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"apellidos" => "Martin-Brufau" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Clínica Dermatológica Internacional, Madrid, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Salud Mental de Lorca, Lorca, Murcia, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Por qué no debemos olvidar el papel del psicólogo clínico en el abordaje terapéutico de los pacientes con psoriasis?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In 1985, the American writer John Updike published an article in <span class="elsevierStyleItalic">The New Yorker</span> entitled “At War With my Skin”, in which he shared his experience, emotions, and coping strategies as a patient with psoriasis.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> Thirty years later, based on data from 823 patients, we are able to show that the severity and extension of lesions are in fact correlated with the presence of negative emotions.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">2</span></a> It is now pertinent to ask in which direction this correlation runs.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Given that a reduction in the severity of lesions improves self-perceived anxiety and mood,<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">3</span></a> it might seem reasonable to expect that an improvement in psoriasis lesions would lead to an improvement in psychological involvement. However, our experience, which is consistent with that of the Dermatology Department of Hospital Universitario Doctor Negrín, points to a more complex relationship.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The article by Madrid-Álvarez et al.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> shows that psychological involvement tends to persist, even in patients whose psoriasis is almost completely under control (PASI<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>2). This finding coincides with those of studies showing that mood was independent of improvement in lesions<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> or that mood disorders persisted during remission periods.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">6</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Articles such as that cited and appearing in <span class="elsevierStyleSmallCaps">actas dermo-sifiliográficas</span><a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> help to ensure that we do not forget the need to provide patients with comprehensive care. This includes measures for identifying and reducing the psychological involvement that, despite the evidence, can—and usually does—go unnoticed by health professionals.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">7</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martin-Gorgojo A, Martin-Brufau R. ¿Por qué no debemos olvidar el papel del psicólogo clínico en el abordaje terapéutico de los pacientes con psoriasis?. Actas Dermosifiliogr. 2018;109:672.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0040" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "At war with my skin" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Updike" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "The New Yorker" "fecha" => "1985" "volumen" => "2" "paginaInicial" => "39" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0045" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriasis lesions are associated with specific types of emotions. Emotional profile in psoriasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. 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