PSYCHO-DERMATOLOGY: SKIN-MIND CONNECTION

Abstract

The present research focuses on the psychophysiological links occurring between the mental health and skin disorders in a setting of psycho-dermatology.  We examined 120 patients with such a diagnosis as stress-sensitive dermatoses including psoriasis, AT, and urticaria using a mixed-methods design.  To check both psychological and physiological stress, the biochemical measurements of salivary cortisol and serum IL-6, including quantitative questionnaires (e.g., Hamilton Anxiety Scale, Beck Depression Inventory, and Dermatology Life Quality Index) were used.  Psychological distress has been identified as a strong factor related to the intensity of dermatologic symptoms (p < 0.01) on a multivariate hierarchy of the analysis.  The combined mindfulness-based treatments of cognitive-behavioral therapy and dermatological treatment in the form of a 12-week intervention lead to statistically significant outcomes in mental health scores and skin symptomatology.  The bidirectional relationship was further enhanced by the themes of emotional triggers, apparent stigma, and coping mechanisms that came out when the patient interviews were analyzed qualitatively.  All of the findings indicate that the psychological well being is critical in the development and treatment of skin diseases.  To improve patient outcomes, this study advocates the approaches to interdisciplinary trauma based on a combination of dermatology and psychiatry.  Along with giving solid statistical and theoretical backing to the skin-mind connection, the results allow future treatment and policy models to be developed that incorporate psychological evaluations as part of the dermatological provision.