Lived Experiences of Patients with Plaque Psoriasis

Plaque psoriasis is a chronic autoimmune skin disorder characterized by red, scaly patches that profoundly affect patients’ physical, emotional, and social well-being. This study explored lived experiences of individuals with plaque psoriasis in Pakistan. Guided by an interpretivist philosophy, a qualitative approach was employed, using single-time semi-structured interviews for data collection. Six participants (aged 18–35 years; four males, two females) diagnosed with plaque psoriasis for at least six months and residing in urban Lahore were selected through purposive sampling. Data were analyzed using Interpretative Phenomenological Analysis to identify underlying patterns and themes. Findings revealed five themes encompassing 16 subthemes: (a) psychological and emotional impact (emotional distress, denial, fear of rejection, shock, anger); (b) relationship dynamics (reactions toward spouse, family bonding, peer relationships); (c) physical impact (physical pain, sleeplessness); (d) social problems (social responses, stigma, weariness); and (e) coping strategies (self-regulation, acceptance, gratitude). Participants reported stigma, social judgment, avoidance, and isolation. These findings highlight that plaque psoriasis extends beyond a physical skin condition, emphasizing the need for holistic, empathetic care addressing both physical and emotional needs, individualized support, and integration of mental health resources.