Stress and the Skin: Significance of Emotional Factors in Dermatology

The 1988 article by Caroline S. Koblenzer, MD, highlights the significant role of stress in the development and exacerbation of skin diseases, such as atopic dermatitis, psoriasis, and acne. It emphasizes the importance of emotional factors and the skin's role as an organ of perception, suggesting that stress can lead to regression to earlier emotional developmental levels in predisposed individuals. The document notes that patients with certain skin conditions often exhibit higher anxiety levels and psychiatric diagnoses, and that the experience of skin disease can itself be a stressor, affecting self-esteem and social interactions. The article concludes that dermatologic evaluations should consider the effects of stress and that treatment should address emotional factors for optimal care. No specific study size is mentioned as the article provides a broad overview rather than specific study results.