Numerous studies have examined the connection between adult-onset psoriasis and its potential to increase the risk for a range of psychological conditions, especially anxiety and depression. However, much less has been written about the influence of childhood-onset psoriasis (COP) on psychological disorders, including anxiety and depression, eating disorders, and substance abuse. In this systematic review of the scientific literature, from the US, researchers identified an initial pool of 313 articles, from which a total of 12 relevant studies were selected according to strict inclusion/exclusion criteria. Researchers then critically evaluated these studies with respect to psychological conditions associated with COP.
The review revealed a significant link between COP and the risk of both depression and anxiety in children. Moreover, children with COP showed high frequencies of suicidal thoughts and behaviours, as well as a marked propensity for substance abuse and addiction. The study also uncovered a strong connection between psoriasis in children and the development of eating disorders like anorexia nervosa and bulimia nervosa.
Comment
The findings of this study show a worrying increase in risk for a range of psychological problems in children diagnosed with psoriasis, including anxiety, depression, substance abuse and eating disorders. Whether similar risks occur for children diagnosed with psoriasis in the UK, is difficult to say. In any event, these important findings underscore the need for comprehensive management strategies for children with psoriasis, not only in terms of their physical symptoms but also their psychological well-being.
Reference
Shah V, Larson A, Jafferany M. Exploring the Psychological Impact of Childhood-Onset Psoriasis: A Systematic Review. Clin Exp Dermatol, 2024. Doi: 10.1093/ced/llae276. Online ahead of print.