Mind-Body Practices by Patients with Psoriasis
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Although numerous effective and well-tolerated treatments for psoriasis are available, many patients use mind–body practices (MBPs) because they suffer from psychological distress, anxiety, depression or other psychological disorders. Those can be directly or indirectly related to psoriasis or not related. Psychosocial interventions, including MBPs, offer an effective means to improve quality of life and anxiety in patients with psoriasis.

In an observational, multicentre study, a digital questionnaire was proposed to 3000 adults with psoriasis through advertisements at the dermatologists’ practices and through patient associations. Questions on MBPs were related to relaxation, meditation, yoga, tai chi chuan, sophrology and hypnosis. Psoriasis severity was assessed for each patient using part 1 of the sa-SPI, the sa-SPI-S and classified as sa-SPI-S less than 10: mild psoriasis, sa-SPI-S greater than 10 to 20: moderate psoriasis and sa-SPI-S greater than20 severe psoriasis.

Among the 2681 respondents, 2562 completed an online survey about their use of mind–body practices (relaxation, meditation, yoga, tai chi chuan, sophrology, and hypnosis) in the prior 12 months. A total of 537 patients out of the 2562 patients (21%) used at least one practice, most frequently meditation (9.5%), relaxation (8.6%), or yoga (7.5%). On multivariate analysis, patients with psoriatic arthritis or facial psoriasis were more likely to utilize one of the mind–body practices.

This study suggests that approximately 20% of psoriasis patients surveyed use at least one mind–body practice, particularly if they have involvement of psychologically sensitive areas or associated arthritic symptoms.

Even, another study showed that brief mindfulness meditation-based stress reduction intervention delivered by audiotape during ultraviolet light therapy can increase the rate of resolution of psoriatic lesions in patients with psoriasis.

Further studies are warranted to determine the efficacy of these interventions, but mindfulness may be a useful point of discussion with psoriasis patients.

1. https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjd.17272
2. https://www.jidonline.org/article/S0022-202X(15)36606-9/fulltext
3. https://journals.lww.com/psychosomaticmedicine/Abstract/1998/09000/Influence_of_a_Mindfulness_Meditation_Based_Stress.20.aspx