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For:
Peters EMJ
, Michenko A, Kupfer J, Kummer W, Wiegand S, Niemeier V, Potekaev N, Lvov A, Gieler U.
Mental stress in atopic dermatitis--neuronal plasticity and the cholinergic system are affected in atopic dermatitis and in response to acute experimental mental stress in a randomized controlled pilot study.
PLoS One
2014;
9
:e113552. [PMID:
25464511
PMCID:
PMC4252053
DOI:
10.1371/journal.pone.0113552
]
[
Citation(s) in
RCA
: 55
]
[
Impact Index Per Article: 5.5
]
[
Reference Citation Analysis
]
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[Received: 05/13/2014]
[Accepted: 10/27/2014]
[Indexed: 11/25/2022]
Open
Number
Cited by Other Article(s)
51
Agache I
, Akdis CA. Endotypes of allergic diseases and asthma: An important step in building blocks for the future of precision medicine.
Allergol Int
2016;
65
:243-52. [PMID:
27282212
DOI:
10.1016/j.alit.2016.04.011
]
[
Citation(s) in
RCA
: 127
]
[
Impact Index Per Article: 15.9
]
[
Reference Citation Analysis
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[Received: 04/17/2016]
[Accepted: 04/25/2016]
[Indexed: 02/07/2023]
Open
Abstract
Discoveries from basic science research in the last decade have brought significant progress in knowledge of pathophysiologic processes of allergic diseases, with a compelling impact on understanding of the natural history, risk prediction, treatment selection or mechanism-specific prevention strategies. The view of the pathophysiology of allergic diseases developed from a mechanistic approach, with a focus on symptoms and organ function, to the recognition of a complex network of immunological pathways. Several subtypes of inflammation and complex immune-regulatory networks and the reasons for their failure are now described, that open the way for the development of new diagnostic tools and innovative targeted-treatments. An endotype is a subtype of a disease condition, which is defined by a distinct pathophysiological mechanism, whereas a disease phenotype defines any observable characteristic of a disease without any implication of a mechanism. Another key word linked to disease endotyping is biomarker that is measured and evaluated to examine any biological or pathogenic processes, including response to a therapeutic intervention. These three keywords will be discussed more and more in the future with the upcoming efforts to revolutionize patient care in the direction of precision medicine and precision health. The understanding of disease endotypes based on pathophysiological principles and their validation across clinically meaningful outcomes in asthma, allergic rhinitis, chronic rhinosinusitis, atopic dermatitis and food allergy will be crucial for the success of precision medicine as a new approach to patient management.
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Key Words
Allergic diseases
Asthma
Biomarkers
Endotypes
Precision medicine
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52
[Psychological aspects of pruritus and therapy options].
Hautarzt
2016;
67
:622-6. [PMID:
27341824
DOI:
10.1007/s00105-016-3825-z
]
[
Citation(s) in
RCA
: 0
]
[
Impact Index Per Article: 0
]
[
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[Indexed: 10/21/2022]
Abstract
BACKGROUND
Besides biological factors, which cause or influence chronic pruritus, more and more attention has recently also been paid to psychological and psychoneuroimmunological factors which uphold the symptom.
OBJECTIVES
This review article gives an overview of the state of research regarding psychological and psychoneuroimmunological factors and the resulting therapeutic options.
MATERIALS AND METHODS
The article is based on a literature search in the PubMed database.
RESULTS
Under experimental conditions, pruritus can be induced by verbal instructions and modulated by placebo and nocebo effects. Stressful life events can also induce pruritus or its exacerbation. This can also be demonstrated on a cellular level.
CONCLUSION
The knowledge that pruritus intensity is modulated by cognitions, behavioral factors, and stress is important for the development and application of psychological interventions. More research should be done regarding psychological interventions in the treatment of chronic itch and they should be applied clinically more often.
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Key Words
Nocebo
Placebo
Psychoneuroimmunology
Psychotherapy
Stress
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53
Reduced stress and inflammatory responsiveness in experienced meditators compared to a matched healthy control group.
Psychoneuroendocrinology
2016;
68
:117-25. [PMID:
26970711
PMCID:
PMC4851883
DOI:
10.1016/j.psyneuen.2016.02.013
]
[
Citation(s) in
RCA
: 46
]
[
Impact Index Per Article: 5.8
]
[
Reference Citation Analysis
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[Received: 10/16/2015]
[Revised: 01/28/2016]
[Accepted: 02/16/2016]
[Indexed: 12/17/2022]
Abstract
Psychological stress is a major contributor to symptom exacerbation across many chronic inflammatory conditions and can acutely provoke increases in inflammation in healthy individuals. With the rise in rates of inflammation-related medical conditions, evidence for behavioral approaches that reduce stress reactivity is of value. Here, we compare 31 experienced meditators, with an average of approximately 9000 lifetime hours of meditation practice (M age=51years) to an age- and sex-matched control group (n=37; M age=48years) on measures of stress- and inflammatory responsivity, and measures of psychological health. The Trier Social Stress Test (TSST) was used to induce psychological stress and a neurogenic inflammatory response was produced using topical application of capsaicin cream to forearm skin. Size of the capsaicin-induced flare response and increase in salivary cortisol and alpha amylase were used to quantify the magnitude of inflammatory and stress responses, respectively. Results show that experienced meditators have lower TSST-evoked cortisol (62.62±2.52 vs. 70.38±2.33; p<.05) and perceived stress (4.18±.41 vs. 5.56±.30; p<.01), as well as a smaller neurogenic inflammatory response (81.55±4.6 vs. 96.76±4.26; p<.05), compared to the control group. Moreover, experienced meditators reported higher levels of psychological factors associated with wellbeing and resilience. These results suggest that the long-term practice of meditation may reduce stress reactivity and could be of therapeutic benefit in chronic inflammatory conditions characterized by neurogenic inflammation.
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Key Words
Alpha amylase
Cortisol
HPA-axis
Inflammation
Stress
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54
Bieber T
, Akdis C, Lauener R, Traidl-Hoffmann C, Schmid-Grendelmeier P, Schäppi G, Allam JP, Apfelbacher C, Augustin M, Beck L, Biedermann T, Braun-Fahrländer C, Chew FT, Clavel T, Crameri R, Darsow U, Deleuran M, Dittlein D, Duchna HW, Eichenfeld L, Eyerich K, Frei R, Gelmetti C, Gieler U, Gilles S, Glatz M, Grando K, Green J, Gutermuth J, Guttman-Yassky E, Hanifin J, Hijnen D, Hoetzenecker W, Irvine A, Kalweit A, Katoh N, Knol E, Koren H, Möhrenschlager M, Münch D, Novak N, O'Mahony L, Paller AS, Rhyner C, Roduit C, Schiesser K, Schröder J, Simon D, Simon HU, Sokolowska M, Spuls P, Stalder JF, Straub D, Szalai Z, Taieb A, Takaoka R, Todd G, Todorova A, Vestergaard C, Werfel T, Wollenberg A, Ring J. Global Allergy Forum and 3rd Davos Declaration 2015: Atopic dermatitis/Eczema: challenges and opportunities toward precision medicine.
Allergy
2016;
71
:588-92. [PMID:
27023268
DOI:
10.1111/all.12857
]
[
Citation(s) in
RCA
: 44
]
[
Impact Index Per Article: 5.5
]
[
Reference Citation Analysis
]
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[Indexed: 01/09/2023]
Abstract
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Affiliation(s)
T. Bieber
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Department of Dermatology and Allergy; University Bonn; Bonn Germany
C. Akdis
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Swiss Institute of Allergy and Asthma Research (SIAF); Davos Switzerland
R. Lauener
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Children's Hospital of Eastern Switzerland; St. Gallen Switzerland
University of Zurich; Zurich Switzerland
C. Traidl-Hoffmann
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Institute of environmental medicine, UNIKA-T; Technical University and HelmholtzCenter; Munich Germany
P. Schmid-Grendelmeier
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Allergy Unit; Department of Dermatology; University Hospital; Zurich Switzerland
G. Schäppi
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
J.-P. Allam
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Department of Dermatology and Allergy; University Bonn; Bonn Germany
C. Apfelbacher
Medical Sociology; Institute of Epidemiology and Preventive Medicine; University of Regensburg; Regensburg Germany
M. Augustin
Institute for Health Services Research in Dermatology and Nursing; University of Hamburg; Hamburg Germany
L. Beck
Department of Dermatology; University of Rochester Medical Center; Rochester NY USA
T. Biedermann
Department of Dermatology and Allergy Biederstein; Technical University; Munich Germany
C. Braun-Fahrländer
Swiss Tropical and Public Health Institute; EPH; Basel Switzerland
F. T. Chew
Department of Biological Sciences; National University of Singapore; Singapore Singapore
T. Clavel
ZIEL; Technische Universität München; Freising-Weihenstephan Germany
R. Crameri
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Swiss Institute of Allergy and Asthma Research (SIAF); Davos Switzerland
U. Darsow
Department of Dermatology and Allergy Biederstein; Technical University; Munich Germany
M. Deleuran
Department of Dermatology; Aarhus University Hospital; Aarhus Denmark
D. Dittlein
Institute of environmental medicine, UNIKA-T; Technical University and HelmholtzCenter; Munich Germany
H.-W. Duchna
Hochgebirgsklinik; Davos Switzerland
L. Eichenfeld
Rady Children's Hospital; San Diego School of Medicine; San Diego University of California; San Diego IL USA
K. Eyerich
Department of Dermatology and Allergy Biederstein; Technical University; Munich Germany
R. Frei
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Swiss Institute of Allergy and Asthma Research (SIAF); Davos Switzerland
C. Gelmetti
Unit of Dermatology and Pediatric Dermatology; Department of Pathophysiology and Transplantation; Fondazione IRCCS Cà Granda ‘Ospedale Maggiore Policlinico’; University of Milan; Milan Italy
U. Gieler
Department of Dermatology; University Medical Center; Giessen Germany
S. Gilles
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Institute of environmental medicine, UNIKA-T; Technical University and HelmholtzCenter; Munich Germany
M. Glatz
Allergy Unit; Department of Dermatology; University Hospital; Zurich Switzerland
K. Grando
Allergy Unit; Department of Dermatology; University Hospital; Zurich Switzerland
J. Green
Private Educational Consultant, Professional; Resource Network, Inc.; Chapel Hill NC USA
J. Gutermuth
Department of Dermatology; University of Brussels; Brussels Belgium
E. Guttman-Yassky
Dermatology Department; Icahn School of Medicine at Mount Sinai; New York NY USA
J. Hanifin
Oregon Health and Science University; Portland OR USA
D. Hijnen
Department of Dermatology; University Medical Center; Utrecht The Netherlands
W. Hoetzenecker
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Allergy Unit; Department of Dermatology; University Hospital; Zurich Switzerland
A. Irvine
Department of Dermatology; Our Lady's Children's Hospital Crumlin; Dublin Ireland
A. Kalweit
Hochgebirgsklinik; Davos Switzerland
N. Katoh
Department of Dermatology; Kyoto Prefectural University of Medicine; Kyoto Japan
E. Knol
Department of Immunology and Department of Dermatology/Allergology; University Medical Center Utrecht; Utrecht The Netherlands
H. Koren
Environmental Health; LLC; Durham NC USA
M. Möhrenschlager
Hochgebirgsklinik; Davos Switzerland
D. Münch
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
N. Novak
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Department of Dermatology and Allergy; University Bonn; Bonn Germany
L. O'Mahony
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Swiss Institute of Allergy and Asthma Research (SIAF); Davos Switzerland
A. S. Paller
Departments of Dermatology and Pediatrics; Northwestern University Feinberg School of Medicine; Chicago IL USA
C. Rhyner
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Swiss Institute of Allergy and Asthma Research (SIAF); Davos Switzerland
C. Roduit
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Children's Hospital of Eastern Switzerland; St. Gallen Switzerland
University of Zurich; Zurich Switzerland
K. Schiesser
Allergy Unit; Department of Dermatology; University Hospital; Zurich Switzerland
J. Schröder
Department of Dermatology; University Hospital Schleswig-Holstein; Kiel Germany
D. Simon
Department of Dermatology; Inselspital; University Hospital; Bern Switzerland
H.-U. Simon
Institute of Pharmacology; University of Bern; Bern Switzerland
M. Sokolowska
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Swiss Institute of Allergy and Asthma Research (SIAF); Davos Switzerland
P. Spuls
Academic Medical Centre; University of Amsterdam; Amsterdam The Netherlands
J.-F. Stalder
Department of Dermatology; University of Nantes; Nantes France
D. Straub
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Z. Szalai
Department of Dermatology; Heim Pal Children's Hospital Budapest; Budapest Hungary
A. Taieb
Department of Dermatology; University of Bordeaux; Bordeaux France
R. Takaoka
Department of Dermatology; University of Sao Paulo School of Medicine; SaoPaulo Brazil
G. Todd
Department of Medicine; Faculty of Health Sciences; University of Cape Town; Cape Town South Africa
A. Todorova
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
University of Zurich; Zurich Switzerland
C. Vestergaard
Department of Dermatology; Aarhus University Hospital; Aarhus Denmark
T. Werfel
Department of Dermatology; Hannover Medical School; Hannover Germany
A. Wollenberg
Department of Dermatology; University of Ludwigs-Maximilians; Munich Germany
J. Ring
Christine Kühne - Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St. Gallen-Zürich; Davos Switzerland and Germany
Hochgebirgsklinik; Davos Switzerland
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55
Peters EM
. Gestresste Haut? - Aktueller Stand molekularer psychosomatischer Zusammenhänge und ihr Beitrag zu Ursachen und Folgen dermatologischer Erkrankungen.
J Dtsch Dermatol Ges
2016. [DOI:
10.1111/ddg.12957_g
]
[
Citation(s) in
RCA
: 1
]
[
Impact Index Per Article: 0.1
]
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[Indexed: 11/29/2022]
Abstract
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Affiliation(s)
Eva M.J. Peters
Psychoneuroimmunologie Labor, Klinik für Psychosomatik und Psychotherapie; Justus Liebig Universität; Gießen
CharitéCenter 12 (CC12) für Innere Medizin und Dermatologie Universitätsmedizin - Charité; Berlin
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56
Allergie und Psychosomatik.
ALLERGOLOGIE
2016. [DOI:
10.1007/978-3-642-37203-2_42
]
[
Citation(s) in
RCA
: 2
]
[
Impact Index Per Article: 0.3
]
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[Indexed: 12/30/2022]
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