Dermatological Practice and Psychiatry

November 2000 in “ British Journal of Dermatology ”

L.G. Millard

acne alopecia pruritus psychiatric morbidity dermatology psychotherapy cognitive behavioral therapy

TLDR Many skin patients have mental health issues, so dermatologists should consider psychological care.

The study by Picardi et al. revealed that over 25% of patients in dermatological outpatient settings exhibited psychiatric morbidity, highlighting the intersection of dermatology and psychiatry. This finding aligned with other reports and emphasized the importance of considering psychological factors in managing skin diseases. The study used GHQ-12 and Skindex-29 questionnaires to assess psychiatric conditions, though their practical application was limited to observing mental states at specific moments. Dermatologists often encountered patients with conditions like acne, alopecia, and pruritus, which had high psychiatric prevalence rates. The study underscored the need for dermatologists to recognize psychiatric morbidity and establish care pathways, including psychotherapy and cognitive behavioral therapy, despite challenges in accessing liaison psychiatry services in the UK.

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