Skin Barrier Recovery is not Associated with Self-Perceived Stress

Benham, Grant

doi:10.1002/smi.2640

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…Despite studies reporting correlations between stress or unhappiness and epidermal barrier function changes, Benham argues that skin barrier recovery is not associated with the Perceived Stress Scale . In a case–control study utilizing a behavioural survey, self‐perceived stress did not significantly correlate with skin barrier recovery among high‐stress and low‐stress women .…”

Section: Social and Marital Stressmentioning

confidence: 92%

The impact of stress on epidermal barrier function: an evidence‐based review

Maarouf

Yosipovitch

et al. 2019

Br J Dermatol

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Summary Background The epidermal barrier functions to limit skin infection and inflammation by inhibiting irritant and immunogen invasion. Abundant evidence suggests that psychological stress stemming from crowding, isolation, nicotine smoking, insomnia, mental arithmetic tasks, physical pain, real‐life stressors (examinations and marital strain) and lack of positive personality traits may impart both acute and chronic epidermal dysfunction. Objectives To review the relationship between stress and epidermal barrier dysfunction. Methods A review of the PubMed and Embase databases was conducted to identify all English‐language case–control, cross‐sectional and randomized control trials that have reported the effect of stress on epidermal barrier function. The authors’ conclusions are based on the available evidence from 21 studies that met the inclusion and exclusion criteria. Results Psychological stressors upregulate the hypothalamic–pituitary–adrenal axis to stimulate local and systemic stress hormone production. This ultimately leads to aberrant barrier dysfunction, characterized by decreased epidermal lipid and structural protein production, decreased stratum corneum hydration and increased transepidermal water loss. Conclusions This evidence‐based review explores the adverse effects of psychological stressors on epidermal barrier function. Future investigations using more real‐life stressors are needed to elucidate further their impact on skin physiology and identify practical stress‐relieving therapies that minimize and restore epidermal barrier dysfunction, particularly in at‐risk populations. What's already known about this topic? The literature reports the negative effect of stress on prolonged wound healing. Less is known about the relationship between stress and epidermal barrier dysfunction, a chronic, superficial wound involving the upper epidermal layers. What does this study add? Psychological stressors impact epidermal barrier function by activating the hypothalamic–pituitary–adrenal axis to stimulate local and systemic stress hormone production. Stress hormones negatively affect the epidermal barrier by decreasing epidermal lipids and structural proteins, decreasing stratum corneum hydration and increasing transepidermal water loss. Identification of such stressors can promote stress‐avoidance and stress‐reduction behaviours that protect epidermal barrier function and prevent certain dermatological conditions.

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Section: Social and Marital Stressmentioning

confidence: 92%

The impact of stress on epidermal barrier function: an evidence‐based review

Maarouf

Yosipovitch

et al. 2019

Br J Dermatol

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“…Fukuda et al ( 2015 ) found an association between psychological stress, measured as salivary α-amylase and chromogranin A, and impaired SC and recovery after tape striping. The result could not be confirmed in a similar study by Benham ( 2016 ) who used self-reported stress (PSS) to assess stress. One possible explanation for the different results could be a difference in severity of created skin damage between the studies.…”

Section: Discussionmentioning

confidence: 76%

Skin sensitivity to capsaicin, perceived stress and burn out among patients with building-related symptoms

Glas

Claeson

2021

Int Arch Occup Environ Health

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Objective The mechanisms behind building-related symptoms have remained unknown despite many years of research. It is known that environmental and psychosocial factors are of importance. Some receptors in the Transient Receptor Potential family elicit the same symptoms when stimulated, as reported by those suffering from building-related symptoms. The aim of this study was to compare capsaicin sensitivity between people with and without skin symptoms. A second aim was to investigate perceived stress among individuals with different levels of capsaicin sensitivity. Methods People referred to an occupational health care unit and judged to have building-related symptoms by a physician answered a questionnaire regarding their symptoms. Solutions with different capsaicin concentrations were applied to participants’ nasolabial folds. Self-reported stress and burnout were assessed using two questionnaires: the Perceived Stress Scale (PSS) and the Shirom-Melamed Burnout Questionnaire (SMBQ). Results We found that people who reported facial erythema or itching, stinging, tight or burning facial skin were more sensitive than those without symptoms and similarities with Sensitive Skin are discussed. We also found that participants who reacted to the lowest capsaicin concentrations scored significantly higher on scales for stress and burnout. Conclusions We found associations between sensitivity to capsaicin and skin symptoms among people with building-related symptoms, as well as associations between capsaicin sensitivity and perceived stress/burnout.

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“…This study demonstrated that women who were classified as good sleepers according to the Pittsburgh Sleep Quality Index questionnaire presented fewer signs of intrinsic skin ageing, a greater rate of recovery from erythema after solar-simulating radiation and a 30% greater barrier recovery in comparison to those considered as poor sleepers (OyetakinWhite et al, 2015). Moreover, another study found that SPS was not associated with skin barrier recovery, so that no significant differences on skin barrier recovery were found between the low and high SPS groups (Benham, 2015). However, when evaluating the self-reported sleep duration they found a positive correlation with skin barrier recovery.…”

Section: To the Editormentioning

confidence: 92%

“…However, when evaluating the self-reported sleep duration they found a positive correlation with skin barrier recovery. This result demonstrated that sleep debt could slow skin barrier recovery and better explain their results (Benham, 2015).…”

Section: To the Editormentioning

confidence: 94%