Overview
Psychogenic skin disease describes the bidirectional relationship between skin conditions and psychological factors, where dermatologic issues can cause distress and psychological distress can exacerbate skin disease 2. This interplay necessitates consideration of psychological therapies in dermatologic management 2.
Diagnosis
No specific diagnostic criteria for psychogenic skin disease are provided in the abstracts.
The diagnosis is implied by the presence of dermatologic conditions alongside psychological distress or exacerbation of skin disease due to psychological factors 2.
Anxiety is a common comorbidity in certain skin conditions like vitiligo 3.Management
Psychological therapies and mind-body techniques can be useful as adjunctive therapies in select patients with dermatologic diseases 2.
Cognitive behavioral therapy is identified as a promising intervention 2.
For patients with vitiligo and anxiety, dermatologists and psychiatrists should be vigilant and apply appropriate interventions to reduce psychological impacts 3.Special Populations
Dermatological conditions in people experiencing homelessness (PEH) can be influenced by factors such as substance use disorder, unstable housing, and higher exposure to extreme weather 1.Key Recommendations
Psychological therapies and mind-body techniques may be beneficial as adjunctive management for dermatologic diseases 2. (Evidence: Moderate)
Cognitive behavioral therapy is a promising intervention for managing dermatologic diseases 2. (Evidence: Moderate)
Dermatologists and psychiatrists should screen for anxiety in patients with vitiligo and implement timely interventions to mitigate psychological distress 3. (Evidence: Moderate)References
1 Henry T, Khachemoune A. Dermatologic conditions and risk factors in people experiencing homelessness (PEH): systematic review. Archives of dermatological research 2023. link
2 Rafidi B, Kondapi K, Beestrum M, Basra S, Lio P. Psychological Therapies and Mind-Body Techniques in the Management of Dermatologic Diseases: A Systematic Review. American journal of clinical dermatology 2022. link
3 Liu J, Tang R, Xiao Y, Luo M, Shi Y, Deng Q et al.. Meta-Analytic Review of High Anxiety Comorbidity among Patients with Vitiligo. BioMed research international 2021. link