Skip to main content

Screening Questionnaires, Scales and Approach to Patients with Psychodermatologic Disorders

  • Chapter
  • First Online:
The Essentials of Psychodermatology

Abstract

In this chapter, we present the main concepts to approach a patient with a psychodermatologic disorder. We present general topics to conduct a clinical history in psychodermatology as well as to perform a brief assessment of psychopathology and quality of life, that could be done in the context of general medicine. Most of these patients are not firstly seen by a specialist in psychodermatology. General education in this domain allows to identify relevant psychosocial aspects in dermatology, to address potentially easier clinical cases and to quickly refer those with risk criteria.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 89.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lagerros YT. Physical activity--the more we measure, the more we know how to measure. Eur J Epidemiol. 2009;24(3):119–22.

    Article  PubMed  Google Scholar 

  2. Sanclemente G, Burgos C, Nova J, Hernández F, González C, Reyes MI, Córdoba N, Arévalo Á, Meléndez E, Colmenares J, Ariza S, Hernández G, Asociación Colombiana de Dermatología y Cirugía Dermatológica (Asocolderma). The impact of skin diseases on quality of life: a multicenter study. Actas Dermosifiliogr. 2017;108(39):244–52.

    Article  CAS  PubMed  Google Scholar 

  3. Chren MM. The Skindex instruments to measure the effects of skin disease on quality of life. Dermatol Clin. 2012;30(2):231–6, xiii.

    Article  CAS  PubMed  Google Scholar 

  4. Mattei PL, Corey KC, Kimball AB. Psoriasis Area Severity Index (PASI) and the Dermatology Life Quality Index (DLQI): the correlation between disease severity and psychological burden in patients treated with biological therapies. J Eur Acad Dermatol Venereol. 2014;28(3):333–7.

    Article  CAS  PubMed  Google Scholar 

  5. Krueger G, Koo J, Lebwohl M, Menter A, Stern RS, Rolstad T. The impact of psoriasis on quality of life: results of a 1998 National Psoriasis Foundation patient-membership survey. Arch Dermatol. 2001;137(3):280–4.

    Google Scholar 

  6. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.

    Article  CAS  PubMed  Google Scholar 

  7. Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(3):210–6.

    Article  CAS  PubMed  Google Scholar 

  8. Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Pruritus and dysesthesia. In: Bolognia JL, Schaffer JV, Duncan KO, Ko CJ, editors. Dermatology essentials. 3rd ed. Oxford: Saunders/Elsevier; 2014. p. 39–49.

    Google Scholar 

  9. Ferreira BR, Pio-Abreu JL, Reis JP, Figueiredo A. First psychodermatologic clinic in a Portuguese Department of Dermatology. J Eur Acad Dermatol Venereol. 2019;33(3):e119–20.

    Article  CAS  PubMed  Google Scholar 

  10. Reddy MS. Insight and psychosis. Indian J Psychol Med. 2015;37(3):257–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Katsoulis K, Rutledge KJ, Jafferany M. Delusional infestation: a prototype of psychodermatological disease. Int J Dermatol. 2019.

    Google Scholar 

  12. Altaf K, Mohandas P, Marshall C, Taylor R, Bewley A. Managing patients with delusional infestations in an integrated psychodermatology clinic is much more cost-effective than a general dermatology or primary care setting. Br J Dermatol. 2017;177(2):544–5.

    Article  CAS  PubMed  Google Scholar 

  13. Phillips KA, Dufresne RG Jr. Body dysmorphic disorder: a guide for primary care physicians. Prim Care. 2002;29(1):99–111, vii.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Mohandas P, Bewley A, Taylor R. Dermatitis artefacta and artefactual skin disease: the need for a psychodermatology multidisciplinary team to treat a difficult condition. Br J Dermatol. 2013;169(3):600–6.

    Google Scholar 

  15. Jafferany M, Kobusiewicz A, Ferreira BR, Garan S, Havryliuk O. Factitious disorders in children: clinical and therapeutic consideration. Dermatol Venereol. 2019;2(84):8–14.

    Article  Google Scholar 

  16. Bagby RM, Taylor GJ, Parker JD. The twenty-item Toronto alexithymia scale--II. convergent, discriminant, and concurrent validity. J Psychosom Res. 1994;38(1):33–40.

    Article  CAS  PubMed  Google Scholar 

  17. Trivedi D. Cochrane review summary: Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Prim Health Care Res Dev. 2017;18(6):527–8.

    Google Scholar 

  18. Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D, Timpano KR, McGrath PB, Riemann BC, Adams T, Björgvinsson T, Storch EA, Hale LR. Assessment of obsessive-compulsive symptom dimensions: development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychol Assess. 2010;22(1):180–98.

    Article  PubMed  Google Scholar 

  19. Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258–66.

    Google Scholar 

  20. Williams N. The CAGE questionnaire. Occup Med (Lond). 2014;64(6):473–4.

    Article  Google Scholar 

  21. Finlay AY. Quality of life assessments in dermatology. Semin Cutan Med Surg. 1998;17(4):291–6.

    Article  CAS  PubMed  Google Scholar 

  22. Lewis-Jones MS, Finlay AY, Dykes PJ. The infants’ dermatitis quality of life. Br J Dermatol. 2001;144:104–10.

    Article  CAS  PubMed  Google Scholar 

  23. Wilhelm S, Greenberg JL, Rosenfield E, Kasarskis I, Blashill AJ. The Body Dysmorphic Disorder Symptom Scale: development and preliminary validation of a self-report scale of symptom specific dysfunction. Body Image. 2016;17:82–7.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Chiricozzi A, Bettoli V, De Pità O, Dini V, Fabbrocini G, Monfrecola G, Musumeci ML, Parodi A, Sampogna F, Pennella A, Buzzulini F, Gualberti G, di Luzio Paparatti U, Atzori L. HIDRAdisk: an innovative visual tool to assess the burden of hidradenitis suppurativa. J Eur Acad Dermatol Venereol. 2019;33(1):e24–6.

    Article  CAS  PubMed  Google Scholar 

  25. Finlay AY, Khan GK, Luscombe DK, Salek MS. Validation of sickness impact profile and psoriasis disability index in psoriasis. Br J Dermatol. 1990;123(6):751–6.

    Article  CAS  PubMed  Google Scholar 

  26. Rhee JS, Matthews BA, Neuburg M, Logan BR, Burzynski M, Nattinger AB. The skin cancer index: clinical responsiveness and predictors of quality of life. Laryngoscope. 2007;117(3):399–405.

    Google Scholar 

  27. Keuthen NJ, Wilhelm S, Deckersbach T, Engelhard IM, Forker AE, Baer L, Jenike MA. The Skin Picking Scale: scale construction and psychometric analyses. J Psychosom Res. 2001;50(6):337–41.

    Google Scholar 

  28. Lewis-Jones MS, Finlay AY. The Children's Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol. 1995;132(6):942–9.

    Google Scholar 

  29. Vázquez-Herrera NE, Sharma D, Aleid NM, Tosti A. Scap itch: a systematic review. Skin Appendage Disord. 2018;4(3):187–99.

    Article  PubMed  Google Scholar 

  30. Goyal N, Shenoi S, Prabhu SS, Sreejayan K, Munoli R, Rai S. Psychodermatology liaison clinic in India: a working model. Trop Dr. 2018;48(1):7–11.

    Google Scholar 

  31. Muralidharan V, Zahedi D, Kaur B, Goulding JMR. Diagnosis and management of psychodermatological problems: confidence levels among dermatologists and psychiatrists. Clin Exp Dermatol. 2019.

    Google Scholar 

  32. Elpern DJ. Medically unexplained dermatologic symptoms still a problem. J Eur Acad Dermatol Venereol. 2018;32(12):e449.

    Article  CAS  PubMed  Google Scholar 

  33. Elpern DJ. Digging for the deeper diagnoses in dermatology. Perm J. 2019;24:19.090.

    PubMed Central  Google Scholar 

  34. Connor CJ. Management of the psychological comorbidities of dermatological conditions: practitioners’ guidelines. Clin Cosmet Investig Dermatol. 2017;10:117–32.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Roche L, Switzer V, Ramsay B. A retrospective case series of referrals to our psychodermatology clinic 2009-2016. J Eur Acad Dermatol Venereol. 2018;32(7):e278–9.

    Article  CAS  PubMed  Google Scholar 

  36. Kearley KE, Freeman GK, Heath A. An exploration of the value of the personal doctor-patient relationship in general practice. Br J Gen Pract. 2001;51(470):712–8.

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Roque Ferreira, B., Jafferany, M., Patel, A. (2020). Screening Questionnaires, Scales and Approach to Patients with Psychodermatologic Disorders. In: The Essentials of Psychodermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-45582-8_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-45582-8_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45581-1

  • Online ISBN: 978-3-030-45582-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics