Phrases such as "This gets under your skin, " "She blushes with shame, " or "I could get out of the skin" show how much skin and soul are connected. The blush of joy, shame or anger is created by the fact that the circulation of the facial skin - triggered by certain hormones - for a short time is driven upwards. You will be pale with fright, because the blood flow to the heart intensifies reflexively. Whether it is the comforting or unpleasant chill running down your spine or frightening your hair, it is always caused by a sudden contraction of the skin.
When the soul "bubbles"
In addition to these short-term effects, the emotional state can also trigger longer-lasting impairments of the skin. Stress, grief and other mental stress can cause sudden red spots or blemishes.
Also, over-sensitive reactions to environmental influences, the no-longer-tolerated use of the usual cream or the usual perfume may be possible causes of skin problems. Conversely, positive moods 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 it can also occur the opposite case, namely that skin diseases are the trigger for mental problems. People with severe skin diseases may be similarly severely or even more severely impaired in their quality of life, such as people with serious medical conditions, such as heart disease or diabetes.
According to the German Dermatological Society (DDG), the supposedly harmless chronic whimpering or urticaria, for example, affects the emotions, social life and vital energy of the affected patients to the same extent as coronary heart disease; Sleep is disturbed even more.
Methodological study of the quality of life of skin diseases
The effects of various skin diseases such as psoriasis, atopic dermatitis or acne on quality of life were examined using special questionnaires.
It was asked if and how much patients suffering from skin diseases suffer from their illness, how strongly they are affected by skin diseases in comparison to diseases of other organ systems and how well dermatologists manage to reduce their patients' deficiency with their diagnostics and therapy and to improve their health Meaning of the WHO definition as physical, mental and social well-being.
Such standardized quality of life assessments have been used for a number of years for the assessment of disease symptoms and the therapeutic outcome of acute and chronic skin diseases and for the classification of new treatments.
The findings show that skin diseases should not be dismissed as "mood disorders" or "cosmetic impairments" that patients simply have to live with.
Better advice leads to healing success
The quality of life research also proves 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 connected with their mental processing of the disease than with the objective symptoms.
It takes time for in-depth consultation so that the dermatologist can help his patients.
Patients would even pay
More than two-thirds of the population are prepared to pay for preferential advice from the doctor himself, according to the results of an image study by German dermatologists. The detailed advice without time pressure and the proven higher medical literacy are for the subjects crucial services for their Zuzahlungsmotivation.