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In each issue of

Skin Care Today

we investigate a hot topic currently affecting

our readers. In this issue we ask...

Are we paying attention to the

psychological issues of skin disease?

4

SKIN CARE TODAY

2017,Vol 3, No 1

SKIN CARE MATTERS

A

ccording to one famous

aphorism, beauty is only

skin deep. Unfortunately,

for those people affected by

dermatological conditions,

this quaint saying offers scant

consolation. The damage wreaked

by skin problems can have a hidden

cost, with the psychological effects

of conditions such as psoriasis,

eczema and dermatitis often going

unrecognised. While the physical

manifestations such as blistering,

itch, rash and inflammation are easy

to identify, the emotional impact

can often be underestimated, or

not even considered

by healthcare

professionals.

According to the

American Academy

of Dermatology and

other skin groups,

skin problems cause

a range of debilitating

psychological

symptoms (‘The

emotional impact

of skin problems’—

www.psychologytoday

.

com

):

Major depression

Suicidal thoughts

Social withdrawal

Anger

Lack of confidence

A significant

number of people

with psoriasis

change or stop

participating in

their normal

daily activities

People with acne

face higher rates

of unemployment

than the general

population, further

contributing to

social stigma.

There are also a

range of psychological

factors that can

interact with dermatological

conditions to make people’s skin

symptoms worse (‘Psychosocial

factors in dermatology’—

www.

dermnetnz.org

). For example, people

who have a skin condition alongside

depression may find it especially

difficult to adhere to their treatment