School of Medicine, University of New South Wales, Sydney, NSW, Australia.
Int J Dermatol. 2018 Nov;57(11):1275-1282. doi: 10.1111/ijd.13956. Epub 2018 Mar 8.
Psoriasis is estimated to affect around 2-3% of the general population. More than one-third of Australians report having a significant level of distress in their daily lives. Psychological stress has long been shown to play an important role in the natural history of psoriasis, but the details of this relationship remain to be clearly defined. We performed a systematic review of the literature with the aim of determining whether there is a temporal association between psychological stress as the predictor and onset and/or exacerbation of psoriasis as the outcome measure. Our secondary aim was to establish whether there is a relationship between the degree of psychological stress and clinical severity of psoriasis. Our systematic review demonstrates a probable temporal association between different measures of psychological stress and onset, recurrence, and severity of psoriasis. In the light of this, we suggest clinicians include "stress" as a trigger factor in their psoriasis assessment and consider psychological interventions as adjuncts, particularly in those who identify as "stress-responders".
银屑病估计影响大约 2-3%的一般人群。超过三分之一的澳大利亚人报告说，他们在日常生活中感到极大的痛苦。心理压力一直被认为在银屑病的自然病史中起着重要作用，但这种关系的细节仍有待明确界定。我们对文献进行了系统评价，目的是确定心理压力作为预测因素与银屑病的发病和/或加重之间是否存在时间关联。我们的次要目的是确定心理压力的程度与银屑病临床严重程度之间是否存在关系。我们的系统评价表明，不同心理压力测量指标与银屑病的发病、复发和严重程度之间可能存在时间关联。有鉴于此，我们建议临床医生在评估银屑病时将“压力”作为一个触发因素，并考虑将心理干预作为辅助手段，特别是对那些自认为是“压力反应者”的人。
