In this article, I explain the relationship between stress and psoriasis, how effective stress management may help improve wellbeing and symptom control, and some practical strategies that may be useful.
Although many patients report a clear relationship between stress and psoriasis flare-ups in everyday clinical practice, scientific studies have produced mixed results regarding this association.
There is, however, evidence that addressing stress and anxiety can benefit patients with psoriasis, particularly in terms of psychological wellbeing and quality of life. For this reason, these are aspects that I like to discuss with patients in consultation as part of a comprehensive approach to the disease.
How are stress and psoriasis related?
Stress is a natural response of the body to challenging or demanding situations. When we experience stress, the body releases stress hormones such as cortisol, which can influence the immune system and inflammatory pathways.
In people with psoriasis, stress may be associated with the onset or worsening of flare-ups in some cases, although this relationship varies considerably between individuals.
Stress-related physiological changes may contribute to increased inflammatory activity, potentially making psoriasis plaques more inflamed, red, scaly or itchy. Stress may also influence immune function and behavioural factors that can affect disease management.
The vicious cycle of stress and psoriasis
The relationship between stress and psoriasis can become a vicious cycle. Psoriasis itself may cause emotional stress and concern because of the visibility of skin lesions, associated physical discomfort and limitations in daily activities. In turn, emotional distress may contribute to a worsening of symptoms in some patients.
This is something I frequently see in clinical practice. For this reason, I believe it is important to provide patients with clear information and explain the wide range of medical treatments now available to achieve good disease control in most cases.
Strategies for managing stress in people with psoriasis
Because of the potential impact of stress on psoriasis and on overall wellbeing, effective stress management may help improve quality of life and support disease management. Some strategies that may be useful include:
Relaxation techniques
Practising relaxation techniques such as deep breathing, meditation or yoga may help reduce stress and promote a greater sense of calm and wellbeing.
Physical exercise
Regular physical activity has benefits for general health and may also help reduce stress and improve mood. It can also contribute to reducing the risk associated with some of the conditions linked to psoriasis, including metabolic syndrome and cardiovascular disease. Choose activities that you enjoy and that can be incorporated realistically into your daily routine.
Psychological support
If you experience persistent or excessive stress or anxiety, seeking support from a specialist psychologist may be helpful.
