Clinical and psychological characteristics of patients with psoriasis reporting various frequencies of pruritus

Janowski, Konrad; Steuden, Stanisława; Bogaczewicz, Jarosław

doi:10.1111/ijd.12074

Cited by 27 publications

(25 citation statements)

References 41 publications

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“…To our knowledge, no previous study has yet examined the relationship between pruritus intensity and personality profile in psoriasis, as assessed by a more extensive structured personality inventory like the SSP-scale. Janowski et al (44) recently used the NEO-Five Factor Inventory, and did not find any significant associations between basic personality traits and pruritus in 174 patients with psoriasis. Yet certain personality characteristics, such as high self-consciousness and aggressive traits, were recently identified as predictors of experimentally induced scratching in patients with atopic dermatitis (30).…”

Section: Discussionmentioning

confidence: 98%

Pruritus in Psoriasis: A Study of Personality Traits, Depression and Anxiety

Remröd¹,

Sjöström²,

Svensson³

2015

Acta Derm Venerol

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Pruritus intensity is often not proportional to disease severity in patients with psoriasis or other pruritic dermatoses. Increasing evidence indicates that psychological factors may play an important role in the overall aetiology of pruritus. The aim of this study was to examine whether patients with psoriasis and severe pruritus differ psychologically from those with mild pruritus. In this study of 101 patients with plaque psoriasis, those with severe pruritus reported significantly higher scores for both depression and anxiety. Using the Swedish universities Scales of Personality, 4 personality traits were significantly associated with severe pruritus: Somatic trait anxiety, Embitterment, Mistrust, and Physical trait aggression. These results indicate that patients with psoriasis and severe pruritus might have a more vulnerable psychological constitution. This suggests important opportunities for clinicians to identify patients who could benefit from psychological interventions.

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Section: Discussionmentioning

confidence: 98%

Pruritus in Psoriasis: A Study of Personality Traits, Depression and Anxiety

Remröd¹,

Sjöström²,

Svensson³

2015

Acta Derm Venerol

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“…Where the psoriatic lesions are located may be related to pruritus. One study found less frequently reported itching when the lesions could be covered by clothing, and more frequently reported itching when the lesions were more visible; the authors proposed that the more frequent pruritus might have been attributed to increased psychosocial stress associated with visible lesions (see next section) . Seasonal changes may also affect the severity of itching, as some patients may have worse itching during the winter than in the warmer months .…”

Section: Clinical Manifestations Of Itch In Psoriasismentioning

confidence: 99%

“…Some patients may even resort to extreme coping strategies (e.g. viewing the disease as a ‘threat’) as a result of contending with frequent episodes of itch . Patients with pruritus seemed to be more depressive than those without itch, as manifested by a positive correlation between itch intensity and Beck's Depression Inventory scores .…”

Section: Burden Of Itch In Psoriasismentioning

confidence: 99%

Itch: an under‐recognized problem in psoriasis

Elewski

Alexis

Lebwohl

et al. 2019

Acad Dermatol Venereol

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Psoriasis has historically been considered a nonpruritic dermatosis, in contrast with atopic dermatitis. Thus, itch has often been underappreciated and overlooked in psoriasis. However, increasing evidence over the past decade has shown that itch can be one of the most prevalent and burdensome symptoms associated with psoriasis, affecting almost every patient to some degree. Itch can involve the entire body, although it predominantly affects the legs, hands, back, body and especially the scalp. Uncontrolled itch can significantly impact all aspects of the well‐being and quality of life of the patient. While there has been some progress in trying to better understand the pathophysiology of itch in psoriasis, more research effort and interest are needed. This under‐recognition of itch in psoriasis is clearly reflected in the dearth of treatment options targeting itch despite significant advancement in treating the lesions themselves. Recently, however, clinical studies have begun to include itch as a study outcome. The resulting data have demonstrated concomitant antipruritic benefits and improved Psoriasis Area and Severity Index (PASI) scores with mainstay treatments for psoriasis, such as topical corticosteroids and vitamin D analogs, phototherapies, and various systemics and biologics. This article takes a closer look at this debilitating symptom, reviewing the available epidemiology data for psoriatic itch, presenting the current understanding of psoriatic itch pathophysiology and highlighting important clinical data for various treatment options for itch. Practical considerations for increasing the recognition of itch as well as improving its management in psoriasis are also provided.

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“…Simultaneously, the same texts provide information about the psychological aspects of dermatological conditions, psychological stress experienced by the affected individuals, the role of emotions or the need of psychotherapy. In addition, most scientific publications are written on the basis of the psychological method; alternatively, publications containing, as one of the key words, the notion of psychodermatology are written with the participation of psychologists, or by the latter themselves (among others, Basińska & Woźniewicz, 2012;Basińska & Szymańska, 2013;Janowski, Steuden, & Bereza, 2014;Janowski, Steuden, & Bogaczewicz, 2014;Miniszewska, Juczyński, Ograczyk, & Zalewska, 2013;Miniszewska, Chodkiewicz, Ograczyk, & Zalewska, 2013).…”

Section: Introductionmentioning

confidence: 99%

Psychodermatology from the perspective of a psychologist

Miniszewska¹

2015

Health Psychology Report

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The development of psychosomatics and health psychology contributed to the holistic perception of a patient, and therefore to the origin of psychodermatology. Psychodermatology is a relatively young field of knowledge, which stemmed from dermatology, psychiatry and psychology. The aim of the present article is to: 1) characterize the issues of psychodermatology and systematize knowledge about it, 2) determine the role of psychology in this interdisciplinary field of knowledge, and 3) draw attention to those aspects of psychodermatology which psychology is particularly focused on. key words psychodermatology; psychological aspects of dermatological diseases; adaptation to a dermatological disease

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Clinical and psychological characteristics of patients with psoriasis reporting various frequencies of pruritus

Abstract: The findings emphasize the importance of pruritus in the majority of psoriasis patients and its significant association with compromised quality of life, older age, greater psoriasis severity, and a specific pattern of psychological responses to stress.

Cited by 27 publications

References 41 publications

Pruritus in Psoriasis: A Study of Personality Traits, Depression and Anxiety

Pruritus in Psoriasis: A Study of Personality Traits, Depression and Anxiety

Itch: an under‐recognized problem in psoriasis

Psychodermatology from the perspective of a psychologist

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