Conflicts of interest: None.
Stress and quality of life in psoriasis: an update
Article first published online: 23 JUN 2011
© 2011 The International Society of Dermatology
International Journal of Dermatology
Volume 50, Issue 7, pages 783–792, July 2011
How to Cite
Basavaraj, K. H., Navya, M. A. and Rashmi, R. (2011), Stress and quality of life in psoriasis: an update. International Journal of Dermatology, 50: 783–792. doi: 10.1111/j.1365-4632.2010.04844.x
- Issue published online: 23 JUN 2011
- Article first published online: 23 JUN 2011
Psoriasis is a chronic, relapsing, cutaneous condition with 1–2% prevalence in the general population. There are many factors involved in the induction and/or exacerbation of psoriasis of which stress is a well-known trigger factor in the appearance or exacerbation of psoriasis. Stress reaction in patients with psoriasis is probably mediated by the hypothalamic–pituitary–adrenal relationship with immunologic effects. Stress response involves increased levels of neuroendocrine hormones and autonomic neurotransmitters. Psychological stress or an abnormal response to stressors has been found to modify the evolution of skin disorders such as psoriasis. It can also have substantial psychological, and psychosocial impact on a patient’s quality of life. Treatment regimens include stress-reduction strategies, such as biofeedback, meditation, yoga, and self-help approaches. This review focuses the relationship between psoriasis and stress, especially relating to psychosocial, psychological, and emotional stress aspects.