Experience of dermatological patients’ treatment in the psychosomatic unit

The patients’ attitude to the possibility of combining the traditional treatment of the basic dermatological disease with psychotherapeutic methods, based on the results of medical and social research, is determined. A social portrait of a dermatological patient of a psychosomatic department has been drawn up, which requires an individual approach in the treatment process. Of all the examined patients, 38,5% of patients had a dermatologic diagnosis, included in the rubric«Dermatitis and eczema». In the structure of psychiatric pathology, the greatest contribution (30,6%) was made by disorders related to the International Classification of Diseases of the 10th revision to the heading «Organic, including symptomatic psychiatric disorders». The combination of anxious and depressive states have 23,9% of patients, depression - 19,6%, anxiety - 13,1% of the patients surveyed. Anxiety disorders are more common in women than in men - 22,7% versus4,2%. In addition, 13% assess their mood as poor, and 56,5% as satisfactory. It was found that 67,4% of patients consider treatment in the psychosomatic department more effective than in the usual dermatological department. 65,2% of patients note improvement of their psycho-emotional background from the moment of treatment start. It has also been established that patients understand the causes of their underlying illness and the importance of comprehensive treatment that is, both treating the dermatological disease and correcting the mental status with the help of various psychotherapeutic techniques. The compliance of patients with the use of methods of psychotherapeutic influence was revealed. 73,9% of patients note the importance of the psychotherapeutic approach during the inpatient phase of treatment, and 50% expressed a desire to continue receiving psychotherapeutic counseling after discharge from the hospital.

psychosomatic unit, anxiety, depression, dermatosis, psychotherapeutic treatment, neuroses, psychodermatology, psychosomatics