摘要
This comprehensive review explores the intricate dynamics between psychosocial factors and chronic wound healing processes, specifically focusing on prevalent conditions such as pressure ulcers, diabetic foot ulcers, and venous leg ulcers. By examining the roles of psychiatric conditions, including depression, anxiety, and post-traumatic stress disorder (PTSD), this paper illuminates how these factors intricately influence wound healing dynamics, including mechanisms of pain perception and inflammatory responses. Furthermore, we evaluate the effectiveness of integrated biopsychosocial interventions, which encompass a holistic approach to wound care, thereby enhancing healing outcomes for dermatology patients. Future studies should focus on investigating the specific psychosocial determinants that significantly influence wound healing, exploring novel therapeutic strategies, and implementing personalized interventions to meet the unique needs of each patient. Such endeavors hold promise in advancing the fields of psychodermatology and wound management, fostering a deeper understanding and application of psychosocial considerations in dermatological care.
This comprehensive review explores the intricate dynamics between psychosocial factors and chronic wound healing processes, specifically focusing on prevalent conditions such as pressure ulcers, diabetic foot ulcers, and venous leg ulcers. By examining the roles of psychiatric conditions, including depression, anxiety, and post-traumatic stress disorder (PTSD), this paper illuminates how these factors intricately influence wound healing dynamics, including mechanisms of pain perception and inflammatory responses. Furthermore, we evaluate the effectiveness of integrated biopsychosocial interventions, which encompass a holistic approach to wound care, thereby enhancing healing outcomes for dermatology patients. Future studies should focus on investigating the specific psychosocial determinants that significantly influence wound healing, exploring novel therapeutic strategies, and implementing personalized interventions to meet the unique needs of each patient. Such endeavors hold promise in advancing the fields of psychodermatology and wound management, fostering a deeper understanding and application of psychosocial considerations in dermatological care.
作者
Kelly Frasier
Vivian Li
Sara Christoforides
Kathleen Daly
Alexandra Loperfito
Karina Stech
Milena Dragovic
Kelly Frasier;Vivian Li;Sara Christoforides;Kathleen Daly;Alexandra Loperfito;Karina Stech;Milena Dragovic(Nuvance Health/Vassar Brothers Medical Center, Poughkeepsie, NY, USA;Lake Erie College of Osteopathic Medicine, New York, NY, USA;Medical College of Georgia, Augusta University, Augusta, GA, USA;Edward Via College of Osteopathic Medicine, Blacksburg, VA, USA;Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA;College of Osteopathic Medicine, California Health Sciences University, Clovis, CA, USA)