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Psoriasis affects self-perception of stress negatively: A prospective, case-control study
Ezgi Aktaş Karabay1, Neslihan Fişek İzci1, Berna Aksoy1
1Department of Dermatology, Bahçeşehir University Faculty of Medicine, Istanbul, Turkey.
Dermatologic Therapy
|June 20, 2020
Summary
This study found higher perceived stress levels in psoriasis patients compared to controls. Managing stress may improve psoriasis treatment outcomes.
Area of Science:
- Dermatology
- Psychiatry
Background:
- Stress is a suspected factor in psoriasis development and worsening.
- Limited prospective research exists on the stress-psoriasis association.
Purpose of the Study:
- To assess perceived stress, depression, and anxiety in psoriasis patients.
- To compare these psychological profiles between patients and healthy controls.
Main Methods:
- 195 psoriasis patients and 114 controls were enrolled.
- Psoriasis severity was measured using body surface area and Physician Global Assessment (PGA).
- Validated questionnaires assessed Dermatology Life Quality Index, Perceived Stress Scale (PSS), Beck Depression Inventory, and Beck Anxiety Inventory.
Main Results:
- Psoriasis patients exhibited significantly higher PSS scores than controls.
- Patients with psoriasis showed higher perceived self-efficacy (PSE) scores.
- PSE scores positively correlated with PGA, indicating a link between self-efficacy and disease severity.
Conclusions:
- The findings support a significant role for stress in psoriasis.
- Identifying and managing stress is crucial for enhancing psoriasis treatment strategies.
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