Psychodermatology in the UK: Psychological Impact of Skin Diseases and Importance of Services

The document from 2018 presents findings from various studies on psychodermatology in the UK, highlighting the psychological impact of skin diseases and the importance of psychodermatological services and patient support. Key findings include significant improvements in anxiety and depression in patients with chronic skin diseases following an 8-week mindfulness-based stress reduction program, with 26 out of 34 patients completing the program. Depression rates were found to be higher in vitiligo patients, and there was a general lack of confidence among dermatologists and psychiatrists in managing psychodermatological conditions. The document also reports on the psychological impact of hair loss, with high levels of anxiety and depression in patients, and a review of 12 patients with trichotillomania showing comorbid depression or anxiety. Studies with larger cohorts included 97 respondents in a quality of life study for cutaneous T-cell lymphoma, 211 patients in a study on illness perceptions in hidradenitis suppurativa, and 50 consecutive patients assessed for psychological health in a specialist hair clinic. Other aspects covered include the management of trichotillomania, the psychological impact of malignant melanoma, and strategies for improving clinic attendance, such as changing clinic names and implementing phone call reminders. The document underscores the need for individualized treatment approaches, better education for healthcare providers, and the role of patient support organizations in providing resources and support.