How do I express?: Psychological and Social Functioning in Individuals with Psoriasis

Abstract

Psoriasis is a common chronic inflammatory skin disease with a substantial emotional impact on patients. One in five people with psoriasis have mental health issues. The objective of this study was to explore the psychological and social functioning of individuals with psoriasis. This exploratory qualitative study employed purposive sampling and was conducted at the University of Lahore, Lahore, from March to May 2024. We conducted semi-structured interviews of individuals with psoriasis with the age range of 18-40. It included five men and one female. The method of thematic analysis was employed and NVivo 14 software was used for the interpretation of results. A total of 142 codes and 10 sub-themes were identified. Four major themes were emerged from the interview transcripts, which were (i) Medical Impact, (ii) Self-Concept, (iii) Interpersonal Dynamics, and (iv) Coping Mechanisms. Within each of these major themes, a collection of ten sub-themes emerged “Physical symptoms and issues”, “Chronic and lifelong nature”, “Medication and treatment”, “Emotional impact”, “Self-perception and identity”, “Impact on relationships”, “Impact on social life”, “Environmental triggers and behaviors”, “Information seeking and awareness”, and “Coping strategies”. Our research indicates that clinicians should increase their awareness of the psychological and social difficulties associated with psoriasis to improve patient care. This study will help medical personnel center their attention on meeting the comprehensive needs of psoriasis patients, offering care that revolves around the individuals.

Keywords: skin disease, mental health, medical impact, coping mechanisms, interpersonal dynamics