Abstract
Because there is a psychological part in pruritus and because pruritus induces psychological consequences, psychological interventions may be helpful for the patient. A primary necessity is to improve the skin condition, allowing patients to feel better. Although frequently not confirmed by clinical studies, the use of psychotherapies may also be very valuable to improve psychological status and sometimes itch: cognitive and behavioural therapies, psychoanalysis and derived therapies, support psychotherapy, hypnosis and others. Finally, there is a need for a therapeutic alliance and therapeutic education may be also helpful for patients suffering for itch.
“Covered head to toe, I slipped on thick cotton pyjamas and decided to go back to bed for the day. Overwhelmed by such a sudden burst of this unexpected crisis, I felt an implacable need to sleep. And, knowing the treachery of my sickness, I bandaged my hands to make them two stumps useless for satisfying it”… “The telephone rang around noon. Work was worried… I hung up without a word, already knowing that I would not go back before having reached the end of my pitiful difference.” Lorette Nobécourt, La démangeaison [Itching], Editions J’ai lu, Paris, 1999
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References
Stumpf A, Ständer S, Phan NQ, Tannenberg A, Heuft G, Schneider G. Body concept of patients with chronic pruritus in relation to scratch lesions and psychic symptoms. Dermatology. 2013;227:263–9.
Misery L. Ne dites pas trop vite: “c’est psy” ou “c’est le stress”. Cutis et psyché. 2007;21:5–6.
Consoli SG. Psychiatrie et dermatologie. Encycl Méd Chir, Dermatologie, 98-874-A-10. Paris: Elsevier; 2001.
Barbarot S, Gagnayre R, Bernier C, Chavigny J-M, Chiaverini C, Lacour J-P, Dupre-Goetghebeur D, Misery L, Piram M, Cuny J-F, Dega H, Stadler J-F, the members of the Therapeutic Education Group of the French Dermatology Society. Dermatite atopique: un référentiel d’éducation thérapeutique du malade. Ann Dermatol Venereol. 2007;134:121–7.
Staab D, Diepgen TL, Fartasch M, Kupfer J, Lob-Corzilius T, Ring J, Scweewe S, Scheidt R, Schmid-Ott G, Schnopp, Szcepanski R, Werfel T, Wittenmeier M, Wahn U, Gieler U. Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: multicentre, randomised controlled trial. BMJ. 2006;332:933–8.
Van Os-Medendorp H, Eland-De Kok PC, Ros WJ, Bruijnzeel-Koomen CA, Grypdonck M. The nursing progamme “Coping with itch”: a promising intervention for patients with chronic pruritic skin diseases. J Clin Nurs. 2007;16(7):1238–46.
Field T, Peck M, Hernandez-Reif M, Krugman S, Burman I, Ozment-Schenck L. Postburn itching, pain, and psychosocial symptoms are reduced with massage therapy. J Burn Care Rehabil. 2000;21(3):189–93.
Guelfi JD, Boyer P, Consoli SM, Olivier-Martin R. Psychiatrie. Paris: PUF; 1996.
Garat H. Dermatologie et hypnose médicale. Cutis et psyché. 2007;21:11–2.
Shenefelt PD. Hypnosis in dermatology. Arch Dermatol. 2000;136:393–9.
Rucklidge JJ, Saunders D. The efficacy of hypnosis in the treatment of pruritus in people with HIV/AIDS: a time-series analysis. Int J Clin Exp Hypn. 2002;50(2):149–69.
Gieler U, Niemeier V, Brosig B, Kupfer J. Psychosomatic aspects of pruritus. Dermatol Psychosom. 2002;3:6–13.
Noren P. Habit reversal: a turning point in the treatment of atopic dermatitis. Clin Exp Dermatol. 1995;20(1):2–5.
Buchanan PI. Behavior modification: a nursing approach for young children with atopic eczema. Dermatol Nurs. 2001;13(1):15–25.
Consoli SG. Psychopathologie en dermatologie. Nouv Dermatol. 2000;19:582–5.
Consoli SG. Psychothérapie psychanalytique et dermatologie. Nervure. 2006;19(2):8–14.
Consoli SG. Le moi-peau. Médecine/Sciences. 2006;22:197–200.
Consoli SG, Consoli SM. Psychanalyse, dermatologie, prothèses – D’une peau à l’autre. Paris: PUF; 2006.
Misery L. La peau neuronale – Les nerfs à fleur de peau. Paris: Ellipses; 2000.
Misery L. Symptomatic treatment of pruritus. Ann Dermatol Venereol. 2005;132(5):492–5.
Misery L, Chastaing M. Joint consultation by a psychiatrist and a dermatologist. Dermatol Psychosom. 2003;4:160–4.
Poot F. La relation médecin-patient en dermatologie. Cutis et Psyché. 2005;18:12–7.
Consoli SG, Consoli SM. Dermatologie… Et si c’était votre patient? Clés de communication médecin-patient-15 situations concrètes. Paris: Editions scientifiques L et C; 2004.
Consoli SG. Le contre-transfert dans la relation dermatologue-malade. Nouv Dermatol. 2001;20(1):510–3.
Poot F, Sampogna F, Onnis L. Basic knowledge in psychodermatology. J Eur Acad Dermatol Venereol. 2007;21(2):227–34.
Misery L, Alexandre S, Dutray S, Chastaing M, Consoli S, Audra H, Bauer D, Bertolus S, Callot V, Cardinaud F, Corrin E, Feton-danou N, Malet R, Touboul S, Consoli SM. Functional itch disorder or psychogenic pruritus: suggested diagnosis criteria from the French psychodermatology group. Acta Derm Venereol. 2007;87:341–4.
Stumpf A, Ständer S, Warlich B, Fritz F, Bruland P, Pfleiderer B, Heuft G, Schneider G. Relations between the characteristics and psychological comorbitides of chronic pruritus differ between men and women: women are more anxious than men. Br J Dermatol. 2015;172:1323–8.
Schut C, Weik U, Tews N, Gieler U, Deinzer R, Kupfer J. Coping as a mediator of the relationship between stress and itch in patients with atopic dermatitis: a regression and mediation analysis. Exp Dermatol. 2015;24:148–50.
Grandgeorge M, Misery L. Mediators of the relationship between stress and itch. Exp Dermatol. 2015;24:334–5.
Schut C, Mollanazar NK, Kupfer J, Gieler U, Yosipovitch G. Psychological Interventions in the Treatment of Chronic Itch. Acta Derm Venereol. 2016;96:157-61. doi:10.2340/00015555-2177.
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Misery, L., Schneider, G. (2016). Psychological Intervention. In: Misery, L., Ständer, S. (eds) Pruritus. Springer, Cham. https://doi.org/10.1007/978-3-319-33142-3_54
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DOI: https://doi.org/10.1007/978-3-319-33142-3_54
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