Psychiatric disorders and pruritus

Helen Gin Lee, Carolyn Stull, Gil Yosipovitch

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The skin and psyche are intimately related with various skin diseases caused by or resulting in psychiatric disturbances. Pruritus is a commonly reported symptom in psychiatric patients, and likewise psychiatric co-morbidities, including anxiety and depression, are frequently seen in chronic pruritus patients. Primary psychodermatologic conditions, such as somatic symptom disorder, dermatitis artefacta, obsessive-compulsive and related disorders (excoriation disorder and prurigo nodularis), delusional infestation, and substance use disorder, can all induce significant pruritus in patients, severely affecting their quality of life. Such entities can be challenging to manage, and therefore a greater understanding of the underlying psychopathology and evaluation of associated psychosocial factors is necessary. In addition to proper skin hygiene and first-line pharmacotherapies such as selective serotonin reuptake inhibitors, noradrenergic and selective serotonin antidepressants, antiepileptics, and antipsychotics (for delusional and psychotic disorders), patients with psychopruritic disorders should be offered psychotherapy to maximize the therapeutic efficacy.

Original languageEnglish (US)
Pages (from-to)273-280
Number of pages8
JournalClinics in Dermatology
Volume35
Issue number3
DOIs
StatePublished - May 1 2017

Fingerprint

Pruritus
Psychiatry
Prurigo
Paranoid Schizophrenia
Skin
Obsessive-Compulsive Disorder
Serotonin Uptake Inhibitors
Dermatitis
Hygiene
Psychopathology
Skin Diseases
Psychotherapy
Psychotic Disorders
Anticonvulsants
Antidepressive Agents
Antipsychotic Agents
Substance-Related Disorders
Serotonin
Anxiety
Quality of Life

ASJC Scopus subject areas

  • Dermatology

Cite this

Psychiatric disorders and pruritus. / Lee, Helen Gin; Stull, Carolyn; Yosipovitch, Gil.

In: Clinics in Dermatology, Vol. 35, No. 3, 01.05.2017, p. 273-280.

Research output: Contribution to journalArticle

Lee, Helen Gin ; Stull, Carolyn ; Yosipovitch, Gil. / Psychiatric disorders and pruritus. In: Clinics in Dermatology. 2017 ; Vol. 35, No. 3. pp. 273-280.
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