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[Psychosomatic dermatology in Germany: a survey of 69 dermatologic clinics]
U Gieler1, V Niemeier, J Kupfer
1Arbeitsgruppe Psychosomatische Dermatologie am Zentrum für Psychosomatische Medizin, Justus-Liebig-Universität Giessen. Uwe.Gieler@psycho.med.uni-giessen.de
Background And Objective:
A questionnaire study of German dermatological clinics was designed to show the situation and development of psychosomatic dermatology 10 years after a similar study.
Patients/Methods:
A questionnaire was sent to 170 dermatological clinics. 76 were send back; 69 of them (40.6%) were evaluable. The questionnaires were mostly answered by the heads of the dermatological clinics (38/69 = 55.1%).
Results:
Nearly 85% of the dermatological clinics answered that they take psychosomatic aspects into consideration in the therapy. 5.1% of the dermatologists working in clinics have additional psychotherapeutic certification. The improvement of coping behaviour seems to be the main goal of psychosomatic interventions. The importance of psychic factors increased in the last 10 years in comparison to a former study in regard to most of the dermatological diseases.
Conclusions:
Psychosomatic aspects seem to be an obligatory part of inpatient dermatological therapy. The frequency of some diseases was underestimated in comparison with results from literature.