Skin disorders

Ulrich Stangier

doi:10.1017/CBO9780511543579.234

Skin disorders

from Medical topics

Published online by Cambridge University Press: 18 December 2014

Edited by

John Weinman and

Ulrich Stangier: Affiliation:
Friedrich-Schiller-Universität Jena
Susan Ayers: Affiliation:
University of Sussex
Andrew Baum: Affiliation:
University of Pittsburgh
Chris McManus: Affiliation:
St Mary's Hospital Medical School
Stanton Newman: Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston: Affiliation:
Vanderbilt University School of Nursing
John Weinman: Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West: Affiliation:
St George's Hospital Medical School, University of London

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Summary

Overview of the general area

There is a long tradition of the view that emotional stress might act as a precipitating factor in the onset or exacerbation of skin disorders. The close relationship of the skin with psychological functions is reflected in a variety of expressions such as ‘to be red with rage’ or ‘to jump out of one's skin’. In addition, psychoimmunological and psychoendocrinological research has demonstrated that psychological factors significantly affect the course of a variety of medical conditions including dermatological disorders. However, there is no evidence that dermatological disorders are related to specific psychological traits. Rather, that the impact of skin disorders on quality of life indicates that the impairment of appearance associated with visible and sometimes disfiguring dermatological conditions creates significant psychosocial stress.

The relationship between psychological factors and skin disorders is further complicated by the fact that manipulations such as self-injurious skin picking may cause artificial dermatological lesions. Finally, a high proportion of patients report symptoms that are not adequately explained by a dermatological disease or a known pathophysiological mechanism, such as body dysmorphic disorders. The focus of the present paper is on psychological factors related to skin disorders. With respect to somatoform and artificial disorders, the interested reader is referred to other sources (e.g. Stangier & Ehlers, 2000).

Research evidence

Vulnerability to stress

There is evidence from a large number of studies that stressful life events, daily hassles and chronic stressors can significantly affect the manifestation and course of skin disorders (see also ‘Life events and health’ and ‘Stress and health’).

Type: Chapter
Information: Cambridge Handbook of Psychology, Health and Medicine , pp. 880 - 883

DOI: https://doi.org/10.1017/CBO9780511543579.234 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2007

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Skin disorders

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