Users online: 2150    [ij] [ij] [ij] 
Email id

Open Journal of Psychiatry & Allied Sciences
Year : 2018, Volume : 9, Issue : 2
First page : ( 123) Last page : ( 129)
Print ISSN : 2394-2053. Online ISSN : 2394-2061.
Article DOI : 10.5958/2394-2061.2018.00024.1

Psychosomatic interface: psychological distress and perceived stress in psoriasis patients in a tertiary care hospital in South India

Das Keya1,*, Rao TS Sathayanarayana2

1Senior Resident, Department of Psychiatry, Adichunchanagiri Institute of Medical Sciences, Bellur, Karnataka, India

2Professor, Department of Psychiatry, JSS Medical College, JSS University, Mysore, Karnataka,   India

*Correspondence: Dr. Keya Das, G 02, Tuscan East Apartments, Lazar Road, Cox Town, Bangalore-560042, India. drkeyadas@gmail.com

Online published on 18 July, 2018.



Psoriasis is worldwide but the prevalence varies among different ethnicities. Reported prevalence of psoriasis in North India of 0.8% in the seventies has now risen to 2.8%. Psoriasis is associated with significant psychological distress and psychiatric morbidity. Data on Indian patients is limited. Indian studies reported a psychiatric morbidity ranging from 32.33% to 84%. Furthermore, aspects like correlation with type and severity has not been explored in many studies. Our study aimed to assess the psychological distress and patients’ perceived stress in psoriatic patients, and explore the correlation with type and severity.


It was a cross-sectional, descriptive study. Ninety five patients of previously diagnosed cases of psoriasis, who met the inclusion and exclusion criteria were taken up for the study. The patients were interviewed using a semi-structured questionnaire for demographics followed by detailed assessment. Tools used were- (1) Psoriasis Area Severity Index (PASI), (2) General Health Questionnaire-12 (GHQ-12), and (3) Perceived Stress Scale. Statistical analysis was done using SPSS Version 16, represented as Tables.


Psychological distress was prevalent in psoriasis (61%). Higher distress was noted in moderate severity (73%) and in guttate variety of psoriasis (100%), with significant correlation (p=0.002). Perceived stress was also highest in moderate severity and guttate variety.


Our study reveals that distress and stress experienced by patients need not always be proportional to the disease severity as previously reported. This necessitates evaluation of all psoriasis patients for psychological morbidity and stress irrespective of plaque severity.



Psychosomatic Disorders. Psychological Stress. Plaque.


║ Site map ║ Privacy Policy ║ Copyright ║ Terms & Conditions ║ Page Rank Tool
361,022,722 visitor(s) since 30th May, 2005.
All rights reserved. Site designed and maintained by DIVA ENTERPRISES PVT. LTD..
Note: Please use Internet Explorer (6.0 or above). Some functionalities may not work in other browsers.