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Review
. 2021 Jul 6:12:674460.
doi: 10.3389/fpsyt.2021.674460. eCollection 2021.

Mutual Relationship Between Sleep Disorders, Quality of Life and Psychosocial Aspects in Patients With Psoriasis

Julia Nowowiejska  1 , Anna Baran  1 , Iwona Flisiak  1
Affiliations
Review

Mutual Relationship Between Sleep Disorders, Quality of Life and Psychosocial Aspects in Patients With Psoriasis

Julia Nowowiejska et al. Front Psychiatry. .

Abstract

Psoriasis is a chronic, autoimmune skin disease affecting about 2-4% of the worldwide population. It is now perceived as a systemic disease because of the complex pathogenesis and multiple comorbidities. It leads to decreased quality of life and productivity of patients. Nowadays, sleep disorders are investigated as well in relation to psoriasis as another possible comorbidity. This review focuses on possible negative effects of sleep deprivation, decreased quality of life, and psychosocial status in patients with psoriasis and highlights their mutual, complex relationship of divergent consequences. The relationship between sleep disorders and psychosocial status in patients with psoriasis is bidirectional and resembles a vicious circle, one abnormality triggering the other. Sleep disorders additionally increase the risk of metabolic and psychiatric diseases in psoriatic patients who are already at increased risk of developing such disorders. There should be measures taken to screen patients with psoriasis for sleep disorders in order to diagnose early and treat.

Keywords: life quality; productivity; psoriasis; sleep; sleep disorders.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Multiple comorbidities associated with psoriasis.
Figure 2
Figure 2
Erythematous-infiltrative psoriatic lesions on the trunk (from the archives of Dermatology Department).
Figure 3
Figure 3
Erythematous and scaly psoriatic lesions affecting large area of the body (from the archives of Dermatology Department).
Figure 4
Figure 4
Factors associated with psoriasis which might negatively affect sleep course.
Figure 5
Figure 5
Severe, mutilating nail and finger lesions in acrodermatits continua of Hallopeau. Onycholysis, erythematous-oedematous lesions of distal parts of fingers (from own archives).
Figure 6
Figure 6
Mutual relationship between sleep disorders, psychoemotional and socioeconomic status of patients.
See this image and copyright information in PMC

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