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Uwe Gieler - JLU Giessen. Psychoeducation and Patient Empowerment Programmes in Dermatology. Prof. Dr. Uwe Gieler Psychodermatology Dept. of Psychosomatic and Psychotherapy Justus-Liebig-Universität Gießen - Germany. Prevalence of atopic dermatitis. Uwe Gieler - JLU Giessen.

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Uwe Gieler - JLU Giessen

Psychoeducation and Patient Empowerment Programmes in Dermatology

Prof. Dr. Uwe Gieler

Psychodermatology

Dept. of Psychosomatic and Psychotherapy

Justus-Liebig-Universität Gießen - Germany


Prevalence of atopic dermatitis l.jpg
Prevalence of atopic dermatitis

Uwe Gieler - JLU Giessen

  • Up to a fifth of the population are affected by atopic dermatitis1

  • Atopic dermatitis is more common in children (3.1–15.6%)2 than adults (2–10%)3

1. Cork M et al. Dermatol Update 2003; 2. http://isaac.auckland.ac.nz/phases/phaseone/results/results.html

3. Bieber T. N Engl J Med 2008; 358:1483–1494.



Economic burden of atopic dermatitis l.jpg

Proportion of patients (%)

Moderate

Mild

Economic burden of atopic dermatitis

Uwe Gieler - JLU Giessen

  • Most cases of atopic dermatitis are mild and are managed in primary care1

  • However, moderate to severe atopic dermatitis causes over €2 billion in lost productivity in the EU2 every year

100

Severe

50

0

Severity of atopic dermatitis

1. Emerson RM, et al. Br J Dermatol 1998; 139:73–76.

2. Zuberbier T, et al.J Allergy Clin Immunol 2006; 118:226–232.


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Psychosocial Aspects in Atopic Dermatitis

Uwe Gieler - JLU Giessen

Quality of life

Stress

Quality of Life

Depression and Suicidal Ideations

Stress and Psychoimmunology

Patient Training Programmes

Social Phobia

Coping

Stigmatization

Compliance - Adherence

Patient Empowerment

Suicidal Ideations


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Stress – Life events

Depression – QoL –

Anxieties – Life Course

Uwe Gieler - JLU Giessen

Personality Traits

Attachement

Touch Experiences

Abuse + Violence

Coping Strategies

Social Support

Genetics

Environment

Allergy

Infections

Psychoimmunology

Psychoendocrinology

Epigenetics

Atopic

Dermatitis

Psyche

Itch

Inflammation

Relapses

Adherence-

Concordance


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Uwe Gieler - JLU Giessen

National Multi-Center Study in Germany with > 1000 children (parents)

Staab D, Diepgen T, Fartasch M, Kupfer J, Lob-Corzilius T, Ring J, Scheewe S, Scheidt R, Schmid-Ott G, Schnopp C, Szczepanski R, Werfel T, Wittenmeier M, Wahn U, Gieler U (2006) BMJ 332: 933-938.


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  • …Psoriasis-Education

…Education

Programmes

In Dermatology

  • …Occupational induced eczema school

  • …AGATE – Anaphylaxis School

  • …Skleroderma- School

  • ??…

Uwe Gieler - JLU Giessen

Psychoeducation in Dermatology


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