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首页> 外文期刊>Open Journal of Psychiatry >Psychiatric Comorbidity in Patients with Acne
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Psychiatric Comorbidity in Patients with Acne

机译：痤疮患者的精神病合并症

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Acne vulgaris is a chronic inflammatory skin disorder which has a high prevalence among adolescents and young adults and can be associated with emotional and psychological burden on patients. This review aimed to explore psychological factors in patients with acne. Several forms of emotional distress and psychological complications can occur with acne. Such complications may be worse than the physical impact of the skin condition. Current literature suggests that skin changes in acne are associated with changed body image, psychological distress, anxiety, social phobia, suicidal ideation and depression. Population-based studies suggest a significant association between acne and mental distress among both male and female adolescents. Presence of psychological distress is related to severity of acne in some studies. However, other case-controlled studies suggest increased risk for psychological problems in patients with acne regardless of its severity. Stress is suspected to have a role in exacerbations of acne, and the quality of life (QoL) is affected particularly in cases with severe facial acne. Acne treatment can be associated with psychiatric side effects. Isotretinoin may be associated with depression and suicide attempts as shown in several studies but with conflicting results. On the other hand, psychotropic medications (such as antidepressants, antipsychotics and mood stabilizers) can also induce acne. The results of this review indicate the importance of vigilant psychiatric assessment for patients with acne, particularly those receiving isotretinoin, is needed for early diagnosis and treatment of the associated psychiatric co-morbidity.
机译：痤疮寻常症是一种慢性炎症皮肤病，患有青少年和年轻成年人的患病率很高，并且可以与患者的情感和心理负担有关。该审查旨在探讨痤疮患者的心理因素。痤疮会发生几种形式的情绪困扰和心理并发症。这种并发症可能比皮肤状况的身体撞击差。目前的文献表明，痤疮的皮肤变化与改变的身体形象，心理困扰，焦虑，社交恐惧症，自杀性想象力和抑郁有关。基于人口的研究表明，男女青少年痤疮与精神痛苦之间的重大关联。在一些研究中，心理窘迫的存在与痤疮的严重程度有关。然而，其他病例对照研究表明，无论其严重程度如何，痤疮患者心理问题的风险增加。怀疑胁迫在痤疮的恶化中具有作用，并且在严重面部痤疮的情况下，生活质量（QOL）受到影响。痤疮治疗可以与精神副作用有关。异丙替税素可能与抑郁和自杀次数有关，如几项研究所示，但结果相互矛盾。另一方面，精神药物（如抗抑郁药，抗精神病药和情绪稳定剂）也可以诱发痤疮。本综述结果表明，对于痤疮患者，特别是接受异黄油的患者，需要对接受异黄素的患者进行警惕的精神病评估的重要性是对相关的精神疾病的早期诊断和治疗。

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