P22 Psoriasis: impact on mental health

Abstract Psoriasis is a chronic inflammatory condition with a major genetic component. While it predominantly affects the skin, psoriasis also has significant psychological effects. This literature review examines the impact of psoriasis on quality of life, with a particular focus on depression and anxiety. Additionally, it evaluates current mental health interventions and proposes strategies for enhancing these services. The aim of the study is to synthesize recent research findings on the impact of mental health due to psoriasis and discuss strategies to optimize the efficacy of psychological interventions. A systematic search was conducted across OVIDMedline and Embase using the search terms ‘psoriasis mental health’, ‘psoriasis depression’, ‘psoriasis anxiety’ and ‘psoriasis quality of life’. Inclusion criteria focused on articles published between 2019 and 2024 that focused on psoriasis and mental health. The review incorporated findings from 16 relevant articles of the identified 47 studies that met the inclusion criteria. Many studies included in the literature review used the Psoriasis Quality of Life Questionnaire to evaluate psychosocial negativities, difficulty in daily life and treatment difficulties. Prevalence of depression amongst individuals with psoriasis varied across the studies. Visibility of skin lesions, severity of the condition and gradual social isolation were the main contributory factors that led to psychological distress across these studies. Interventions such as Cognitive Behavioural Therapy, Support Groups and Relaxation Therapy1 can help combat body image issues and social stigma. However, there is limited literature, little implementation and sparse access to these interventions. Psoriasis is traditionally associated with psychiatric comorbidities such as stress, depression and anxiety.2 This review highlights the importance of addressing psychological well-being through the effective integration of mental health interventions into routine clinical practice. Future research should aim to innovate comprehensive and holistic patient care models that emphasise mental health and quality of life for those living with psoriasis.