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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


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    1. 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

    2. 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.

    3. Uwe Gieler - JLU Giessen

    4. 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.

    5. 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

    6. 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

    7. 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.

    8. …Atopic Dermatitis School • …Psoriasis-Education …Education Programmes In Dermatology • …Occupational induced eczema school • …AGATE – Anaphylaxis School • …Skleroderma- School • ??… Uwe Gieler - JLU Giessen Psychoeducation in Dermatology