Abstract
Eating disorders are not frequent in patients with psychogenic excoriations. On the contrary, the frequency of psychogenic excoriations (and other self-injurious behaviours) is very high in patients suffering from eating disorders. Impulsivity, obsessive-compulsive characteristics, affect dysregulation, dissociation, self-criticising cognitive style and need for control were identified as potential factors involved in the association. Early trauma such as childhood sexual abuse and possibly certain characteristics of early family environment might contribute to the development of these factors. Care of patients with eating disorders could be very helpful for their psychogenic excoriations if these painful common traumas are considered. Psychogenic skin excoriations can occur in many patients suffering from eating disorders.
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References
American Psychiatric Association (1994) The diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC
Arnold LM, Auchenbach MB, McElroy SL (2001) Psychogenic excoriation. Clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment. CNS Drugs 15:351–359
Arzeno Ferrão Y, Almeida VP, Bedin NR et al (2006) Impulsivity and compulsivity in patients with trichotillomania or skin picking compared with patients with obsessive-compulsive disorder. Compr Psychiatry 47:282–288
Chen LP, Murad MH, Paras ML et al (2010) Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clin Proc 85:618–629
Favaro A, Santonastaso P (2000) Self-injurious behavior in anorexia nervosa. J Nerv Ment Dis 188:537–542
Favaro A, Ferrara S, Santonastaso P (2007) Self-injurious behavior in a community sample of young women: relationship with childhood abuse and other types of self-damaging behaviors. J Clin Psychiatry 68:122–131
Favaro A, Santonastaso P, Monteleone P et al (2008) Self-injurious behavior and attempted suicide in Âpurging bulimia nervosa: associations with psychiatric comorbidity. J Affect Disord 105:285–289
Freudenmann RW, Lepping P (2009) Delusional infestation. Clin Microbiol Rev 22:690–732
Greisemer RD (1978) Emotionally triggered disease in a psychiatric practice. Psychiatr Ann 8:407–412
Harth W, Taube KM, Gieler U (2010) Factitious Âdisorders in dermatology. J Dtsch Dermatol Ges 8:361–372
Keuthen NJ, Deckersbach T, Wilhelm S et al (2000) Repetitive skin-picking in a student population and comparison with a sample of self-injurious skin-Âpickers. Psychosomatics 41:210–215
Le Breton D (2009) Scarifications: le regard du sociologue. Arch Pediatr 16:838–839
Misery L, Chastaing M, Touboul S et al (2012) Psychogenic skin excoriations: diagnostic criteria, semiological analysis and psychiatric profiles. Acta Derm Venereol 92:416–418
Mutasim DF, Adams BB (2009) The psychiatric profile of patients with psychogenic excoriation. J Am Acad Dermatol 61:611–613
Odlaug BL, Grant JE (2007) Clinical characteristics and medical complications of pathologic skin picking. Gen Hosp Psychiatry 30:61–66
Ständer S, Weisshaar E, Mettang T et al (2007) Clinical classification of itch: a position paper of the International Forum for the Study of Itch. Acta Derm Venereol 87:291–294
Svirko E, Hawton K (2007) Self-injurious behavior and eating disorders: the extent and nature of the association. Suicide Life Threat Behav 37:409–421
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Misery, L. (2013). Skin Signs due to Psychiatric Morbidity: Psychogenic Skin Excoriations in Eating Disorders. In: Strumia, R. (eds) Eating Disorders and the Skin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29136-4_10
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DOI: https://doi.org/10.1007/978-3-642-29136-4_10
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