Psychodermatology in the UK: Psychological Impact and Integrated Treatments

The document from 2015 presents findings from various studies on psychodermatology in the UK, highlighting the psychological impact of skin conditions and the effectiveness of integrated psychological and dermatological treatments. A stepped-care model for psychological support in dermatology was evaluated with 224 patients, showing the need for different levels of care. Cost savings were observed when managing delusional infestations in psychodermatology clinics versus general dermatology or primary care. High levels of depression and anxiety were found among dermatology patients, supporting the need for routine mental health screening. Habit reversal therapy was effective for refractory atopic dermatitis, and a multidisciplinary approach improved outcomes in 59% of patients with acne excoriée. A feasibility study for a psychological intervention for vitiligo and a study on illness perception in discoid lupus erythematosus patients suggested the importance of understanding patient perspectives. Psychological interventions significantly improved outcomes for psoriasis patients, and preconsultation questionnaires in clinics helped understand patient concerns. Studies on various conditions, including lichen sclerosus, cutaneous T-cell lymphoma, and Munchausen syndrome, emphasized the impact on quality of life and the need for multidisciplinary care and support services.