Skip to main content

Dermatoses with Important Psychiatric and Social Co-Morbidities

  • Chapter
  • First Online:
The Essentials of Psychodermatology

Abstract

Chronic dermatologic disease with visible lesions may result in lifelong psychosocial distress among afflicted patients. In this chapter, we present factors that may result in certain individuals to develop psychiatric conditions like depression and anxiety, secondary to a dermatologic disease. Specific patient-centered contributors like body-image satisfaction, disease-related characteristics (size, appearance, chronicity), and external sociocultural aspects are discussed. Further, we delve into common psychiatric conditions resulting from primary dermatologic diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 89.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Picardi A, Abeni D, Melchi CF, Puddu P, Pasquini P. Psychiatric morbidity in dermatological outpatients: an issue to be recognized. Br J Dermatol. 2000;143(5):983–91.

    Article  CAS  Google Scholar 

  2. Beekman ATF. Anxiety disorders in old age: psychiatric comorbidities, quality of life, and prevalence according to age, gender, and country. Am J Geriatr Psychiatry. 2018;26(2):186–7.

    Article  Google Scholar 

  3. Kouris A, Platsidaki E, Kouskoukis C, Christodoulou C. Psychological parameters of psoriasis. Psychiatriki. 2017;28(1):54–9.

    Article  CAS  Google Scholar 

  4. Walker C & Papadopoulos L, editors. Psychodermatology: the psychological impact of skin disorders. New York: Cambridge University Press; 2005.

    Google Scholar 

  5. Loron AM, Ghaffari A, Poursafargholi N. Personality disorders among individuals seeking cosmetic Botulinum Toxin Type A (BoNTA) injection, a cross-sectional study. Eurasian J Med. 2018;50(3):164–7.

    Article  Google Scholar 

  6. Bienvenu OJ, Samuels JF, Costa PT, Reti IM, Eaton WW, Nestadt G. Anxiety and depressive disorders and the five-factor model of personality: a higher- and lower-order personality trait investigation in a community sample. Depress Anxiety. 2004;20(2):92–7.

    Article  Google Scholar 

  7. Allen TA, Carey BE, McBride C, Bagby RM, DeYoung CG, Quilty LC. Big five aspects of personality interact to predict depression. J Pers. 2018;86(4):714–25.

    Article  Google Scholar 

  8. Tomas-Aragones L, Marron SE. Body image and body dysmorphic concerns. Acta Derm Venereol. 2016;96(217):47–50.

    PubMed  Google Scholar 

  9. Gupta MA, Gupta AK. Evaluation of cutaneous body image dissatisfaction in the dermatology patient. Clin Dermatol. 2013;31(1):72–9.

    Article  Google Scholar 

  10. Gupta MA, Gupta AK, Knapp K. Dissatisfaction with cutaneous body image is directly correlated with insomnia severity: a prospective study in a non-clinical sample. J Dermatolog Treat. 2015;26(2):193–7.

    Article  Google Scholar 

  11. Gupta MA, Gupta AK. Cutaneous body image dissatisfaction and suicidal ideation: mediation by interpersonal sensitivity. J Psychosom Res. 2013;75(1):55–9.

    Article  Google Scholar 

  12. Gündüz A, Topçuoğlu V, Usta Gündüz EB, Ergun T, Gençosmanoğlu DS, Sungur MZ. Significant effects of body image on sexual functions and satisfaction in psoriasis patients. J Sex Marital Ther. 2020;46(2):160–9.

    Article  Google Scholar 

  13. Molina-Leyva A, Almodovar-Real A, Carrascosa JC, Molina-Leyva I, Naranjo-Sintes R, Jimenez-Moleon JJ. Distribution pattern of psoriasis, anxiety and depression as possible causes of sexual dysfunction in patients with moderate to severe psoriasis. An Bras Dermatol. 2015;90(3):338–45.

    Article  Google Scholar 

  14. Bae JM, Lee SC, Kim TH, et al. Factors affecting quality of life in patients with vitiligo: a nationwide study. Br J Dermatol. 2018;178(1):238–44.

    Article  CAS  Google Scholar 

  15. Fried RG, Friedman S, Paradis C, et al. Trivial or terrible? The psychosocial impact of psoriasis. Int J Dermatol. 1995;34(2):101–5.

    Article  CAS  Google Scholar 

  16. Gupta MA, Gupta AK. The psoriasis life stress inventory: a preliminary index of psoriasis-related stress. Acta Derm Venereol. 1995;75(3):240–3.

    CAS  PubMed  Google Scholar 

  17. Dimitrov D, Szepietowski JC. Stigmatization in dermatology with a special focus on psoriatic patients. Postepy Hig Med Dosw (Online). 2017;71(0):1115–22.

    Google Scholar 

  18. Hrehorów E, Salomon J, Matusiak L, Reich A, Szepietowski JC. Patients with psoriasis feel stigmatized. Acta Derm Venereol. 2012;92(1):67–72.

    Article  Google Scholar 

  19. Richards HL, Fortune DG, Griffiths CE, Main CJ. The contribution of perceptions of stigmatisation to disability in patients with psoriasis. J Psychosom Res. 2001;50:11–5.

    Article  CAS  Google Scholar 

  20. Hawro M, Maurer M, Weller K, et al. Lesions on the back of hands and female gender predispose to stigmatization in patients with psoriasis. J Am Acad Dermatol. 2017;76(4):648–654.e2.

    Article  Google Scholar 

  21. Goh C, Lane AT, Bruckner AL. Support groups for children and their families in pediatric dermatology. Pediatr Dermatol. 2007;24(3):302–5.

    Article  Google Scholar 

  22. Lu Y, Duller P, van der Valk PGM, et al. Helplessness as predictor of perceived stigmatization in patients with psoriasis and atopic dermatitis. Dermatol Psychosom. 2003;4:146–50.

    Article  Google Scholar 

  23. Aschenbeck KA, McFarland SL, Hordinsky MK, Lindgren BR, Farah RS. Importance of group therapeutic support for family members of children with alopecia areata: a cross-sectional survey study. Pediatr Dermatol. 2017;34(4):427–32.

    Article  Google Scholar 

  24. Wang J, Wu X, Lai W, et al. Prevalence of depression and depressive symptoms among outpatients: a systematic review and meta-analysis. BMJ Open. 2017;7(8):e017173.

    Article  Google Scholar 

  25. Lai YC, Yew YW, Kennedy C, Schwartz RA. Vitiligo and depression: a systematic review and meta-analysis of observational studies. Br J Dermatol. 2017;177(3):708–18.

    Article  CAS  Google Scholar 

  26. Hu SC, Chen GS, Tu HP. Epidemiology of depression in patients with psoriasis: a nationwide population-based cross-sectional study. Acta Derm Venereol. 2019;99(6):530–8.

    Article  Google Scholar 

  27. McDonald K, Shelley A, Jafferany M. The PHQ-2 in dermatology-standardized screening for depression and suicidal ideation. JAMA Dermatol. 2018;154(2):139–41.

    Article  Google Scholar 

  28. Harth W, Gieler U, Kusnir D, Tausk FA. Clinical management in dermatology. 1st ed. Berlin Heidelberg: Springer-Verlag; 2009.

    Google Scholar 

  29. Sule Afsar F, Seremet S, Demirlendi Duran H, Elif Yildirim F, Mumcu SN. Social appearance anxiety in adult patients with acne: a cross-sectional study. Acta Dermatovenerol Croat. 2018;26(3):220–5.

    PubMed  Google Scholar 

  30. Sanders KM, Akiyama T. The vicious cycle of itch and anxiety. Neurosci Biobehav Rev. 2018;87:17–26.

    Article  Google Scholar 

  31. Koyuncu A, Ertekin E, Deveci E, et al. Age of onset in social anxiety disorder: relation to clinical variables and major depression comorbidity. Ann Clin Psychiatry. 2015;27(2):84–9.

    PubMed  Google Scholar 

  32. Salman A, Kurt E, Topcuoglu V, Demircay Z. Social anxiety and quality of life in vitiligo and acne patients with facial involvement: a cross-sectional controlled study. Am J Clin Dermatol. 2016;17(3):305–11.

    Article  Google Scholar 

  33. Ferreira BR, Pio-Abreu JL, Reis JP, Figueiredo A. Analysis of the prevalence of mental disorders in psoriasis: the relevance of psychiatric assessment in dermatology. Psychiatr Danub. 2017;29(4):401–6.

    Article  Google Scholar 

  34. Mattoo SK, Handa S, Kaur I, Gupta N, Malhotra R. Psychiatric morbidity in vitiligo and psoriasis: a comparative study from India. J Dermatol. 2001;28(8):424–32.

    Article  CAS  Google Scholar 

  35. Jafferany M, Franca K. Psychodermatology: basics concepts. Acta Derm Venereol. 2016;96(217):35–7.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Patel, A., Jafferany, M., Roque Ferreira, B. (2020). Dermatoses with Important Psychiatric and Social Co-Morbidities. In: The Essentials of Psychodermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-45582-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-45582-8_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45581-1

  • Online ISBN: 978-3-030-45582-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics