Psychodermatology

Introduction

It is increasingly acknowledged that whilst it is likely that a large number of people living with skin conditions adjust well to their condition, there is a risk for some of them experiencing social, psychological, and physical distress (Gupta, Chapter 3, this volume). In common with other chronic illnesses and appearance-altering conditions there appears to be no simple relationship between single biomedical and demographical factors, such as severity and age, and psychological adjustment (Papadopoulos et al., 1999a; Thompson & Kent, 2001; Rumsey & Harcourt, 2004).

This chapter reviews the literature pertaining to adjusting to a life with a chronic dermatological condition. It aims to briefly outline the potential psychosocial impacts and then detail the likely factors that have been implicated in playing key mediating roles in explaining individual variation in coping and adjustment.

Defining ‘skin conditions’

Consideration of dermatological diagnoses is outside of the remit of this chapter and those interested are referred to an appropriate medical text (e.g. Gawkrodger, 2002). However, it is important to acknowledge that there are multiple types of skin conditions, which can differ widely in terms of both specific symptoms and treatments, as such factors may have an impact upon the adjustment process (Porter et al., 1986). The term ‘skin condition’ as opposed to skin disease, will be used here when discussing this population in general, so as to be inclusive of the full range of dermatological conditions. This will include those acquired congenitally, such as port wine stains, as well as those resulting from diseases, such as psoriasis.