Stress and psoriasis

Int J Dermatol. 2018 Oct;57(10):1165-1172. doi: 10.1111/ijd.14032. Epub 2018 May 4.


The links between psoriasis and stress are complex. This article proposes a review of the literature on the relationship between stress and psoriasis. In 31-88% of cases, patients report stress as being a trigger for their psoriasis. There was also a reported higher incidence of psoriasis in subjects who had a stressful event the previous year, suggesting that stress may have a role in triggering the disease in predisposed individuals. Stress is also a consequence of psoriasis outbreaks. Understanding the role of stress makes it appropriate to target stress when proposing treatment to patients with psoriasis. Several controlled studies have demonstrated that relaxation, hypnosis, biofeedback, and behavioral and cognitive stress management therapies have been effective in people with psoriasis.

Publication types

  • Review

MeSH terms

  • Humans
  • Psoriasis / epidemiology*
  • Psoriasis / etiology*
  • Psoriasis / psychology
  • Risk Factors
  • Severity of Illness Index
  • Social Stigma
  • Stress, Psychological / epidemiology*
  • Stress, Psychological / prevention & control
  • Stress, Psychological / psychology*
  • Symptom Flare Up