How does psoriasis affect daily living?

Approximately 2% of people suffer from psoriasis. Often people with psoriasis do not seek assistance with the psychosocial complications of the condition. Most individuals see a health practitioner for renewal of medication, prescription of new medication (s) or to have blood and other tests to monitor the side effects of prescription medication.

The impact of psoriasis on a person’s life goes much beyond the rash itself. Psoriasis is thought to have a similar impact on a person’s life as other serious debilitating and life threatening medical conditions. The world Health Organization’s definition of health not only describes the absence of disease but the ability of a person to live an enjoyable and productive life.

The list of psychosocial issues that develop in a person with psoriasis include:

• Psychological stress
• Embarrassment
• Social stigma
• Physical discomfort

These issues impact directly on emotional well-being, social functioning, productivity at work or school, self care activities and self esteem.

Of the physical symptoms that are distressing, itching or pruritus is often the most frequent symptom described. Patients also suffer from pain, burning and dry skin

Severe psoriasis can make it impossible to work. Of these individuals approximately 30% attributed their inability to work to psoriasis. On average one study found these individuals loose about 26 days of work per year.

There is a tendency for individuals with psoriasis to avoid physical activity, sports or manual labour. This has been related to the discomfort associated with psoriatic plaques caused by sweating or bleeding during these activities

Females with psoriasis appear to have difficulty starting intimate relationships. However, libido and sexual function is not impacted by having psoriasis.

Some studies have found that psoriasis leads to increased alcohol consumption. This in turn worsens the psoriasis condition.

Drinking leads to neglect of treatment compliance. Smoking similarly affects psoriasis and appears to be more common among people with psoriasis.

Social rejection, feelings of being inadequate and increased sensitivity to others, guilt, shame and secretiveness are more common in psoriasis. Bleeding from psoriatic plaques appears to be the strongest risk factor for developing stigma and hopelessness.

Suicidal ideation is found at any given time in about 10% of those with this affliction. Suicidal thoughts are more common among those who are suffering from depression as well.

Psoriasis has a negative impact on their family life. The cost of treatment, visits to health care practitioners are a drain on time and money for these individuals. Family fun and positive interactions are also affected by this condition. Individuals tend to avoid joining their families in leisure activities such as swimming in pools and beaches. The avoidance of social events places stress on other family members.