Stress and psoriasis

Rousset, L.; Halioua, Bruno

doi:10.1111/ijd.14032

Cited by 100 publications

(78 citation statements)

References 126 publications

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“…It is estimated that 31% to 88% of patients report stress as a trigger for their psoriasis. 24,25 In our patients, 40.3% reported that stress was a precipitating factor. This percentage is comparable to that in data from China (34.5%) and Malaysia (48.3%) but is much lower than that reported in Maghreb (79.4%).…”

Section: Discussionmentioning

confidence: 53%

Clinical and epidemiologic features of psoriasis patients in an Egyptian medical center

et al. 2020

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Background: Identification of epidemiologic and phenotypic variations of psoriasis among different ethnic groups can further our understanding of this perplexing disease, aiming at better management of patients worldwide. Objective: To provide a descriptive analysis of psoriasis patients registered at Kasr Al-Ainy Psoriasis Unit Disease Registry. Methods: This retrospective single-center registry study included patient records between November 2015 and November 2018 (2534 patients). Sociodemographic and phenotypic data were analyzed. Results: The mean age of the registered patients was 39.3 years and 56.3% were men. Stress was the main precipitating factor (48.3%), whereas the most common symptom reported was itching (82.4%). The median body mass index was 27.5, and the median percentage of body surface area involved was 10.0. The mean Psoriasis Area Severity Index score was 8.7, and the mean Psoriasis Disability Index score was 13.0. Both parameters correlated positively, and both showed significantly higher means in smokers. Limitations: Despite that the study was performed at a highly specialized tertiary care center with a high flow of patients, this was still a single-center registry. Conclusions: This work shows that the characteristics of Egyptian patients with psoriasis are comparable to those of other studied ethnic groups, with minor differences.

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Section: Discussionmentioning

confidence: 53%

Clinical and epidemiologic features of psoriasis patients in an Egyptian medical center

et al. 2020

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“…Among patients with moderate‐to‐severe psoriasis who took part in a study by Gupta et al ., 20 26% reported that they had experienced at least one episode in a month where ‘people made a conscious effort not to touch them’ as a result of the visible presence of psoriasis. Furthermore, stress has been shown to be a trigger for both psoriasis onset and exacerbation 21 . In one study, 88% of patients linked psychologic stress to exacerbation of their disease and 68% of patients reported that they had experienced a psychologically stressful life event in the 3 months prior to the onset of psoriasis 22 …”

Section: Discussionmentioning

confidence: 99%

Global burden of psoriasis – comparison of regional and global epidemiology, 1990 to 2017

et al. 2020

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Background Psoriasis is a common disease that has not only cutaneous manifestations but also causes significant systemic illness and disability. Most epidemiological studies on the burden of psoriasis that are available in literature are regional, and thus a detailed description of the worldwide burden of psoriasis is warranted.Methods We analyzed the prevalence, incidence, disability adjusted life years (DALY), and years lived with disability (YLD) related to psoriasis for the period 1990 to 2017, from the Global Burden of Disease dataset (developed by the Institute of Health Metrics, University of Washington). We also searched the PubMed MEDLINE for quality of life and economic burden of psoriasis for a comprehensive evaluation of the burden of psoriasis.Results In 2017, the global age-standardized prevalence rate of psoriasis was 811 per 100,000 population, approximating to 0.84% of world population or about 64.6 million individuals. The incidence of new cases increased from 92 per 100,000 in 1990 to 99 in 2017. The highest rates were recorded in North America and Western Europe, while the lowest rates were found in Asia and Western Pacific regions. The age distribution shows a rising rate of incidence from the second decade, peaking at 55-60 years. Women are slightly more likely to be affected. ConclusionsThe global incidence of psoriasis has been rising over the last three decades. The burden of the economic and psychosocial suffering caused by psoriasis calls for resource allocation and a multidisciplinary approach to address this common medical condition. Key MessageThe prevalence, incidence, and the burden of suffering caused by psoriasis have been rising over the past 17 years, despite efforts at improving diagnosis and treatment.

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“…The authors postulated that stress contributed significantly 7 to disease impact and, in fact, even greater than the visibility of disease itself. 7 Furthermore, the stress resulting from perceived stigma may be a trigger for psoriasis exacerbation, 36 and the relationship between stigma and psoriasis flares can become a vicious, perpetual cycle, highlighting the pervasiveness of stigma. Indeed, in studies of weight stigma, anticipated stigma, particularly, has been shown increase markers of cardiovascular reactivity (ie, higher blood pressure) and therefore contribute to cardiovascular disease.…”

Section: Discussionmentioning

confidence: 99%

Anticipated and Perceived Stigma Among Patients With Psoriasis

Wan

Pearl

Fuxench

et al. 2020

Journal of Psoriasis and Psoriatic Arthritis

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Background: Perceived stigma among patients with psoriasis (PWP) is associated with poorer quality of life. Objective: To determine the prevalence and predictors of stigmatizing attitudes that PWP expect and experience from others. Methods: We conducted a survey using validated outcome measures to assess the extent to which PWP anticipate and perceive stigma from others. Demographic and clinical characteristics were obtained from electronic medical records. Results: Patients (n = 106) were 48.11% female, 70.75% white, and had a mean age ± SD of 47.90 ± 16.19 years old. Of all, 25.47% self-reported their psoriasis as severe. Mean physician global assessment score ± SD was 2.98 ± 1.81. Two-thirds (66.98%) of patients reported that, in response to seeing their psoriasis-affected skin, they anticipated others to stereotype them as “contagious.” Linear regression analyses demonstrated that patient-reported severe psoriasis, compared to mild psoriasis, was associated with greater anticipation of negative stereotypes, social avoidance, and perceived stigma from others ( P values < .05). Physician-measured body surface area and global assessment scores were not significantly associated with any outcome. Conclusion: Prevalence of anticipated and perceived stigma among PWP is high. Our results suggest that objective measures of severity may not identify patients at risk of stigma-related distress. Additional methods, such as directly inquiring about stigmatizing experiences, may be needed.

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Stress and psoriasis

Cited by 100 publications

References 126 publications

Clinical and epidemiologic features of psoriasis patients in an Egyptian medical center

Clinical and epidemiologic features of psoriasis patients in an Egyptian medical center

Global burden of psoriasis – comparison of regional and global epidemiology, 1990 to 2017

Anticipated and Perceived Stigma Among Patients With Psoriasis

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