there
have
been
few
reports
on
the
factors
associated
with
QOL
among
Chinese
people
psoriasis.
Methods
A
total
185
psoriasis
were
surveyed
assess
their
sociodemographic
status,
disease-related
information,
psychosocial
QOL.
questionnaires
included
questionnaire,
Athens
Insomnia
Scale,
Hospital
Anxiety
Depression
Perceived
Social
Support
Psychosocial
Adaptation
Questionnaire
Chronic
Skin
Disease
Dermatology
Life
Index.
Multiple
stepwise
regression
path
analysis
used
study
analyse
relationship
between
them.
Results
results
showed
that
presence
anxiety/depression,
lesion
area,
sleep
disorders,
adaptation,
sex
could
jointly
predict
62.1%
variance
in
According
previous
theories
literature,
model
was
established
for
five
variables.
Four
internal
variables
be
effectively
explained.
values
explanatory
(F(1056)
=
61.020,
p
0.000)
QOL,
71.8%
(F(2433)
117.370,
44.0%
(F(660)
36.935,
66.9%
(F(6886)
93.556,
adaptation.
confirmed
9
paths
consistent
predicted
path,
3
not
confirmed.
Conclusion
To
improve
psoriasis,
attention
should
given
adaptation
differences.
Therefore,
health
programs
include
physical,
psychological
social
aspects.
Language: Английский
Automated Machine Learning Analysis of Patients With Chronic Skin Disease Using a Medical Smartphone App: Retrospective Study
Igor Bibi,
No information about this author
Daniel Schaffert,
No information about this author
Mara Blauth
No information about this author
et al.
Journal of Medical Internet Research,
Journal Year:
2023,
Volume and Issue:
25, P. e50886 - e50886
Published: Sept. 19, 2023
Rapid
digitalization
in
health
care
has
led
to
the
adoption
of
digital
technologies;
however,
limited
trust
internet-based
decisions
and
need
for
technical
personnel
hinder
use
smartphones
machine
learning
applications.
To
address
this,
automated
(AutoML)
is
a
promising
tool
that
can
empower
professionals
enhance
effectiveness
mobile
apps.
Language: Английский
Influence of Stress and Stressful Events on the Behavior and Psychology of Patients with Atopic Dermatitis
Published: Jan. 1, 2024
Language: Английский
Chronic pruritus in atopic dermatitis – mechanisms and different ways of treatment, affect on quality of life
Journal of Education Health and Sport,
Journal Year:
2023,
Volume and Issue:
13(4), P. 37 - 41
Published: Feb. 15, 2023
Introduction:
Pruritus
in
atopic
dermatitis
is
one
of
the
main
symptoms
disease
and
that
causes
a
significant
impact
on
quality
life.
It
important
to
control
itching
because
it’s
not
only
an
unplesant
sense.
Scratching
topically
deepen
dermatitis,
damages
epidermal
barrier
causing
additional
infections
possible
makes
it
harder
acheive
remission
disease.
also
highly
associated
with
stress
has
mental
health
patient.
In
this
article
we
present
summary
how
pruritus
affects
life,
mechanisms
treatment.
Materials
methods:
Our
work
based
articles
published
PubMed,
medical
books
websites.
We
were
looking
for
key
words
such
as
‘stress
itch’,
‘pruritus
treatment’,
‘chronic
itch
dermatitis’,
‘itch
life’.
Results:
Patients
should
come
under
miltidisciplinar
treatment
best
symptoms.
This
will
result
higher
life
better
patient.
Conclusions:
There
high
need
develop
new
targeted
medications
contemporary
medicine
knows
lot
more
about
mechanism
pruritus.
Many
types
are
being
studied
soon
may
have
options
choose
systemic
topical
therapy.
concetrate
side
Language: Английский
Automated Machine Learning Analysis of Patients With Chronic Skin Disease Using a Medical Smartphone App: Retrospective Study (Preprint)
Igor Bibi,
No information about this author
Daniel Schaffert,
No information about this author
Mara Blauth
No information about this author
et al.
Published: July 21, 2023
BACKGROUND
Rapid
digitalization
in
health
care
has
led
to
the
adoption
of
digital
technologies;
however,
limited
trust
internet-based
decisions
and
need
for
technical
personnel
hinder
use
smartphones
machine
learning
applications.
To
address
this,
automated
(AutoML)
is
a
promising
tool
that
can
empower
professionals
enhance
effectiveness
mobile
apps.
OBJECTIVE
We
used
AutoML
analyze
data
from
clinical
studies
involving
patients
with
chronic
hand
and/or
foot
eczema
or
psoriasis
vulgaris
who
smartphone
monitoring
app.
The
analysis
focused
on
itching,
pain,
Dermatology
Life
Quality
Index
(DLQI)
development,
app
use.
METHODS
After
extensive
set
preparation,
which
consisted
combining
3
primary
sets
by
extracting
common
features
computing
new
features,
pseudonymized
secondary
total
368
was
created.
Next,
multiple
classification
models
were
built
during
processing,
most
accurate
ultimately
selected
further
analysis.
RESULTS
Itching
development
6
months
accurately
modeled
using
light
gradient
boosted
trees
classifier
model
(log
loss:
0.9302
validation,
1.0193
cross-validation,
0.9167
holdout).
Pain
assessed
random
forest
1.1799
1.1561
1.0976
Then,
1.3670
1.4354
1.3974
holdout)
again
estimate
DLQI
months.
Finally,
analyzed
an
elastic
net
blender
(area
under
curve:
0.6567
0.6207
0.7232
Influential
feature
correlations
identified,
including
BMI,
age,
disease
activity,
DLQI,
Hospital
Anxiety
Depression
Scale-Anxiety
scores
at
follow-up.
App
increased
BMI
>35,
less
aged
>47
years
those
23
31
years,
more
higher
activity.
A
score
>8
had
slightly
positive
effect
CONCLUSIONS
This
study
provides
valuable
insights
into
relationship
between
characteristics
targeted
outcomes
psoriasis,
highlighting
potential
techniques
improving
management
patient
care.
Language: Английский
A krónikus bőrgyógyászati betegségek pszichológiai megközelítése – a pszichodermatológia szerepe, fő kihívásai és feladatai
Mentálhigiéné és Pszichoszomatika,
Journal Year:
2023,
Volume and Issue:
24(4), P. 253 - 267
Published: Dec. 26, 2023
A
bőrbetegségeket
világszerte
a
negyedik
legnagyobb
terhet
jelentő,
nem
végzetes
népegészségügyi
problémákként
azonosították,
amelyek
mind
az
érintettek,
pedig
egészségügyi
ellátórendszer
számára
komoly
kihívást
jelentenek.
bőrbetegségek
kialakulásában
és
lefolyásában
pszichoszociális
tényezők,
megterhelő
életesemények
stressz
sok
esetben
szerepet
játszanak,
elszenvedőit
gyakran
romló
életminőség
jellemzi,
igen
gyakoriak
komorbid
zavarok.
Az
utóbbi
időben
növekszik
száma
azoknak
szakirodalmi
tanulmányoknak,
pszichodermatológiai
betegségek
osztályozásának
egységesítése
mellett
érvelnek,
klinikai
praxis
színvonalának
javítása,
bőrbetegséggel
élők
jobb
megértése,
valamint
különböző
szakmák
(bőrgyógyászok,
háziorvosok,
pszichiáterek,
pszichológusok)
közös
fogalmi
rendszerének
kialakítása
érdekében.
E
tanulmányok
megbetegedéseket
négy
fő
csoport
további
alcsoportok
szerint
osztályozzák.
Cikkünkben
bemutatjuk
új
osztályozási
rendszerre
tett
javaslatokat,
pszichodermatológia,
vagy
pszichokután
medicina
tudományterületét,
interdiszciplináris
szemléletmódját,
amely
célul
tűzte
ki,
hogy
egyaránt
figyelmet
fordít
bőrgyógyászati
megbetegedések
biológiai,
pszichés,
szociális
komponenseire.
során
szemléletmód
–
azaz
komplex
kezelés
hiányában
érintett
populáció
állapotának
stagnálását
romlását
figyelhetjük
meg.
Ám
eredmények
alapján
tényezőinek
integrálásával,
például
állapotfelméréssel,
hagyományos
kezelést
kiegészítő
kezelések
segítségével
megbetegedéssel
küzdők
állapota
javítható.
ellátásának
javítására
irány
elvek
áttekintése
javasoljuk
ellátó
személyzet
szakemberek
edukációját,
ellátáshoz
szükséges
feltételek
megteremtését.
The Psychosomatic Interface of Stress and Skin Disorders: Patient Experiences and Perceptions
Deleted Journal,
Journal Year:
2023,
Volume and Issue:
2(2), P. 26 - 33
Published: Jan. 1, 2023
To
explore
the
psychosomatic
interface
between
stress
and
skin
disorders,
focusing
on
patient
experiences
perceptions.
This
study
aims
to
uncover
multifaceted
impact
of
individuals
with
including
emotional,
physical,
psychological,
societal
dimensions
their
conditions.
A
qualitative
research
design
was
employed,
utilizing
semi-structured
interviews
31
participants
diagnosed
stress-related
disorders.
Participants
were
selected
through
purposive
sampling
ensure
a
diverse
range
experiences.
Data
analyzed
using
thematic
analysis
identify
key
themes
categories,
aiming
for
theoretical
saturation
comprehensive
coverage
topic.
Five
main
emerged
from
analysis:
Patient
Experiences,
Perceptions,
Treatment
Management,
Psychological
Aspects,
Societal
Impact.
These
encompassed
variety
categories
such
as
Emotional
Impact,
Coping
Mechanisms,
Link
Between
Stress
Skin,
Awareness
Understanding,
Medical
Treatments,
Alternative
Therapies,
Stressors,
Responses,
Mental
Health
Impacts,
Stigma
Discrimination,
Economic
The
findings
highlight
complex
relationship
revealing
how
exacerbates
conditions,
impacts
patients'
daily
lives,
influences
treatment
experiences,
affects
psychological
well-being
social
interactions.
elucidates
intricate
emphasizing
need
holistic
approaches
that
address
both
physical
aspects
these
Integrating
support
management
techniques
traditional
dermatological
treatments
could
significantly
improve
outcomes
quality
life.
Language: Английский