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[Psoriasis and depression].

A Chamoun, L Goudetsidis, F Poot

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    Psoriasis patients frequently experience psychological distress, including depression and anxiety, impacting their quality of life. Early recognition and management of this suffering are crucial for improving patient outcomes.

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    Area of Science:

    • Dermatology
    • Psychiatry
    • Public Health

    Context:

    • Psoriasis affects 2-5% of the population in industrialized nations.
    • Psychiatric comorbidities are common in dermatological conditions, with psoriasis patients experiencing an estimated 30% comorbidity rate.
    • The link between psoriasis and depression is biologically established, significantly impacting patients' quality of life (QoL).

    Purpose:

    • To review the literature on the psychological distress associated with psoriasis.
    • To highlight the under-recognition and under-management of psychological suffering in psoriasis patients by dermatologists.
    • To propose a method for better management of psychological distress in psoriasis patients.

    Summary:

    • Psychological distress, including depression (10-62% prevalence) and anxiety, is prevalent in psoriasis patients, independent of clinical symptom severity.
    • Patients report stigmatization as a primary QoL issue.
    • Early-life onset of psoriasis can significantly affect personality development and psychological morbidity.

    Impact:

    • Emphasizes the need for dermatologists to identify and address psychological suffering in psoriasis patients.
    • Suggests that current treatments do not alleviate psychological distress, coping mechanisms, or self-perception.
    • Highlights the importance of early intervention for young people with psoriasis to mitigate long-term psychological effects.