MODERN APPROACHES TO THE THERAPY OF PSYCHOSOMATIC DISORDERS ASSOCIATED WITH CHRONIC DERMATOSES (literature review)

A systematic literature review of approaches to the treatment of psychosomatic disorders associated with chronic dermatoses was conducted. Data from various studies are presented. This review analyzes the psychosomatic aspects of psoriasis, acne alopecia, lichen planus, vitiligo, including stress-induced mechanisms of their development and progression, the impact of stigmatization on the psycho-emotional state of patients, as well as their quality of life. Special attention is paid to nosogenic (secondary) and comorbid mental disorders associated with the main dermatological disease, such as anxiety-depressive disorders, social phobia and hypochondriac reactions. The expediency of using complex therapeutic strategies, including psychopharmacological correction (selective serotonin reuptake inhibitors, atypical antipsychotics, anxiolytics), cognitive behavioral therapy and psychoeducation programs, is substantiated. Multidisciplinary approaches to patient management are considered, including both dermatological correction and psychotherapeutic and psychopharmacological methods aimed at improving patient adaptation. The purpose of this article is to update information about the treatment of chronic dermatoses, including existing and new methods. The information search was conducted in domestic and international databases of scientific literature: PubMed, Scopus, MedLine, Embase, Cochrane, the Russian State Library, the Central Scientific Medical Library of the I.M. Sechenov First Moscow State Medical University.