• Users Online: 560
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2018  |  Volume : 34  |  Issue : 2  |  Page : 99-104

Interphase between skin, psyche, and society: A narrative review

1 Consultant Dermatologist, Department of Dermatology, DermaVue Skin and Hair Clinic, Thiruvananthapuram, Kerala, India
2 Department of Psychiatry, National Institute of Mental Health and Neuroscience, Bengaluru, Karnataka, India
3 Department of Psychiatry, Government Medical College, Kottayam, Kerala, India
4 ESI, Bengaluru, Karnataka, India
5 Psychiatrist, Health Sevice, Jammu and Kashmir, India
6 Department of Psychiatry, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Dr. Soumitra Das
Department of Psychiatry, National Institute of Mental Health and Neuroscience, Bengaluru, Karnataka
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijsp.ijsp_92_17

Rights and Permissions

Disorders of the skin affect the psyche of a person significantly. The interplay between internal and external world can be depicted through the various skin reactions in regard to psychological or physiological stimuli. Psychocutaneous illness could be exclusively psychological or stress related or due to strong psychogenic factors. As per biopsychosocial model, it could be primary, multifactorial, or secondary to disfigurement. Whichever is the condition, invariably stress is a major contributing factor in prognosis and onset of disorders of the skin. Self-explanation, myth, stigma, and diminished self-confidence often lead to depression and suicidality followed by active avoidance of the workplace, in turn, causing significant disability in the individual. The conflict between self-image and perceived image frequently causes fear of rejection leading to social anxiety, reduced self-confidence, interpersonal communication, and impaired sexual intimacy with a partner. Maladaptive sets of coping strategies such as alexithymia, shame proneness, avoidance, concealment, and escape are very common among the sufferers which impair the attachment with family and friends. Children are the extreme sufferers as they develop inferiority, low self-esteem, loss of body image, and social withdrawal leading to rejection from parents and faulty development of attachment pattern. Hence, disorders of the skin can lead to impaired coping, impaired compliance, limitations in quality of life, negative body image, and stigmatization which invariably cause psychological comorbidities such as depression, anxiety, phobia, and somatoform and adjustment disorders. Hence, there is a direct relationship between skin, mind, and society which we are going to explore in a detailed fashion to understand its impact on the psyche and the society.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded188    
    Comments [Add]    

Recommend this journal