Psychosomatic cofactors and psychiatric comorbidity in patients with chronic itch.

Abstract:

BACKGROUND:While psychosomatic factors may be involved in eliciting as well as coping with chronic itch, psychiatric comorbidity often goes unrecognized in dermatological patients. AIM:To record psychiatric illness, psychiatric and psychotherapeutic pretreatment, and psychotherapy indication in dermatology inpatients with pruritus. METHODS:A consecutive sample of 109 dermatology inpatients with the symptom of pruritus were examined by interviews with consecutive ratings by experts (using psychiatric ICD-10 diagnoses, the Global Assessment of Functioning Scale and the Impairment Score) and self-assessment using the the Eppendorf Itch Questionnaire. RESULTS:In > 70% of the pruritus patients, 1-6 psychiatric diagnoses could be demonstrated. In > 60%, psychotherapeutic or psychiatric treatment was recommended. In contrast, almost 90% of the patients had had no previous psychotherapeutic experience. CONCLUSION:As psychiatric comorbidity in dermatology inpatients suffering from chronic itch is high, dermatology departments should aim for an improvement of their psychosomatic consultation and liaison services.

journal_name

Clin Exp Dermatol

authors

Schneider G,Driesch G,Heuft G,Evers S,Luger TA,Ständer S

doi

10.1111/j.1365-2230.2006.02211.x

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

762-7

issue

6

eissn

0307-6938

issn

1365-2230

pii

CED2211

journal_volume

31

pub_type

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