In a study of 936 patients by Italian researchers, shame, anger and worry were among the most common issues detected using the Skindex-29 questionnaire. Anxiety, shame and annoyance were more common in women than men and were linked to lower levels of education.
Researchers advised that dermatologists should 'pay attention to these psychosocial aspects in the evaluation of psoriasis patients, who may require particular clinical attention and may benefit from adjunctive psychological interventions before and during treatment'.
Sampogna F, Tabolli S, Abeni D, IMPROVE investigators. Acta Derm Venereol 2012; 92: 299-303