Relationship between psychiatric disorders and inflammatory dermatoses: advances in diagnosis and management

Abstract

Inflammatory dermatoses are chronic conditions that may affect patients beyond their physical manifestations, with potential consequences for mental health and quality of life. This study aimed to analyze the relationship between psychiatric disorders and inflammatory dermatoses, emphasizing advances in diagnosis and clinical management. An integrative literature review was conducted using PubMed, MEDLINE, SciELO, and the Cochrane Library, including original studies published between September 2021 and September 2026. The selected studies addressed inflammatory dermatoses such as psoriasis, atopic dermatitis, eczema, and hidradenitis suppurativa, with emphasis on anxiety, depression, psychological burden, quality of life, diagnosis, and treatment outcomes. The findings demonstrated a relevant association between inflammatory skin diseases and psychiatric symptoms, particularly anxiety and depression. Greater psychological burden was also observed in relation to chronic symptoms, sleep disturbances, impaired quality of life, and social difficulties. Studies involving biological therapies reported improvements in both dermatological outcomes and psychological measures in several patient groups, although psychiatric symptoms persisted in some individuals despite adequate skin disease control. These findings support the integration of mental health assessment into dermatological care and reinforce the importance of individualized, multidisciplinary management.