[Definition and psychopathology of chronic hand dermatitis]. / Définition et psychopathologie de la dermite chronique des mains.
Ann Dermatol Venereol
; 141 Suppl 1: S106-10, 2014 Jun.
Article
in Fr
| MEDLINE
| ID: mdl-24953619
ABSTRACT
Psychopathology in patients with DCM is as complex as its clinical forms where the factors are numerous and often intricate. It combines psychophysiological, psychopathological factors, behavioral disorders which can be the cause or the consequence of DCM but also the negative impact on quality of life and the simplest daily activities. DCM affects the quality of life of every patient, regardless of the severity. Women are more affected by the DCM that man older age, male sex, atopy and the existence of a contact sensitization are independent risk factors of severity. Depression may affect up to 10 % of patients, should involve greater attention from dermatologists and general practitioners. Health authorities and all health actors should be aware of interactions between secondary cognitive troubles or inherent to DCM and efforts required in terms of preventive measures. Thus, the presence of psychiatric comorbidity is more common in patients with chronic dermatoses. Today it is considered that the emotional environment, built by the mother - child relationship must be optimal, otherwise the mental stability of body image may be compromised. Diminished self-esteem, affects less well managed and somatic expression of emotional content. Recently, a surprising study showed that most patients with refractory occupational dermatitis were not able to recognize the warning sign of flare or the role of psychological factors in the formation and maintenance of the dermatose. In fact, they rejected their personal responsibility in the occurrence of the new flare. To address this public health problem, health authorities, trainers and caregivers should be aware of the cognitive impact of DCM in these patients and interactions with current means of prevention. The role of obsessive-compulsive washing as part of an anxiety disorder or personality disorder is most likely a contributing or maintaining factor systematically underestimated in the pathogenesis of DCM and in the therapeutic management.
Key words
Chronic hand dermatitis; Chronic hand eczema; Cognitive troubles; Dermite chronique des mains; Eczéma chronique des mains; Hand washing; Lavage des mains; Obsessive troubles; Perception; Prurit; Pruritus; Psychopathologie; Psychopathology; Quality of life; Qualité de vie; Troubles cognitifs; Troubles obsessionnels
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hand Dermatoses
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
Language:
Fr
Journal:
Ann Dermatol Venereol
Year:
2014
Type:
Article