Digital Media, Acne Dysmorphia and Social Anxiety: The Emerging "Filter Dysmorphia" Epidemic (2025)

Type of publication:

Conference abstract

Author(s):

*Mehra S.

Citation:

Turkish Journal of Dermatology. Conference: 21st Congress of the European Society for Dermatology and Psychiatry and 1st World Congress of Psychodermatology. Istanbul Turkey. 19(1 Supplement 1) (pp 153), 2025. Date of Publication: 01 May 2025.

Abstract:

Aim: The increasing prevalence of social media has contributed to heightened appearance-related anxiety and unrealistic beauty standards, leading to a phenomenon known as "filter dysmorphia". This abstract explores existing literature on the impact of digital media on acne dysmorphia, social anxiety, and dermatological self-perception. Material(s) and Method(s): A literature review was conducted on studies examining the psychological impact of social media exposure on skin-related concerns. Research on acne dysmorphia, social anxiety disorder, and the influence of digital filters on self-image was analyzed. Result(s): Evidence suggests that excessive social media engagement correlates with increased acne-related anxiety, negative self-perception, and a higher likelihood of seeking unnecessary dermatological interventions. Filter dysmorphia appears to contribute to an increase in perceived acne severity, despite objective clinical findings remaining unchanged. Conclusion(s): Dermatologists should be aware of the psychological influence of digital media on patient self-perception and incorporate screening tools for acne dysmorphia and social anxiety in clinical practice. Future research should explore the role of media literacy programs and psychological interventions in mitigating the negative impact of digital media on dermatological concerns.

The Role of Psych Dermatology in Patients Undergoing Treatment for Autoimmune Bullous Dermatoses: A Neglected Domain (2025)

Type of publication:

Conference abstract

Author(s):

*Mehra S.

Citation:

Turkish Journal of Dermatology. Conference: 21st Congress of the European Society for Dermatology and Psychiatry and 1st World Congress of Psychodermatology. Istanbul Turkey. 19(1 Supplement 1) (pp 96), 2025. Date of Publication: 01 May 2025.

Abstract:

Aim: Autoimmune bullous dermatoses (ABD), including pemphigus vulgaris and bullous pemphigoid, are associated with significant physical and psychological distress. The chronic nature of these conditions, coupled with the adverse effects of long-term immunosuppressive treatment, places a considerable burden on mental health. This abstract reviews the role of psychodermatology in the holistic management of ABD patients and the need for integrated psychological support. Material(s) and Method(s): A literature review was conducted using PubMed and Scopus databases to analyze studies evaluating the psychological impact of ABD. Research on anxiety, depression, and quality-of-life measures in patients undergoing long-term immunosuppressive therapy was included. The review also assessed interventions such as psychotropic medications, cognitive-behavioral therapy, and patient support groups. Result(s): Findings indicate a high prevalence of psychiatric comorbidities among ABD patients, including depression (35%-50%) and anxiety (30%-45%). Psychological distress contributes to reduced treatment adherence and worsened disease prognosis. Evidence suggests that integrating psychodermatological care, including psychotherapy and psychiatric evaluation, improves patient-reported outcomes and treatment compliance. Conclusion(s): Despite the significant psychological burden in ABD patients, psychodermatology remains underutilized in their management. Future research should explore standardized screening for psychiatric distress in ABD and assess the long-term benefits of psychodermatological interventions. Dermatologists should consider integrating mental health support into routine care to enhance patient well-being.

Trichotillomania and Psychogenic Hair Loss: A Review of Integrated Treatment Strategies (2025)

Type of publication:

Conference abstract

Author(s):

*Mehra S.

Citation:

Turkish Journal of Dermatology. Conference: 21st Congress of the European Society for Dermatology and Psychiatry and 1st World Congress of Psychodermatology. Istanbul Turkey. 19(1 Supplement 1) (pp 96), 2025. Date of Publication: 01 May 2025.

Abstract:

Aim: Trichotillomania (TTM) and stress-related hair loss significantly impact quality of life and are often resistant to conventional dermatological treatments. Understanding the psychological mechanisms underlying compulsive hair-pulling and stress-induced alopecia is essential for improving patient outcomes. This abstract presents a review of literature on integrated treatment approaches for TTM and psychogenic alopecia. Materials and Methods: A literature review of PubMed and Cochrane databases was conducted, focusing on treatment modalities combining dermatological and psychological interventions. Studies assessing cognitive-behavioral therapy (CBT), mindfulness-based therapies, and pharmacological interventions for TTM were included. The review also examined adjunctive dermatological therapies such as low-level laser therapy and platelet-rich plasma. Result(s): Studies indicate that CBT and habit-reversal training are among the most effective psychological treatments for TTM. Emerging evidence suggests that mindfulness techniques and pharmacological agents, such as selective serotonin reuptake inhibitors, can complement dermatological therapies. Integrated management strategies, incorporating both psychiatric and dermatological interventions, show superior outcomes compared to monotherapy. Conclusion(s): Multimodal treatment approaches addressing both the psychological and dermatological aspects of TTM and psychogenic hair loss yield better patient outcomes. Dermatologists should consider collaborative care models incorporating psychiatric support to optimize treatment efficacy. Further research into novel therapeutic interventions is warranted.

Cosmetic Dermatology and Body Dysmorphic Disorder: A Clinical Review of Screening and Management Strategies (2025)

Type of publication:

Conference abstract

Author(s):

*Mehra S.

Citation:

Turkish Journal of Dermatology. Conference: 21st Congress of the European Society for Dermatology and Psychiatry and 1st World Congress of Psychodermatology. Istanbul Turkey. 19(1 Supplement 1) (pp 142), 2025. Date of Publication: 01 May 2025.

Abstract:

Aim: Body dysmorphic disorder (BDD) is a psychiatric condition with a significant impact on cosmetic dermatology. The increasing accessibility of aesthetic procedures has led to concerns regarding undiagnosed BDD in patients seeking cosmetic enhancements. This abstract explores the literature on the prevalence, screening methods, and management strategies for BDD in cosmetic dermatology settings. Material(s) and Method(s): A systematic review of literature from PubMed and Embase was conducted to evaluate validated screening tools for BDD in dermatological practice. Studies examining the psychological impact of aesthetic interventions on BDD patients were analyzed. The review also assessed proposed multidisciplinary management strategies incorporating psychiatry and dermatology. Result(s): Findings suggest that BDD is underdiagnosed in dermatology settings, with prevalence rates ranging between 9-15% in cosmetic patients. Psychological distress often worsens post-intervention in untreated BDD cases. Screening tools such as the BDD Questionnaire and structured psychiatric assessments can improve early detection. Multidisciplinary collaboration between dermatologists and mental health professionals is essential for optimizing patient outcomes and preventing unnecessary procedures. Conclusion(s): Recognizing BDD in cosmetic dermatology is crucial to avoid worsening psychological distress in vulnerable patients. Implementing routine screening and referral pathways for psychiatric assessment can improve patient care. Future research should focus on standardized screening protocols and therapeutic interventions tailored to dermatology patients with suspected BDD.

Impact of surgical timing on wound complications following ankle fracture fixation: A 22-year retrospective cohort study (2026)

Type of publication:

Journal article

Author(s):

Zahra, Wajiha; Gomaa, Abdul-Rahman; Babatunde, Jubril; Seifo, Mina; *Cool, Paul; *Pickard, Simon.

Citation:

Journal of Clinical Orthopaedics & Trauma. 76:103405, 2026 May.

Abstract:

Background: Ankle fractures are common injuries, with a significant proportion requiring surgical intervention. Despite established treatment principles, the optimal timing for open reduction and internal fixation (ORIF) remains debated. Concerns regarding wound infection risk have led some surgeons to delay fixation, while others advocate for early intervention. This study aimed to assess the impact of surgical timing on postoperative wound infections.

Methods: A retrospective review was conducted on 1130 patients with surgically treated closed ankle fractures at a single institution between 2000 and 2022. Patients were categorised into three groups based on time to surgery: Early (<48 h), Intermediate (48 h to 5 days), and Delayed (>5 days) with timing determined pragmatically according to soft-tissue condition, theatre availability, and both surgeon and patient preference. Postoperative complications, including superficial and deep wound infections, were recorded. The chi-squared test was used to assess associations between surgical timing and infection rates.

Results: There was no significant association between surgical timing and the incidence of superficial wound infections (p = 0.274). However, a significant difference was observed in deep wound infection rates (p = 0.014). Diabetes, particularly Type 1, was significantly associated with both superficial (p < 0.001) and deep infections (p = 0.019). Patients over 60 years had an increased risk of superficial infections (p = 0.016) but not deep infections (p = 0.261). Superficial wound infections required longer hospital stay (p < 0.001) due to the need for intravenous antibiotics and monitoring purposes, while the number of procedures significantly correlated with both superficial (p < 0.001) and deep infections (p < 0.001).

Conclusion: In this study, the timing to surgery did not influence postoperative superficial wound infection rates following ORIF for ankle fractures. However, differences were observed in deep wound infection rates. Patient-related factors including diabetes and age are predictors of wound complications. Length of hospital stay was longer in patients with infections.

Level of evidence: IV.

DOI: 10.1016/j.jcot.2026.103405

Link to full-text [open access - no password required]

Hub Optimisation Week (2026)

Type of publication:

Service improvement case study

Author(s):

*Rebekah Tudor

Citation:

SaTH Improvement Hub, June 2026

SMART Aim:

Improve elective theatre performance during GIRFT Optimisation Week (11–15 May 2026) by increasing cases per list, reducing cancellations to <4%, minimising delays in start times, and achieving >85% utilisation, while measuring additional patients treated.

Link to PDF poster

Improving the Obstetrics & Gynaecology Induction Process (2026)

Type of publication:

Service improvement case study

Author(s):

*Alessandra Fraser-Pye, *Isabel Barber-Chavez, *Emily Drage

Citation:

SaTH Improvement Hub, May 2026

SMART Aim:

Improve the induction process for Obstetric & Gynaecology for medical colleagues by the 31st May 2026 as evidenced by an increase in self rated job confidence via a survey of the Tier 1 doctors.

Link to PDF poster

Improving the Quality of Referrals to the Therapies Teams in Acute Medicine (2026)

Type of publication:

Service improvement case study

Author(s):

*Nikita Gore

Citation:

SaTH Improvement Hub, May 2026

SMART Aim:

To increase the percentage of referrals to the therapy department from the Acute Floor that include a reason for referrals by 30% by 29th May 2026

Link to PDF poster

Reducing Avoidable Term Admissions to Neonatal Unit (NNU) for Jaundice treatment (2026)

Type of publication:

Service improvement case study

Author(s):

*Jo Kench

Citation:

SaTH Improvement Hub, July 2026

SMART Aim:

To reduce the number of avoidable admissions to the NNU for babies being treated for Jaundice (Q1/Q2 data from 4.2 % ) to 0% by end of Q3 (31st December 2025) using the audit from ATAIN proforma reviews.

Link to PDF poster