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Vol. 1, No. 4, 2000
Issue release date: December 2000
Section title: For the Practitioner · Für die Praxis
Dermatol Psychosom 2000;1:183–186
(DOI:10.1159/000057975)

Psychodermatology and Atopic Skin Disease in London 1989–1999 – Helping Patients to Help Themselves

Bridgett C.

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Article / Publication Details

First-Page Preview
Abstract of For the Practitioner · Für die Praxis

Published online: 1/4/2001
Issue release date: December 2000

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 1422-9196 (Print)
eISSN: 1424-0564 (Online)

For additional information: http://www.karger.com/DPS

Abstract

Background: The article describes the development of a psychodermatological service for patients with atopic dermatitis at the Chelsea and Westminster Hospital, London. Methods: Since 1989 an approach has been offered for chronic atopic eczema combining habit reversal with optimal dermatological treatment. The programme aims to eliminate the chronic syndrome by reducing scratching and rubbing behaviour, and achieve control over the skin condition. First a distinction between itching and scratching is made, followed by behavioural analysis to heighten awareness of scratching. The programme then continues with training in habit reversal and explanation of the optimal use of emollients and topical steroids. Finally advice is given on how to predict, recognise and manage acute relapses. Results:About 250 patients have participated in the treatment programme. 60% of the participants were sucessfully treated, for 25% the results were satisfactory and 15% did not benefit from the programme. Conclusion: The conclusion can be drawn that the training helps a majority of the patients. Self-management can be encouraged by handbooks and materials and thereby reducing the professional input. The effectiveness of the combined approach has to be explored by further studies with a prospective randomized study design.

© 2000 S. Karger GmbH, Freiburg


  

Publication Details

Dermatology and Psychosomatics (International Journal for Dermatology in Psychosomatic Medicine, Psychiatry, Clinical Psychology, and Public Health)

Vol. 1, No. 4, Year 2000 (Cover Date: December 2000)

Journal Editor: M. Augustin, Freiburg i.Br., J. Cotterill, Leeds, UK, U. Gieler, Gießen, I. Zschocke, Freiburg i.Br., Germany
ISSN: 1422–9196 (print), 1424–0564 (Online)

For additional information: http://www.karger.com/journals/dps


Article / Publication Details

First-Page Preview
Abstract of For the Practitioner · Für die Praxis

Published online: 1/4/2001
Issue release date: December 2000

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 1422-9196 (Print)
eISSN: 1424-0564 (Online)

For additional information: http://www.karger.com/DPS


Copyright / Drug Dosage

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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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