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Classification of psychodermatological disorders: Proposal of a new international classification.
Ferreira, Bárbara Roque; Vulink, Nienke; Mostaghimi, Ladan; Jafferany, Mohammad; Balieva, Flora; Gieler, Uwe; Poot, Françoise; Reich, Adam; Romanov, Dmitry; Szepietowski, Jacek C; Tomas-Aragones, Lucia; Campos, Ricardo; Tausk, Francisco; Zipser, Marie; Bewley, Anthony; Misery, Laurent.
Afiliação
  • Ferreira BR; Department of Dermatology, Centre Hospitalier de Mouscron, Mouscron, Belgium.
  • Vulink N; Univ Brest, LIEN, Brest, Portugal.
  • Mostaghimi L; CFCUL, Lisboa, Portugal.
  • Jafferany M; Department of Dermatology, University Hospital of Brest, Brest, France.
  • Balieva F; Department of Psychiatry, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
  • Gieler U; Wisconsin Psychocutaneous Clinic, Middleton, Wisconsin, USA.
  • Poot F; Dermatology Department, University of Wisconsin, Madison, Wisconsin, USA.
  • Reich A; Department of Psychiatry and Behavioral Sciences, Central Michigan University/CMU Medical Education Partners, Saginaw, Michigan, USA.
  • Romanov D; Department of Dermatology, Stavanger University Hospital, Stavanger, Norway.
  • Szepietowski JC; Faculty of Health Sciences, Department of Public Health, University of Stavanger, Stavanger, Norway.
  • Tomas-Aragones L; Department of Dermatology, Justus Liebig University of Giessen, Giessen, Germany.
  • Campos R; Vitos-Clinic for Psychosomatic Medicine, Giessen, Germany.
  • Tausk F; ULB-Erasme Hospital Department Dermatology, Brussels, Belgium.
  • Zipser M; IFTS, Charleroi, Belgium.
  • Bewley A; Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland.
  • Misery L; Department of Psychiatry and Psychosomatics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
J Eur Acad Dermatol Venereol ; 38(4): 645-656, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38084889
ABSTRACT

INTRODUCTION:

Several classifications of psychodermatology disorders have been proposed, with most of them based on two to four main disorder category groups. However, there is, to date, no classification that has resulted from a consensus established by psychodermatology experts. The DSM-5-TR (Diagnostic and statistical manual of mental disorders (5th ed.), Text Revision) and the ICD-11 (International classification of diseases (11th revision)) also do not provide a systematized approach of psychodermatology disorders. Taking into consideration that classifications are a key pillar for a comprehensive approach to the pathologies of each branch of medicine, the proposal of a classification in psychodermatology appeared as a central need for the recognition of psychodermatological disorders, in an attempt to improve their recognition and, in that sense, to find a common language for the development of this subspecialty that crosses dermatology and psychiatry.

METHODS:

Previously published classifications in psychodermatology were critically reviewed and discussed by expert opinion from an international multidisciplinary panel of 16 experts in psychodermatology and a new classification system is proposed, considering classical concepts in general dermatology and psychopathology.

RESULTS:

Two main categories of disorders are presented (a main group related to primary mental health disorders and another main group related to primary skin disorders), which are subsequently subdivided into subgroups considering pathophysiological and phenomenological similarities, including key aspects of dermatological examination, namely the presence of visible skin lesions (primary and secondary skin lesions) and psychopathological correlates.

CONCLUSION:

This new classification aims to unify previous classifications, systematize the disorders that belong to psychodermatology and highlight their tenuous boundaries, to improve their management. It has been built and approved by the Psychodermatology Task Force of the European Academy of Dermatology and Venereology (EADV), the European Society for Dermatology and Psychiatry (ESDaP) and the Association for Psychoneurocutaneous Medicine of North America (APMNA).
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dermatopatias / Dermatologia / Transtornos Mentais Limite: Humans Idioma: En Revista: J Eur Acad Dermatol Venereol Assunto da revista: DERMATOLOGIA / DOENCAS SEXUALMENTE TRANSMISSIVEIS Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Bélgica

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dermatopatias / Dermatologia / Transtornos Mentais Limite: Humans Idioma: En Revista: J Eur Acad Dermatol Venereol Assunto da revista: DERMATOLOGIA / DOENCAS SEXUALMENTE TRANSMISSIVEIS Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Bélgica