Psychology Flashcards
what are the 5 main areas of potential impact of skin disease on QOL
physical comfort and functioning
acceptability to self and others
emotional well-being/ self-esteem
social functioning/ behavioural
confidence in the nature and management of the conditions (self - mastery/ self efficacy)
who is at risk of getting a secondary emotional disorder with a primary skin disorder
people with conditions affecting face/ genitals/ large areas
coping ability
premorbid personality
psychiatric history
what is considered to be the 6th vital sign
distress- needs to be ‘treated’
what are the three main features of psychosomatic medicine
assement of psychological factors affecting individual vulnerability, course and outcome of any type of disease
hollistic consideration of patient car in clinical practise
integration of psychological therapies in the prevention, treatment and rehab of medical diseases
what are the three psychosomatic skin diseases
primary skin disease precipitated or exacerbated by emotional factors
secondary psychiatric illness arising from or exacerbated by primary skin disease
primary psychiatric disorder which is manifest via skin lesions
when should you adopt a psychosomatic approach
WHEN SIGNS OF DISTRESS
when medical prescription is not enough
psychiatric disorder but dont want to see a psychiatrist
when symptoms not compatible with signs
when clinical + pathological features do not correlate
what are the components often contributing to a psychosomatic disease
genetics, environmental and life stresses, psychiatric
what is morgellons disease
when patients think they have an infestation of the skin- experience an itch
what can trigger a psychosomatic itch
depressive disorder, substance abuse, physical disease
what is prurigo
itchy lesions often scratched and excoriated. possibly brought on by emotional stress
