Revealing the real life impact of Psoriasis over time

Causes and effects

What causes Psoriasis?

Psoriasis is not contagious. It cannot be caught from touching someone who has the condition, swimming in the same pool, sharing towels, or eating food prepared by a person with psoriasis.3 Psoriasis is much more complex, so that even now, it is not completely understood. However, there is good evidence indicating that the process of accelerated skin cell renewal is driven by immune cells (T cells), which become overactive to produce inflammatory chemicals that act as if they are fighting an infection or healing a wound.1,2

About 30% of people with psoriasis have a family history of the condition, and certain genes have been linked to psoriasis.3 However, the condition will only appear if it is triggered by an environmental factor.3 Triggers may include stressful life events, infection with certain viruses and bacteria, skin injury, or reactions to certain medications.3

Additional health concerns

Skin inflammation in psoriasis is just the tip of the iceberg. There is increasing evidence linking psoriasis with other serious health conditions, such as cardiovascular disease,11,13 diabetes,14,15   obesity,14,15  liver disease,11 psoriatic arthritis,11,12 inflammatory bowel disease,11,12 and depression.11 These conditions are known as "co-morbidities" of psoriasis and appear to have an increased frequency in those suffering from more severe disease.11

What effect does psoriasis have on peoples' lives?

Psoriasis can affect people differently. For some it may be seen as a nuisance, but for others it will affect every aspect of their daily life. Psoriasis can have a profound impact on a person's physical, emotional and psychological wellbeing.

Depending on the severity and location of outbreaks, individuals may experience significant physical discomfort and some disability. Itching and pain can interfere with basic functions, such as self-care, walking, and sleep.4Those living with psoriasis often report that they feel stigmatized because of their skin condition.5 As a result of reactions from the public, they can feel embarrassed, have poor self-image and have lower self-confidence.6Psychological distress can lead to significant depression, increased anxiety, and social disconnection and isolation.6-8

In addition, individuals with psoriasis are more likely to make poor lifestyle choices. They may exercise less, make poor dietary choices, smoke more and drink alcohol in excess.9,10. Psoriasis is associated with a number of additional health concerns, which can place an additional burden on those with psoriasis, further limiting their life choices. How some manage these various stresses depends on the way they think about their disease, along with their coping skills and social support networks.16Some people may live with psoriasis successfully, whereas others may feel that they are living their lives very differently from the way they would have chosen.

Of those with psoriasis:6

84% avoided sporting activities
83% felt the need to hide their condition
74% reported lowered self confidence

46% were chronically depressed
35% felt inhibited in their sexual relationships
23% thought their psoriasis affected their career choice

 

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