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O’Leary CJ et al (2004) Perceived stress, stress attributions and psychological distress in psoriasis

O'Leary CJ et al (2004) Perceived stress, stress attributions and psychological distress in psoriasis 1

Stress or psychological distress is often described as a causative or maintaining factor in psoriasis. Although stress has been recognised as an important factor within the field of psoriasis research, detailed investigations of psychological traits and clinical characteristics in relation to perceived stress-reactivity are rare. In accordance with our study and the O’Leary study, Fortune et al. J. Perceived stress, stress attributions and psychological distress in psoriasis. Major cause for psychopathology has been attributed to stress. O’Leary CJ, Creamer D, Higgins E, Weinman J. Perceived stress, stress attributions and psychological distress in psoriasis. J Psychosom Res. 2004;57:46571. R. Baughman and R. Sobel, Psoriasis: stress, and strain, Archives of Dermatology, vol. Text Book of Dermatology, Elsevier Health Sciences, 4th edition, 2004.

O'Leary CJ et al (2004) Perceived stress, stress attributions and psychological distress in psoriasis 2Watson PWB, Garety PA, Weinman J, Dunn G, et al. (2006). Emotional dysfunction in schizophrenia spectrum psychosis: The role of illness perceptions. O’Leary CJ, Creamer D, Higgins E, Weinman J. (2004). Perceived stress, stress attributions and psychological distress in psoriasis. Journal of Psychosomatic Research 57(5):465-71. Jonathan Nelson, Catherine O’Leary, John Weinman,, Causal Attributions in Parents of Babies With a Cleft Lip and/or Palate and Their Association With Psychological Well-Being, The Cleft Palate-Craniofacial Journal. Johansson and Ringsberg (2004) conducted a more general qualitative study looking at parents’ experiences of having a child with a CL/P. There has been a recent longitudinal study by Pope et al. Perceived stress, stress attributions and psychological distress in psoriasis. O’Leary CJ, Creamer D, Higgins E. et al. Perceived Stress, stress attributions and psychological distress in psoriasis. Journal of Psychosomatic Research 2004;

Those patients with stress as a precipitating factor showed worse physical disability scores. Fortune et al, found that patients with earlier age of onset had higher scores of PASI and PDI. O’Leary CJ, Creamer D, Higgins E, Weinman J. Perceived stress, stress attributions and psychological distress in psoriasis. Upon perception of psychological stress, the central stress response leads to the activation of the hypothalamic pituitary adrenal axis, which causes the release of corticotropin-releasing hormone (CRH), ACTH, and prolactin (PRL). 1976; Zouboulis and Bhm, 2004; Hadshiew et al., 2004; O’Leary et al., 2004). O’Leary et al., 2004; C.J. O’Leary, D. Creamer, E. Higgins, J. Weinman. Perceived stress, stress attributions and psychological distress in psoriasis. 16Sohn, S., Schoeffski, O., Prinz, J. et al, Cost of moderate to severe plaque psoriasis in Germany: a multicenter cost-of-illness study. Contributors to psychological distress in adults with psoriasis and atopic dermatitis. 68O’Leary, C.J., Creamer, D., Higgins, E., Weinman, J. Perceived stress, stress attributions and psychological distress in psoriasis.

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It’s usually taken as read that stress makes psoriasis worse but in actual fact there is very little research evidence to suggest that this is the case. A recent study by Berg et al (2008) used daily diaries to try and link stress to psoriasis flare-ups. O’Leary, C.J., Higgins, E. and Creamer, D., Weinman, J., (2004). Perceived Stress, Stress Attributions and Psychological Distress in Psoriasis. The onset or exacerbation of atopic dermatitis often follows stressful life events.4,5 Divorce or separation of parents and severe disease of a family member have been identified as particularly increasing risk. Bockelbrink A, Heinrich J, Schfer I, et al. 2004;5(1):3-8. 14. O’Leary CJ, Creamer D, Higgins E, Weinman J. Perceived stress, stress attributions and psychological distress in psoriasis.

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