Michael J. Mandarino PharmD, BCPS, BCPP , Lauren Stummer PharmD, BCPP , Ana F. Trueba PhD , Ipsit Vahia MD , Alexis Freedberg MD
{"title":"Review of Management Considerations for Excoriation Disorder in Older Adults","authors":"Michael J. Mandarino PharmD, BCPS, BCPP , Lauren Stummer PharmD, BCPP , Ana F. Trueba PhD , Ipsit Vahia MD , Alexis Freedberg MD","doi":"10.1016/j.jagp.2024.02.013","DOIUrl":null,"url":null,"abstract":"<div><p>Excoriation disorder (ED) is defined as compulsive skin picking that results in skin damage and emotional distress. Optimal management of ED includes individualized treatment plans consisting of psychotherapies, behavioral and pharmacologic interventions. Compared with younger populations, older adults are at increased risk for poor outcomes, such as infection and hospitalization, and require unique management considerations. Risk factors that contribute to disease burden include age-related changes to the skin and underlying medical and psychiatric comorbidities. A literature review was conducted on ED yielding limited evidence exclusive to older adults. The authors suggest a therapeutic approach to ED in older adults based on available evidence and experience from inpatient and outpatient psychiatric settings. Finally, opportunities for future research are highlighted.</p></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4000,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Geriatric Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1064748124002690","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Excoriation disorder (ED) is defined as compulsive skin picking that results in skin damage and emotional distress. Optimal management of ED includes individualized treatment plans consisting of psychotherapies, behavioral and pharmacologic interventions. Compared with younger populations, older adults are at increased risk for poor outcomes, such as infection and hospitalization, and require unique management considerations. Risk factors that contribute to disease burden include age-related changes to the skin and underlying medical and psychiatric comorbidities. A literature review was conducted on ED yielding limited evidence exclusive to older adults. The authors suggest a therapeutic approach to ED in older adults based on available evidence and experience from inpatient and outpatient psychiatric settings. Finally, opportunities for future research are highlighted.
抠皮症（ED）被定义为强迫性抠皮，会造成皮肤损伤和精神痛苦。ED的最佳治疗方法包括心理治疗、行为和药物干预等个性化治疗方案。与年轻人相比，老年人发生感染和住院等不良后果的风险更高，因此需要在管理上有独特的考虑。造成疾病负担的风险因素包括与年龄相关的皮肤变化以及潜在的医疗和精神并发症。作者对有关 ED 的文献进行了回顾，发现仅针对老年人的证据有限。作者根据现有证据以及住院和门诊精神病患者的经验，提出了针对老年人 ED 的治疗方法。最后，作者还强调了未来的研究机会。
期刊介绍：
The American Journal of Geriatric Psychiatry is the leading source of information in the rapidly evolving field of geriatric psychiatry. This esteemed journal features peer-reviewed articles covering topics such as the diagnosis and classification of psychiatric disorders in older adults, epidemiological and biological correlates of mental health in the elderly, and psychopharmacology and other somatic treatments. Published twelve times a year, the journal serves as an authoritative resource for professionals in the field.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
