皮肤搔挖障碍(抠皮障碍)

Skin Picking Disorder(Excoriation Disorder)

皮肤搔挖障碍(Skin Picking Disorder,SPD),也称抠皮障碍,是一种强迫相关的的原发性精神障碍,在精神疾病诊断与统计手册第五版(DSM-5)中属于强迫症和相关疾病(OCRD)的章节。SPD有显著的异质性,临床表现复杂,以反复搔挖皮肤为主要特点,常导致严重的躯体损伤和社会心理功能障碍,给患者带来极大困扰。本文主要从SPD的发病机制、临床表现、诊断和治疗进行综述。

Skin-picking disorder,also known as excoriation disorder,is an obsessive–compulsive and related disorder that is classified with other body-focused repetitivebehavior disorders in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders(DSM-5).SPD characterized by recurrent skin picking,of notable heterogeneity and phenomenological complexity,which always lead to self-induced cutaneous lesions and significant distress or functional impairment.This review focuses on the pathogenesis,clinical manifestation,diagnosis and management of this disorder.