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Psychodermatology: Knowledge, Awareness, Practicing Patterns, and Attitudes of Dermatologists in Turkey
Tuba Ocek1, Ayse Sakalli Kani1, Alper Baş1
1Department of Psychiatry, Medical School of Cerrahpasa, Istanbul University, Istanbul, Turkey (Drs Ocek, Kani, Baş, Turan, and Emul); Erenkoy Mental Health and Neurology Training and Research Hospital, Istanbul, Turkey (Dr Yalcin); and Psychodermatology Clinic, Jafferany Psychiatric Services and Department of Psychiatry and Behavioral Sciences, Central Michigan University, Saginaw, Michigan (Dr Jafferany).
Objective:
Approximately, 1 in 3 patients in dermatology settings has psychiatric comorbidity. Thus, we conducted a survey in Turkey to explore the awareness, knowledge, practicing patterns, and attitudes of dermatologists toward psychocutaneous disorders.
Method:
The questionnaire-based study was performed from March 1, 2013, to May 20, 2013. Study participants included 115 dermatologists. The questionnaire consisted of 9 multiple-choice questions and 2 open-ended questions.
Results:
Of the 115 dermatologists in the study, 38 were men and 77 were women. More than 85% of dermatologists indicated that they examine > 30 patients per week in their practice, while only 2% saw < 10 patients per week. The most frequent dermatologic condition associated with psychiatric involvement seen by dermatologists was acne (49.1%). The top 3 diagnoses referred by dermatologists to psychiatrists were psoriasis (42.6%), alopecia areata (38.2%), and pruritus (27.8%).
Conclusions:
A need for collaboration between primary care, psychiatry, and dermatology disciplines in handling patients with psychocutaneous conditions is widely accepted. Investigating the knowledge, attitudes, and awareness of dermatologists about psychocutaneous disorders might contribute to the development of new educational strategies and elicit qualified biopsychosocial approaches.
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