{"title":"Body-image and appearance concerns for people with psoriasis: a systematic review and synthesis of qualitative research.","authors":"Sarah Yates, Katie Hatton, Craig D Murray","doi":"10.1080/13548506.2026.2737835","DOIUrl":null,"url":null,"abstract":"<p><p>Research highlights the impact of experiencing a chronic skin condition upon psychosocial functioning. One such condition is psoriasis, an autoimmune inflammatory condition, resulting in red, scaly plaques occurring on the skin. People with psoriasis may experience body-image concerns related to the visibility of psoriasis, which negatively impacts relationships, engagement in valued activity, and wellbeing. This review aimed to synthesise qualitative research regarding appearance concerns of people with psoriasis, with a focus on the impact of altered appearance on psychosocial functioning. A systematic search of four databases (Academic Search Ultimate, Cinahl, Medline and Psychinfo) identified 26 papers for inclusion. Analysis was conducted utilising thematic synthesis to generate an integrated account regarding the experiences of psoriasis patients. Three themes were developed from the data: Constructing and navigating the psoriasis-identity; Appearance stigmatisation; and Acceptance and coping with an altered appearance. Although individual differences in adjustment and coping long-term were identified, findings highlight the impact of psoriasis upon identity and psychosocial functioning. Psychologists working within dermatology may drive systemic change by developing psycho-dermatological care frameworks and offering consultation and training within multidisciplinary teams. Targeted therapies may support psoriasis patients to develop acceptance, and positive body-image, thereby increasing wellbeing.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-34"},"PeriodicalIF":2.2000,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2026.2737835","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Research highlights the impact of experiencing a chronic skin condition upon psychosocial functioning. One such condition is psoriasis, an autoimmune inflammatory condition, resulting in red, scaly plaques occurring on the skin. People with psoriasis may experience body-image concerns related to the visibility of psoriasis, which negatively impacts relationships, engagement in valued activity, and wellbeing. This review aimed to synthesise qualitative research regarding appearance concerns of people with psoriasis, with a focus on the impact of altered appearance on psychosocial functioning. A systematic search of four databases (Academic Search Ultimate, Cinahl, Medline and Psychinfo) identified 26 papers for inclusion. Analysis was conducted utilising thematic synthesis to generate an integrated account regarding the experiences of psoriasis patients. Three themes were developed from the data: Constructing and navigating the psoriasis-identity; Appearance stigmatisation; and Acceptance and coping with an altered appearance. Although individual differences in adjustment and coping long-term were identified, findings highlight the impact of psoriasis upon identity and psychosocial functioning. Psychologists working within dermatology may drive systemic change by developing psycho-dermatological care frameworks and offering consultation and training within multidisciplinary teams. Targeted therapies may support psoriasis patients to develop acceptance, and positive body-image, thereby increasing wellbeing.
期刊介绍:
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.