Contrasting between Atopic Dermatitis and Psoriasis in the Quality of Life Impact and the Prevalence of Psychiatric Disorders A Review

Main Article Content

Mimi Chung
Marwa Hakimi
Samuel Yeroushalmi
Erin Bartholomew
John Koo

Keywords

inflammatory skin disease, psychodermatology, atopic dermatitis, psoriasis, mental health

Abstract

As chronic inflammatory skin conditions, psoriasis and atopic dermatitis have both been associated with significant psychosocial comorbidities. However, the similarities and differences between the two in the manifestation of psychologic/psychiatric sequalae have not been reviewed. We reviewed the current literature comparing these two skin conditions and determined that there are potentially notable differences in psychiatric impact between psoriasis and atopic dermatitis patients. For example, patients with atopic dermatitis appears to have more issues with attention deficit hyperactive disorder (ADHD) and conduct disorder while psoriasis is associated more with suicidal acts. We propose that these may stem from the different ages of onset, which subsequently influences how the psychological impact manifests within the individual.

References

1. Ahn HJ, Shin MK, Seo JK, et al. Cross-sectional study of psychiatric comorbidities in patients with atopic dermatitis and nonatopic eczema, urticaria, and psoriasis. Neuropsychiatr Dis Treat. 2019;15:1469-1478. doi:10.2147/NDT.S191509

2. Pompili M, Bonanni L, Gualtieri F, Trovini G, Persechino S, Baldessarini RJ. Suicidal risks with psoriasis and atopic dermatitis: Systematic review and meta-analysis. J Psychosom Res. 2021;141:110347. doi:10.1016/j.jpsychores.2020.110347

3. Magin P, Pond C, Smith W, Watson A, Goode S. A cross-sectional study of psychological morbidity in patients with acne, psoriasis and atopic dermatitis in specialist dermatology and general practices. J Eur Acad Dermatol Venereol. 2008;22(12):1435-1444. doi:10.1111/j.1468-3083.2008.02890.x

4. Leibovici V, Canetti L, Yahalomi S, et al. Well being, psychopathology and coping strategies in psoriasis compared with atopic dermatitis: a controlled study. J Eur Acad Dermatol Venereol JEADV. 2010;24(8):897-903. doi:10.1111/j.1468-3083.2009.03542.x

5. Schut C, Dalgard FJ, Bewley A, et al. Body dysmorphia in common skin diseases: Results of an observational, cross-sectional multi-centre study among dermatological out-patients in 17 European countries. Br J Dermatol. Published online January 18, 2022. doi:10.1111/bjd.21021

6. Ristic G, Nikolic AR, Radovanovic S, Radevic S. Atopic dermatitis: the impact of personality properties of affected children and parental styles of care. Eur J Dermatol EJD. 2020;30(3):251-258. doi:10.1684/ejd.2020.3760

7. Nguyen CM, Koo J, Cordoro KM. Psychodermatologic Effects of Atopic Dermatitis and Acne: A Review on Self-Esteem and Identity. Pediatr Dermatol. 2016;33(2):129-135. doi:10.1111/pde.12802

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