Psoriasis is a challenging and frustrating disease for both patients and physicians. Patients may doubt the efficacy of the treatment or have concerns over adverse effects. Physician measures to promote patient adherence are equally as important as their role in establishing the diagnosis and prescribing the right treatment. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. Quality of life and psychosocial aspects in Greek patients with psoriasis: a cross-sectional study. Psoriasis is a common, long-term skin disease associated with high levels of psychological distress and a considerable adverse impact on life. Anxiety and depression can worsen the condition or cause resistance to treatment. Physicians should show understanding toward psoriatic patients because they are not only frustrated with the disease, but also with the level of care they usually receive or have received in the past.
Background Psoriasis can have a profound impact on a patient’s quality of life. Many patients with psoriasis, particularly those with severe disease, are frustrated with the management of their disease and by the perceived ineffectiveness of their therapies. Psoriatic arthritis was reported to have been diagnosed by a physician in 31 of respondents. Overall, mail-survey respondents in the 18- to 34-year age range and the 35- to 54-year age range reported a greater impact of psoriasis on psychosocial aspects of their lives than respondents 55 years and older. It’s a lot easier, he says, to assess a patient’s physical condition and write a script. When it comes to treating and managing psoriasis patients, ignoring the psychosocial aspect is akin to ignoring the elephant in the room. Researchers have found the psychosocial effects of psoriasis can equal those experienced with heart failure or cancer. 63 percent revealed the skin disease impacts their overall emotional well-being. Skin diseases can be difficult to cope with and have a big psychological impact on patients. Patients with eczema, vitiligo or psoriasis face embarrassment, worry and depression.
It further describes physician’s role in the psoriasis management to improve patients’ overall well-being. These studies have highlighted the need for psychosocial strategies in treating patients with psoriasis and helping them to improve their overall QoL. Psoriasis patients may feel humiliated when they need to expose their bodies during swimming, intimate relationships, using public showers, or living in conditions that do not provide appropriate privacy 24. Out of 3000 known skin diseases, Psoriasis alone affects millions of people worldwide. The relationship between psoriasis and psychosocial stress is complex. Alisha Bridges remembers the frustration of trying to share with her dermatologist what it was like to live with psoriasis. Bridges, an Atlanta resident who was diagnosed with psoriasis at age 7 and who has seen a number of doctors over the years, said she now sees a physician who is supportive and who truly cares about her everyday life living with the disease. That is critical, because patients with psoriasis can be affected in dramatically different ways. Abby Jacobson, a physician assistant at Family Dermatology of Reading, Pennsylvania, agreed, saying patients often keep certain aspects of their disease to themselves, disqualifying their concerns or dismissing them as unimportant.
Psychophysiologic disorders (e.g., psoriasis and eczema) are associated with skin problems that are not directly connected to the mind but that react to emotional states, such as stress. Most psychodermatologic disorders can be treated with anxiety-decreasing techniques or, in extreme cases, psychotropic medications. Am Fam Physician. Understanding the psychosocial and occupational context of skin diseases is critical to the optimal management of psychodermatologic disorders. If a patient’s anxiety disorder warrants psychiatric referral, the referral should be discussed with the patient in a supportive and diplomatic way so that the patient is able to accept the referral as an adjunct to continuing dermatologic therapy. Many of the IBD symptoms experienced by patients may be due to stress-induced changes in gastrointestinal (GI) function. Psychological stress can also increase intestinal permeability, probably as a result of alterations in the cholinergic nervous system and mucosal mast cell function 21. Pain, fatigue, and other physical symptoms. Simply living with pain and other symptoms every day can wear you down. Emotionally, this can lead to frustration and feelings of hopelessness. Psoriasis is a chronic, inflammatory, immune mediated skin disorder with extensive ongoing research dedicated to therapies that target specific pathways and immune mediators. In addition to the clinical symptoms, patients may suffer from the psychological aspects of having a skin disease, which causes difficulty in performing activities of daily living as well as a feeling of being contagious to other people. Patients will express their frustration with their current antifungal therapy and most likely not consider the possibility of psoriasis occurring on the feet. When considering a topical treatment regimen, the physician should first consider the severity of the presentation (acute, subacute or chronic), how much of the patient’s activities of daily living are compromised, and the symptoms (i.