Psychodermatological factors in the background of psoriasis

Psoriasis is a chronic immune-mediated inflammatory disease that can often be associated with psychiatric problems such as depression and anxiety. Although psychiatric disorders were initially considered secondary, their high prevalence suggests that common pathophysiological mechanisms may be involved in the development of psoriasis and certain psychiatric disorders. Moreover, certain psychological and psychiatric treatments may not only improve quality of life, but also alleviate psoriasis symptoms. This article highlights the psychodermatological aspects of psoriasis, summarizes the most common psychiatric problems in its background and describes the potential of psychotherapeutic and psychotropic treatments to reduce the severity of psoriasis.