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Geriatric Psychodermatology: Current Concepts and Therapeutic Strategies.

Alaya Kiser1, Tamara Korkomaz2, Brianna Ong3

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Geriatric psychodermatology explores the skin-brain axis in older adults. This understudied field requires multidisciplinary care for managing complex skin and mental health conditions in the elderly.

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Area of Science:

  • Geriatric psychodermatology
  • Dermatology
  • Psychiatry
  • Geriatrics

Background:

  • Psychodermatology investigates the intricate link between skin health and mental well-being, particularly in aging populations.
  • Visible skin aging and changes in older adults can significantly reflect their psychological state.
  • This crucial area remains under-researched within the field of dermatology.

Purpose of the Study:

  • To review current concepts and management strategies in geriatric psychodermatology.
  • To highlight the importance of the skin-brain axis in elderly patients.
  • To emphasize the need for a multidisciplinary approach in managing psychodermatologic conditions in older adults.

Main Methods:

  • A comprehensive narrative review of existing literature.
  • Extensive search across major research databases including MEDLINE, PubMed, Springer, and Google Scholar.
  • Inclusion of 131 identified papers without date restrictions.

Main Results:

  • The skin-brain axis presents a complex interplay relevant to geriatric psychodermatology.
  • Common conditions include obsessive-compulsive disorders, delusional infestation, and psychogenic pruritus, often challenging to diagnose and treat in the elderly.
  • Secondary dermatoses linked to anxiety, depression, stress, and dementia are prevalent.
  • Comprehensive geriatric assessment must integrate dermatologic, psychiatric, cognitive, and psychosocial evaluations.
  • Effective management necessitates collaboration between dermatology, psychiatry, and geriatrics, utilizing pharmacologic and non-pharmacologic interventions.
  • Dermatologic signs of elder abuse and the impact of dementia on psychodermatoses were also reviewed.

Conclusions:

  • Geriatric psychodermatology is a significant and underexplored field requiring dermatologists' attention.
  • Multidisciplinary care, combining pharmacologic and non-pharmacologic strategies, is essential for optimal patient outcomes.