The use of psychological treatment to improve the quality of life of dermatological patients: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.9191

Keywords:

Psychotherapy; Quality of life; Skin diseases; Anxiety.

Abstract

Psychodermatological diseases are skin diseases accompanied by mental or emotional disorders. Therefore, it is important to understand this association and find out whether psychotherapy contributes to this dermatological improvement. The present article, then, is an integrative review that aimed to analyze the effectiveness of psychiatric / psychotherapeutic treatment in improving the quality of life of patients with psychodermatological diseases. This is an exploratory study, based on a bibliographic survey on the subject, whose searches were carried out in the databases of the Virtual Health Library (VHL), Medical Literature Analysis and Retrievel System Online (PubMed / Medline) and Cochrane Library, using the terms in the English language:  psychiatric treatment, quality of life, skin diseases and anxiety; joined by the Boolean operator AND. The results revealed high levels of stress, anxiety and depression in patients suffering from psoriasis, atopic dermatitis, acne, primary focal hyperhidrosis and chronic eczema. Suicidal behavior was observed in more serious situations. In addition, some psychological disorders contribute to the worsening of existing skin problems. Many patients develop emotional problems secondary to dermatological disease, mainly due to low self-esteem. However, there are few studies on the subject; therefore, it is necessary to find out more about the mind-skin relationship and whether there are psychological disorders causing or influencing diseases and, in this case, enabling an effective treatment.

References

Azambuja, R. D. (2017). The need of dermatologists, psychiatrists and psychologists joint care in psychodermatology. Anais brasileiros de dermatologia, 92(1), 63-71.

Cengiz, G. F., & Gürel, G. (2020). Difficulties in emotion regulation and quality of life in patients with acne. Quality of Life Research, 29(2), 431-438.

Dauden, E., Blasco, A. J., Bonanad, C., Botella, R., Carrascosa, J. M., González‐Parra, E., ... & Quintero, J. (2018). Position statement for the management of comorbidities in psoriasis. Journal of the European Academy of Dermatology and Venereology, 32(12), 2058-2073.

Dieris-Hirche, A., Gieler, U., Petrak, F., Milch, W., Te Wildt, B., Dieris, B., & Herpertz, S. (2017). Suicidal ideation in adult patients with atopic dermatitis: a German cross-sectional study. Acta Dermato-Venereologica, 97(8-9), 1189-1195.

Hedman-Lagerlöf, E., Bergman, A., Lindefors, N., & Bradley, M. (2019). Exposure-based cognitive behavior therapy for atopic dermatitis: an open trial. Cognitive behaviour therapy, 48(4), 300-310.

Innamorati, M., Quinto, R. M., Imperatori, C., Lora, V., Graceffa, D., Fabbricatore, M., ... & Bonifati, C. (2016). Health-related quality of life and its association with alexithymia and difficulties in emotion regulation in patients with psoriasis. Comprehensive psychiatry, 70, 200-208.

Kouris, A., Armyra, K., Christodoulou, C., Katoulis, A., Potouridou, I., Tsatovidou, R., ... & Kontochristopoulos, G. (2015). Quality of life, anxiety, depression and obsessive‐compulsive tendencies in patients with chronic hand eczema. Contact dermatitis, 72(6), 367-370.

Kouris, A., Platsidaki, E., Kouskoukis, C., & Christodoulou, C. (2017). Psychological parameters of psoriasis. Psychiatrike = Psychiatriki, 28(1), 54–59.

Li, D. C., Hulbert, A., Waldbaum, B., Ober, C., Hooker, C. M., Huang, P., ... & Brock, M. V. (2018). Endoscopic thoracic sympathectomy for primary focal hyperhidrosis: impact on psycho-social symptomatology and psychotropic medication use. European Journal of Cardio-Thoracic Surgery, 54(5), 904-911.

Oussedik, E., Bourcier, M., & Tan, J. (2018). Psychosocial burden and other impacts of rosacea on patients’ quality of life. Dermatologic Clinics, 36(2), 103-113.

Piaserico, S., Marinello, E., Dessi, A., Linder, M. D., Coccarielli, D., & Peserico, A. (2016). Efficacy of biofeedback and cognitive-behavioural therapy in psoriatic patients A single-blind, randomized and controlled study with added narrow-band ultraviolet B therapy. Acta dermato-venereologica, 96(217), 91-95.

Pondeljak, N., & Lugović-Mihić, L. (2020). Stress-induced interaction of skin immune cells, hormones, and neurotransmitters. Clinical Therapeutics.

Salman, A., Yucelten, A. D., Sarac, E., Saricam, M. H., & Perdahli-Fis, N. (2018). Impact of psoriasis in the quality of life of children, adolescents and their families: a cross-sectional study. Anais Brasileiros de Dermatologia, 93(6), 819-823.

Severino, A. J. (2017). Metodologia do trabalho científico. Cortez editora.

Tomas-Aragones, L., & Marron, S. E. (2016). Body image and body dysmorphic concerns. Acta dermato-venereologica, 96(217), 47-50.

Ursi, E. S., & Gavão, C. M. (2006). Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Revista Latino-Americana de Enfermagem, 14(1), 124-131.

Published

18/10/2020

How to Cite

ISIDORIO, E. C.; GUIDO , J. V. G.; SENA, B. L. T.; OLIVEIRA, A. S. de .; SANTOS, R. M. S. M. dos; CAMARGO, C. A. C. M.; CAMARGO, M. A. F. The use of psychological treatment to improve the quality of life of dermatological patients: an integrative literature review. Research, Society and Development, [S. l.], v. 9, n. 10, p. e7699109191, 2020. DOI: 10.33448/rsd-v9i10.9191. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9191. Acesso em: 19 apr. 2024.

Issue

Section

Review Article