Psoriasis and stress: A prospective study

Gaston, Louise; Lassonde, M.; Bernier-Buzzanga, J.; Hodgins, Sheilagh; Crombez, Jean-Charles

doi:10.1016/s0190-9622(87)70176-5

Cited by 92 publications

(56 citation statements)

References 20 publications

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“…We do not have a clear explanation. However, psoriasis has been found to be related to increased stress 23,24 and high intake of fatty foods, 25 which may play a role. The reasons for this excess mortality should be clarified.…”

Section: Methodsmentioning

confidence: 99%

Excess Mortality Related to Alcohol and Smoking Among Hospital-Treated Patients With Psoriasis

Poikolainen¹,

Karvonen²,

Pukkala³

1999

Arch Dermatol

179

173

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Section: Methodsmentioning

confidence: 99%

Excess Mortality Related to Alcohol and Smoking Among Hospital-Treated Patients With Psoriasis

Poikolainen¹,

Karvonen²,

Pukkala³

1999

Arch Dermatol

179

173

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“…Many studies have investigated possible links between the stress and the onset and exacerbation of psoriasis [1,2,3,4,5,6,7,8,9]. Stress appears to be the most powerful inducer of psoriatic rashes [2,3,4,5, 7, 9, 10].…”

Section: Introductionmentioning

confidence: 99%

Low Levels of Emotional Awareness Predict a Better Response to Dermatological Treatment in Patients with Psoriasis

et al. 2006

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Background: Personality and emotional factors are thought to influence the onset of psoriasis, the occurrence of relapses, and the sensitivity of this condition to dermatological treatments. Objective:To explore the relationships between emotional disorders and emotional information processing in the one hand, and psoriasis severity and response to treatment on the other. Methods: We recruited 93 patients through an article in the local press. These patients attended three consultations. We evaluated psoriasis severity by Psoriasis Area and Severity Index (PASI) score and response to treatment by change in PASI score from baseline to the 3-month visit. We screened for comorbid mental disorders, using the Mini International Neuropsychiatric Interview. We used the Hospital Anxiety and Depression Scale to assess anxiety and depressive symptoms. Alexithymia (difficulty in identifying and expressing emotions) was evaluated with the 26-item version of the Toronto Alexithymia Scale (TAS-26) and the ability to integrate and differentiate emotions (emotional awareness) was assessed with the Lane and Schwartz Levels of Emotional Awareness Scale (LEAS). Results: Forty patients presented at least one psychiatric diagnosis and 33 were considered alexithymic (TAS ≧73). No psychological score was associated with baseline PASI score, which was higher in men and positively correlated with disease duration. Patients who considered their disease to be stress-reactive tended to have lower LEAS scores (p = 0.052). At the 3-month visit, PASI scores had significantly improved in the subset of patients (n = 67) presenting severe psoriasis at inclusion (PASI >2); emotional awareness and anxiety scores had also improved in these patients (p < 0.001), but dermatological and psychological changes were not statistically related. Dermatological improvement at 3 months with respect to baseline PASI was predicted by longer disease duration (>20 years) and lower baseline LEAS score (p = 0.044 and p = 0.021, respectively). Conclusion: This study demonstrates the value of assessing the ability of patients with psoriasis to process emotional information, as defined by emotional awareness. Patients with low LEAS scores appear to be more reactive to stress, but also to be more responsive to treatment, suggesting the activation of a particular stress physiology by negative affective states that are not experienced.

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“…As mentioned in different studies, the higher prevalence of psychiatric morbidity found in psoriasis patients might be due to psychological stress related to onset and exacerbation of the disease reported by different authors [15][16][17] . Besides, there are increased levels of various neuropeptides i.e.…”

Section: Discussionmentioning

confidence: 81%

Psychiatric Morbidity in Psoriasis and Vitiligo in Two Tertiary Hospitals in Bangladesh

Rashid

Mullick

Jaigirdar

et al. 2011

Bangabandhu Sheikh Mujib Medical Univ J

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Abstract:Background: Many of the established skin diseases give rise to psychiatric disorders notably psoriasis and vitiligo. In Bangladesh, no study has yet been reported on psychiatric morbidity among psoriasis and vitiligo patients. Objectives: The objective of the study was to see the psychiatric morbidities in two chronic skin diseases, psoriasis and vitiligo, in Bangladesh. Methods: This was a cross sectional, analytical and comparative study. It was conducted to see whether psychiatric morbidity was higher among patients with psoriasis than that of vitiligo. Specific types of psychiatric disorders were identified by consultant psychiatrist assigned as per criteria of (Diagnostic and Statistical Manual for Mental and Behavioural Disorders-Fourth Edition)DSM-IV among 50 patients with psoriasis and same number of patients with vitiligo and were compared. Study places were the Departments of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH) in Dhaka city. Results: Among the two dermatological conditions, psychiatric disorders were found 25 (50%) in psoriatic patients and 12 (24%) that in vitiligo patients. The proportion of major depressive disorders (MDD) was higher among psoriasis patients 15(30.0%) compared to vitiligo patients 04(8.0%). However, no statistical difference was found between two groups of patients in terms of anxiety disorders (8% in psoriasis and 12% in vitiligo patients). In patients with psoriasis, MDD was found highest (30.0%) followed by anxiety disorders (8.0%), adjustment disorder (4.0%) and somatoform disorder not otherwise specified (2.0%). Whereas, among the vitiligo patients, anxiety disorder was found highest (12.0%) followed by MDD (8.0%). The Present study showed significant association of psychiatric morbidities in these two dermatological diseases (psoriasis and vitiligo) with the variables of the study population. Conclusion: It has been found in Bangladesh that the psychiatric morbidity is higher among the patients with psoriasis than vitiligo.

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Psoriasis and stress: A prospective study

Cited by 92 publications

References 20 publications

Excess Mortality Related to Alcohol and Smoking Among Hospital-Treated Patients With Psoriasis

Excess Mortality Related to Alcohol and Smoking Among Hospital-Treated Patients With Psoriasis

Low Levels of Emotional Awareness Predict a Better Response to Dermatological Treatment in Patients with Psoriasis

Psychiatric Morbidity in Psoriasis and Vitiligo in Two Tertiary Hospitals in Bangladesh

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