Psychodermatology
{{Short description|Unproven, pseudo-medicine treatment of skin disorders}}
{{Alternative medicine sidebar |fringe}}
Psychodermatology is the treatment of skin disorders using psychological and psychiatric techniques by addressing the interaction between mind and skin. Though historically there has not been strong scientific support for its practice, there is increasing evidence that behavioral treatments may be effective in the management of chronic skin disorders.
The practice of psychodermatology is based on the complex interplay between neurological, immunological, cutaneous and endocrine systems, known alternatively as the NICE network, NICS, and by other similar acronyms. The interaction between nervous system, skin, and immunity has been explained by release of mediators from network. In the course of several inflammatory skin diseases and psychiatric conditions, the neuroendocrine-immune-cutaneous network is destabilized.
Concept
The disorders that proponents classify as psychodermatologic fall into three general categories: psychophysiologic disorders, primary psychiatric disorders and secondary psychiatric disorders.{{cite journal | title=Psychodermatology: A practical manual for clinicians | journal=Current Problems in Dermatology | volume=7 | issue=6 | date=1995-11-01 | issn=1040-0486 | doi=10.1016/S1040-0486(09)80012-4 | pages=204–232 | last1=Koo | first1=John }} Proponents frequently claim treatment for psoriasis, eczema, hives, genital and oral herpes, acne, warts, skin allergies, pain, burning sensations, and hair loss. Psychodermatological treatment techniques include psychotherapy, meditation, relaxation, hypnosis, acupuncture, yoga, tai chi, and anti-anxiety drugs.{{cite web|last1=SINGER|first1=NATASHA|title=SKIN DEEP; If You Think It, It Will Clear|url=https://query.nytimes.com/gst/fullpage.html?res=9506EFD7133FF93BA15754C0A9639C8B63&pagewanted=all|website=query.nytimes.com|publisher=NYT|access-date=9 February 2017}}{{cite journal | pmc = 1911167 | pmid=17632653 | volume=9 | issue=3 | title=Psychodermatology: a guide to understanding common psychocutaneous disorders | year=2007 | author=Jafferany M | journal=Prim Care Companion J Clin Psychiatry | pages=203–13 | doi=10.4088/pcc.v09n0306}}{{cite journal | doi = 10.1038/492S62a | pmid=23254976 | volume=492 | issue=7429 | title=Psychodermatology: An emotional response | year=2012 | journal=Nature | pages=S62–S63 | author=DeWeerdt Sarah| s2cid=44617423 | doi-access=free }}{{cite web |author=Mapes, Diane |url=http://www.nbcnews.com/id/17009655 |archive-url=https://web.archive.org/web/20141020041421/http://www.nbcnews.com/id/17009655/ |url-status=dead |archive-date=October 20, 2014 |title=Does your skin need a shrink? |publisher=NBC News |date= 2007-02-12|access-date=2013-08-03}} Additionally, cosmetics companies may offer products utilizing terms such as "psychodermatology" or "neurocosmetics" in their marketing,{{cite web |last1=Schwarcz |first1=Joe |author-link= Joseph A. Schwarcz |title=The Dim Science of Neuroglow |url=https://www.mcgill.ca/oss/article/critical-thinking-health-and-nutrition-pseudoscience/dim-science-neuroglow |website=Office for Science and Society |publisher=McGill University |access-date=September 18, 2024}} though these terms are not regulated.
Psychophysiologic disorders are conditions that are precipitated by or worsened by experiencing stressful emotions.{{cite journal | last=Griesemer | first=Robert D | title=Emotionally Triggered Disease in a Dermatologic Practice | journal=Psychiatric Annals | volume=8 | issue=8 | date=1978-08-01 | issn=0048-5713 | doi=10.3928/0048-5713-19780801-08 | pages=49–56 | url=https://www.healio.com/psychiatry/journals/psycann/1978-8-8-8/{1ad30ded-e0e9-454d-9cc5-bf9ef2403300}/emotionally-triggered-disease-in-a-dermatologic-practice | access-date=2019-06-26}} These conditions are not always related to stress and in many cases respond to medication but stress can be a contributing factor in some cases.{{cite journal | title=Psoriasis and stress: A prospective study | journal=Journal of the American Academy of Dermatology | volume=17 | issue=1 | date=1987-07-01 | issn=0190-9622 | doi=10.1016/S0190-9622(87)70176-5 | pmid=3611457 | pages=82–86 | last1=Gaston | first1=Louise | last2=Lassonde | first2=Michel | last3=Bernier-Buzzanga | first3=Jeannine | last4=Hodgins | first4=Sheilagh | last5=Crombez | first5=Jean-Charles }}
class="wikitable"
|+Diagnoses Associated with Psychodermatologic Disorders{{Cite journal |last=Koo |first=John |last2=Lebwohl |first2=Andrew |date=2001-12-01 |title=Psychodermatology: The Mind and Skin Connection |url=https://www.aafp.org/pubs/afp/issues/2001/1201/p1873.html |journal=American Family Physician |language=en-US |volume=64 |issue=11 |pages=1873–1879}} !Major Categories !Examples |
Psychophysiologic Disorders
|Acne, Alopecia Areata, Atopic Dermatitis, Psoriasis, Psychogenic Purapura, Rosacea, Seborrheic Dermatitis, Urticara (Hives) |
Primary Psychiatric Disorders
|Bromosiderophobia, Delusions of Parasitosis, Dysmorphophobia, Facticial Dermatitis, Neurotic Excoriations, Trichtillomania |
Secondary Psychiatric Disorders
|Alopecia Areata, Cystic Acne, Hemangiomas, Ichthyosis, Kaposi’s Sarcoma, Psoriasis, Vitiligo |
Controversy
In a 2013 paper published in the Clinics in Dermatology, the official journal of the International Academy of Cosmetic Dermatology, the facts and controversies of this topic were examined with the conclusion:{{cite journal|last1=Orion|first1=Edith|last2=Wolf|first2=Ronni|title=Psychological factors in skin diseases: Stress and skin: Facts and controversies.|journal=Clinics in Dermatology|year=2013|volume=31|issue=6|pages=707–11|url=http://www.cidjournal.com/article/S0738-081X(13)00073-4/pdf|publisher=Clinics in Dermatology, The official journal of the International Academy of Cosmetic Dermatology (IACD)|doi=10.1016/j.clindermatol.2013.05.006|pmid=24160274|access-date=9 February 2017}}
:Although clinical experience is often in concordance with this notion, apparently scientific proof can sometimes be challenging rather than straight forward. Although many data have been published, it appears that not enough good statistical evidence exists to support them. The difficulty in validating beyond a doubt the stress-skin interactions has rendered some skepticism among physicians.
Harriet Hall notes that the specialty may not be needed at all because medicine already takes a holistic approach to treating a patient.{{cite web | title=Psychodermatology? | website=Science-Based Medicine – Exploring issues and controversies in the relationship between science and medicine | date=2018-04-17 | url=https://sciencebasedmedicine.org/psychodermatology/ | access-date=2019-06-26}} A 2007 review of the literature generated from 1951 to 2004 finds that most dermatologists and psychologists recommend a synthesis of treatment rather than seeing another specialist.{{cite journal| author=Jafferany M| title=Psychodermatology: a guide to understanding common psychocutaneous disorders. | journal=Prim Care Companion J Clin Psychiatry | year= 2007 | volume= 9 | issue= 3 | pages= 203–13 | pmid=17632653 | doi=10.4088/pcc.v09n0306 | pmc=1911167 }}
See also
External links
[http://www.psychodermatology.us/ Association for Psychoneurocutaneous Medicine of North America (APMNA)]
References
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