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Psychiatric disorders and pruritus

机译：精神病疾病和瘙痒

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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. (C) 2017 Elsevier Inc. All rights reserved.
机译：皮肤和心灵与由由或导致精神疾病引起的各种皮肤疾病密切相关。瘙痒症是精神病患者的常见症状，同样在慢性瘙痒患者中经常看到患有焦虑和抑郁症的精神病生态性等症状，包括焦虑和抑郁症。初级心理学病理学条件，如躯体症状障碍，皮炎蒿，强迫性和相关疾病（侵袭障碍和瘙痒症），妄想侵扰和物质使用障碍，都可以诱导患者的显着瘙痒，严重影响他们的生活质量。这些实体可能具有挑战性，因此需要更加了解潜在的精神病理学和对相关的心理社会因素的评估是必要的。除了适当的皮肤卫生和一线药物疗法之外，如选择性血清素再摄取抑制剂，诺肾上腺素能和选择性血清素抗抑郁药，抗癫痫药和抗精神病药（针对患有精神病患者），应提供心理妨害患者的心理治疗，以最大限度地提高治疗效果。 （c）2017年Elsevier Inc.保留所有权利。

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