Acta Dermato-Venereologica - Content - Volume 96, Issue 217

Content - Volume 96, Issue 217

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Editorial: Emiliano Panconesi Memorial
Uwe Gieler, Lucia Tomas-Aragones, Dennis Linder
Abstract is missing (Editorial)
Page: 4
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The Psychosomatic Practice
Giovanni A. Fava, Jenny Guidi, Nicoletta Sonino
There is increasing awareness of the limitations of the disease oriented approach in medical care. The primary goal of psychosomatic medicine is to correct this inadequacy by incorporation of innovative operational strategies into clinical practice. Psychosomatic practice can be recognized by 2 distinctive features: the holistic approach to patient management (encompassing psychosocial factors) an ...
Pages: 9-13
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From Evidence-based Medicine to Human-based Medicine in Psychosomatics
Michael Musalek
Human-based medicine (HbM), a form of psychiatry that focuses not only on fragments and constructs but on the whole person, no longer finds its theoretical basis in the positivism of the modern era, but rather owes its central maxims to the post-modernist ideal that ultimate truths or objectivity in identifying the final cause of illness remain hidden from us for theoretical reasons alone. Evidenc ...
Pages: 14-17
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Countertransference in Dermatology
Sylvie G. Consoli, Silla M. Consoli
The doctor–patient relationship in dermatology, as in all the fields of medicine, is not a neutral relationship, removed from affects. These affects take root in the sociocultural, professional, family and personal history of both persons in the relationship. They underpin the psychic reality of the patients, along with a variety of representations, preconceived ideas, and fantasies concerning d ...
Pages: 18-21
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The Psychoanalytic Interpretation of Symptoms – Evidence and Benefits
Jorge C. Ulnik, M. Dennis Linder
Dermatological symptoms are explained in medicine in biological terms. Nevertheless, exploring the life history of dermatological patients can lead to seductive, but non-rigorously scientific interpretations which are of associative, or even symbolic nature. Moreover, associations of physical signs and life events, suggest us to consider our patients as subjects pervaded by the will to communicate ...
Pages: 22-24
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Patient–Doctor Relationship in Dermatology: From Compliance to Concordance
Klaus-Michael Taube
The concept of what the doctor–patient relationship should be has changed increasingly in recent years. Previously, an asymmetric relationship was assumed. Compliance and adherence are terms used currently. The concordance model goes further and examines the effectiveness of the mutual process between the doctor and the patient. In this model the interaction is two-sided and involves finding a d ...
Pages: 25-29
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Psychodermatology in Clinical Practice: Main Principles
Claire Marshall, Ruth Taylor, Anthony Bewley
Psychodermatology is a newer and emerging subspecialty of dermatology, which bridges psychiatry, psychology, paediatrics and dermatology. It has become increasingly recognised that the best outcomes for patients with psychodermatological disease is via a multidisciplinary psychodermatology team. The exact configuration of the multidisciplinary team is, to some extent, determined by local expertise ...
Pages: 30-34
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Psychodermatology: Basics Concepts
Mohammad Jafferany, Katlein Franca
Psychodermatology is a relatively new field of medicine. It encompasses the interaction of mind and skin. The role of psychoneuroimmunology in the causation of psychocutaneous disorders and psychosocial aspects of skin disease have gained momentum lately. The treatment of psychodermatological disorders focus on improving function, reducing physical distress, diagnosing and treating depression and ...
Pages: 35-37
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Psychoneuroimmunology and the Skin
Juan F. Honeyman
The nervous, immune, endocrine and integumentary systems are closely related and interact in a number of normal and pathological conditions. Nervous system mediators may bring about direct changes to the skin or may induce the release of immunological or hormonal mediators that cause pathological changes to the skin. This article reviews the psychological mechanisms involved in the development of ...
Pages: 38-46
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Body Image and Body Dysmorphic Concerns
Lucia Tomas-Aragones, Servando E. Marron
Most people would like to change something about their bodies and the way that they look, but for some it becomes an obsession. A healthy skin plays an important role in a person’s physical and mental wellbeing, whereas a disfiguring appearance is associated with body image concerns. Skin diseases such as acne, psoriasis and vitiligo produce cosmetic disfigurement and patients suffering these an ...
Pages: 47-50
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The Importance of a Biopsychosocial Approach in Melanoma Research Experiences from a Single-center Multidisciplinary Melanoma Working Group in Middle-Europe
Erika Richtig, Michael Trapp, Hans-Peter Kapfhammer, Brigitte Jenull, Georg Richtig, Eva-Maria Trapp
The biopsychosocial model represents a very important theoretical framework developed in the 21th century. According to a body mind unity theory, it postulates that research must focus not only on biomedical but also on other aspects in order to understand complex interactions occurring on different system levels. With regard to the occurrence of melanoma, both immunologic surveillance and a lack ...
Pages: 51-54
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Interplay of Itch and Psyche in Psoriasis: An Update
Adam Reich, Karolina Mędrek, Jacek C. Szepietowski
Itch or pruritus is defined as an unpleasant subjective sensation leading to the need or to the idea of scratching. A number of studies have shown that pruritus is often responsible for marked morbidity, quality of life impairment, and even for increased mortality. Patients suffering from chronic pruritus had also decreased self-esteem, suffer from anxiety or depression and have problems to cope w ...
Pages: 55-57
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Delusional Infestation: State of the Art
Nienke C. Vulink
Patients with a delusional infestation (DI) have an overwhelming conviction that they are being infested with (non) pathogens without any medical proof. The patients need a systematic psychiatric and dermatological evaluation to assess any possible underlying cause that could be treated. Because they avoid psychiatrists, a close collaboration of dermatologists and psychiatrists, who examine the pa ...
Pages: 58-63
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Hypochondriasis Circumscripta: A Neglected Concept with Important Implications in Psychodermatology
Anatoly B. Smulevich, Andrey N. Lvov, Dmitry V. Romanov
The article is devoted to a psychodermatological disorder with self-destructive behavior – hypochondriasis circumscripta. Presented data are based on a clinical analysis of 22 consecutive cases (15 female; mean age – 56.1 ± 12.6 years) observed in the dermatologic department of First Moscow State Medical University and managed in a multidisciplinary approach by dermatologists and ...
Pages: 64-68
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Discriminating the Presence of Psychological Distress in Patients Suffering from Psoriasis: An Application of the Clinimetric Approach in Dermatology
Emanuela Offidani, Donatella Del Basso, Francesca Prignago, Elena Tomba
Psoriasis is a chronic dermatologic disease that negatively impacts physical and mental health of patients as well as their social and work life. The aim of this study is to illustrate, by a clinimetric approach the differences in psychological distress and well-being between patients with mild and moderate to severe psoriasis. Seventy patients with psoriasis were evaluated using the Structured Cl ...
Pages: 69-73
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Association of Stress Coping Strategies with Immunological Parameters in Melanoma Patients
Eva-Maria Trapp, Michael Trapp, Alexander Avian, Peter Michael Rohrer, Thorsten Weissenböck, Hans-Peter Kapfhammer, Ulrike Demel, Michael Dennis Linder, Adelheid Kresse, Erika Richtig
In this exploratory case control study the association between stress coping strategies and lymphocyte subpopulations was calculated in 18 non-metastatic melanoma patients and 18 controls with benign skin diseases. Coping strategies were assessed using the German version of the stress-coping questionnaire (SVF 120). While in the control group patients showed significant negative correlations of ly ...
Pages: 74-77
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Differences Between Psoriasis Patients and Skin-healthy Controls Concerning Appraisal of Touching, Shame and Disgust
Theresa Lahousen, Jörg Kupfer, Uwe Gieler, Angelika Hofer, M. Dennis Linder, Christina Schut
Psoriasis is a chronic skin disease associated with high levels of psychological distress and considerable life impact. Feelings of shame and stigmatization can lead to avoidance of social activity and intimacy. In this study, the questionnaire TSD-Q was used to evaluate pleasure in touching oneself and in a partnership, parental touching during childhood and (skin-related) shame and disgust. Skin ...
Pages: 78-82
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Shadows of Beauty – Prevalence of Body Dysmorphic Concerns in Germany is Increasing: Data from Two Representative Samples from 2002 and 2013
Tanja Gieler, Gabriele Schmutzer, Elmar Braehler, Christina Schut, Eva Peters, Jörg Kupfer
Body dysmorphic disorder (BDD) is a psychosomatic disease associated with reduced quality of life and suicidal ideations. Increasing attention to beauty and the development of beauty industries lead to the hypothesis that BDD is increasing. The aim of this study was to test this hypothesis in two representative samples of Germans, assessed in 2002 and 2013. In 2002, n = 2,066 and in 20 ...
Pages: 83-90
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Efficacy of Biofeedback and Cognitive-behavioural Therapy in Psoriatic Patients A Single-blind, Randomized and Controlled Study with Added Narrow-band Ultraviolet B Therapy
Stefano Piaserico, Elena Marinello, Andrea Dessi, Michael Dennis Linder, Debora Coccarielli, Andrea Peserico
Increasing data suggests that there is a connection between stress and the appearance of psoriasis symptoms. We therefore performed a clinical trial enrolling 40 participants who were randomly allocated to either an 8-week cognitive-behavioural therapy (CBT) (treatment group) plus narrow-band UVB phototherapy or to an 8-week course of only narrow-band UVB phototherapy (control group). We evaluated ...
Pages: 91-95
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Validation and Field Performance of the Italian Version of the Psoriatic Arthritis Screening and Evaluation (PASE) Questionnaire
Stefano Piaserico, Paolo Gisondi, Paolo Amerio, Giuseppe Amoruso, Anna Campanati, Andrea Conti, Clara De Simone, Giulio Gualdi, Claudio Guarneri, Anna Mazzotta, Maria L. Musumeci, Damiano Abeni
Psoriatic arthritis (PsA) is a potentially severe inflammatory condition (entheso-arthro-osteopathy), and early diagnosis is important to guide treatment choices in patients with psoriasis. The objective of this study is to further validate the PsA Screening and Evaluation (PASE) questionnaire, and to assess its field performance. Data were collected in 10 Italian centres, and the PASE was adminis ...
Pages: 96-101
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Psoriasis – The Life Course Approach
Michael Dennis Linder, Stefano Piaserico, Matthias Augustin, Anna Belloni Fortina, Arnon D. Cohen, Uwe Gieler, Gregor B.E. Jemec, Alexa Boer Kimball, Andrea Peserico, Francesca Sampogna, Richard B. Warren, John de Korte
Over the last decades, Life Course Research (LCR), predominantly the domain of sociology, has been increasingly applied in health research, as Life Course Epidemiology (LCE). The latter is concerned with disease patterns over time, accumulation of exposures over time, critical time periods and patterns of risk. We argue that concepts from LCR and LCE could be widely applied in dermatology, in gene ...
Pages: 102-108
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How to Reach Emotions with Psychosomatic Patients: A Case Report
Gwenaëlle Colaianni, Francoise Poot
Alopecia areata (patchy hairloss) often indicates to the dermatologist the existence of psychological disorders, mostly anxiety and depression. Psychosomatic conditions are usually associated with difficulty in expressing emotions, as is the case in alexithymia, and this difficulty is often seen in patients with alopecia areata. This case study aims to show how to help these patients connect with ...
Pages: 109-112
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