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Titolo:
Psychogenic excoriation - Clinical features, proposed diagnostic criteria,epidemiology and approaches to treatment
Autore:
Arnold, LM; Auchenbach, MB; McElroy, SL;
Indirizzi:
Univ Cincinnati, Med Ctr, Coll Med, Womens Hlth Res Program, Cincinnati, OH 45267 USA Univ Cincinnati Cincinnati OH USA 45267 Program, Cincinnati, OH 45267 USA Univ Cincinnati, Dept Psychiat, Coll Med, Biol Psychiat Program, Cincinnati, OH 45267 USA Univ Cincinnati Cincinnati OH USA 45267 Program, Cincinnati, OH 45267 USA
Titolo Testata:
CNS DRUGS
fascicolo: 5, volume: 15, anno: 2001,
pagine: 351 - 359
SICI:
1172-7047(2001)15:5<351:PE-CFP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
OBSESSIVE-COMPULSIVE DISORDER; BODY DYSMORPHIC DISORDER; NEUROTIC EXCORIATIONS; SKIN-PICKING; HABIT-REVERSAL; FLUOXETINE; FLUVOXAMINE; PAROXETINE; MANAGEMENT; PRURITUS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Arnold, LM Univ Cincinnati, Med Ctr, Coll Med, Womens Hlth Res Program, 231 Bethesda Ave, Cincinnati, OH 45267 USA Univ Cincinnati 231 Bethesda Ave Cincinnati OH USA 45267 67 USA
Citazione:
L.M. Arnold et al., "Psychogenic excoriation - Clinical features, proposed diagnostic criteria,epidemiology and approaches to treatment", CNS DRUGS, 15(5), 2001, pp. 351-359

Abstract

Psychogenic excoriation (also called neurotic excoriation, acne excoriee, pathological or compulsive skin picking, and dermatotillomania) is characterised by excessive scratching or picking of normal skin or skin with minor surface irregularities. It is estimated to occur in 2% of dermatology clinic patients and is associated with functional impairment, medical complications (e.g. infection) or substantial distress. Psychogenic excoriation is not yet recognised in the DSM. We propose preliminary operational criteria for its diagnosis that take into account the heterogeneity of behaviour associated with psychogenic excoriation and allow for subtyping along a compulsivity-impulsivity spectrum. Psychiatric comorbidity in patients with psychogenic excoriation, particularly mood and anxiety disorders, is common. Patients with psychogenic excoriation frequently have comorbid disorders in the compulsivity-impulsivity spectrum, including obsessive-compulsive disorder, body dysmorphic disorder,substance use disorders, eating disorders, trichotillomania, kleptomania, compulsive buying, obsessive-compulsive personality disorder, and borderline personality disorder. There are few studies of the pharmacological treatment of patients with psychogenic excoriation. Case studies, open trials and small double-blind studies have demonstrated the efficacy of selective serotonin (5-hydroxytryptamine; 5-HT) reuptake inhibitors in psychogenic excoriation. Other pharmacological treatments that have been successful in case reports include doxepin, clomipramine, naltrexone, pimozide and olanzapine. There are no controlled trials of behavioural or psychotherapeutic treatment for psychogenic excoriation. Treatments found to be effective in case reports include a behavioural technique called 'habit reversal'; a multicomponent programme consisting of self-monitoring, recording of episodes of scratching, and procedures that produce alternative responses to scratching; and an 'eclectic' psychotherapy programme with insight-oriented and behavioural components.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 22:00:56