Psoriasis Beyond the Skin: Understanding the Psychological Burden

Psoriasis, a chronic autoimmune skin condition, manifests through multifactorial etiology involving genetic predisposition, immune dysregulation, and environmental triggers, with clinical presentations varying across plaque, guttate, pustular, and erythrodermic subtypes.Despite primarily dermatological, psoriasis is associated with systemic implications such as psoriatic arthritis and psychological comorbidities, including depression, anxiety, and stress.Notably, psychiatric comorbidities significantly impact patients' well-being and treatment efficacy, highlighting the importance of their identification and management within comprehensive care approaches.OBJETIVE: Analyze and describe the main psychological and psychiatric aspects and effects in patients with psoriasis of the last years. METHODS:This narrative review explored the correlation between psoriasis and psychiatric or psychological aspects by conducting a thorough search across prominent databases, including MEDLINE -PubMed, COCHRANE, EMBASE, and Google Scholar.The search strategy utilized descriptors "Psoriasis" AND "psychiatric" OR "psychological" to identify relevant literature.RESULTS AND DISCUSSION: The investigation into psychological comorbidities among individuals with psoriasis revealed a significant prevalence, with depression, anxiety, and stress commonly reported across various studies.While the rates varied, depression prevalence ranged from 10% to 40%, and anxiety disorders affected approximately 20% to 40% of psoriasis patients.Psoriasis had substantial impacts on psychological well-being, including selfesteem, body image, and quality of life, with feelings of embarrassment and social withdrawal commonly reported.Psychosocial