The skin – reflection of the soul

Idioms like “It gets under your skin”, “She blushed with shame”, or “I could jump out of my skin” show how closely skin and soul are connected. The redness from joy, shame or anger arises from the fact that the blood circulation in the facial skin  –  triggered by certain hormones  is boosted  for a short time. On the other hand, you become pale with shock because the blood flow to the heart increases reflexively. Whether it’s a pleasant or an unpleasant shiver that runs down your back or your hair stands up from shock, it’s always caused by a sudden contraction of the skin.

When the soul “bubbles”

In addition to these short-term effects, mental well-being can also trigger longer-lasting impairments of the skin. Stress, grief and other  mental stress  can cause  red spots  or  blemishes to appear suddenly  .

Overly sensitive reactions to  environmental influences,  not being able to tolerate the usual cream or perfume can also be possible reasons for skin problems. Conversely, positive moods also have a positive effect on the skin. Those who are balanced and happy seem to radiate from within.

When skin diseases affect the quality of life

But the opposite can also happen, namely that  skin diseases  become the trigger for mental problems. The quality of life of people with severe skin diseases can be reduced to a similar extent   ​​or even more  –  than people with severe internal diseases, such as heart disease or  diabetes .

According to the German Dermatological Society (DDG), the supposedly harmless chronic wheal addiction or  urticaria  , for example, affects the emotions, social life and life energy of the affected patients to the same extent as coronary heart disease; sleep is even more disturbed.

Methodological study of the quality of life in skin diseases

The effects of various skin diseases such as  psoriasisneurodermatitis  or acne on the quality of life were examined using special questionnaires.

It was asked whether and to what extent patients with skin diseases suffer from their disease, how severely they are affected by skin diseases in comparison to diseases of other organ systems and to what extent dermatologists are able to reduce the patients’ discomfort with their diagnostics and therapy and to improve their overall health To lead the sense of the WHO definition as physical, mental and social well-being.

Such standardized assessments of quality of life have been used for several years to assess symptoms and the success of therapy for acute and chronic skin diseases and to classify new treatment methods.

The knowledge gained in this way shows that skin diseases should not be dismissed as “disorders of well-being” or “cosmetic impairments” that patients simply have to live with. 

Better advice leads to healing success

Quality of life research also shows the importance of “talking medicine” for patients with skin diseases. A study from Jena shows that the quality of life of patients with hair loss is more related to their mental processing of the disease than to the objective symptoms.

In order for the dermatologist to be able to help his patients with this, time is required for a detailed consultation.

Patients would even pay

According to an image study by German dermatologists, more than two-thirds of the population are willing to pay for preferential advice from the doctor themselves. The detailed advice without time pressure and the proven higher level of doctor’s competence are decisive services for the subjects for their additional payment motivation.

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