Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology

Stress has multiple and wide-ranging physiologic and clinical impacts on skin disease. This has led to an interest in mind body therapies as potential adjunct treatments for skin disease. The stress response results in the activation of the endocrine, neurologic, and immune systems, with a resultin...

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Autores principales:	Rachel Graubard, Ariadna Perez-Sanchez, Rajani Katta
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2021
Materias:	dermatology stress cognitive behavioral therapy mind body therapies biofeedback Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/e9450d4d7f8b4eab922de3ec0aded3fb
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spelling	oai:doaj.org-article:e9450d4d7f8b4eab922de3ec0aded3fb2021-11-15T15:17:26ZStress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology10.5826/dpc.1104a912160-9381https://doaj.org/article/e9450d4d7f8b4eab922de3ec0aded3fb2021-09-01T00:00:00Zhttps://dpcj.org/index.php/dpc/article/view/1546https://doaj.org/toc/2160-9381 Stress has multiple and wide-ranging physiologic and clinical impacts on skin disease. This has led to an interest in mind body therapies as potential adjunct treatments for skin disease. The stress response results in the activation of the endocrine, neurologic, and immune systems, with a resulting cascade of impacts, that are both systemic and cutaneous. The 2 main arms of the stress response are the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. The resultant release of cortisol, catecholamines, and neuropeptides has multiple effects. Clinically, these have been shown to increase skin inflammation, increase itching, impair skin barrier function, impair wound healing, and suppress immunity. Mind body therapies are those that focus on the interaction between the mind and the body, with the goal to influence physical function and impact health. These have been shown to ameliorate some of the harmful physiologic changes attributed to stress or to reduce harmful behaviors. In some cases, such as with biofeedback, they may also result in beneficial physiologic changes. Treatments such as meditation, biofeedback, hypnosis, guided imagery, and others have been evaluated in the treatment of skin disease and have shown some benefits. Although randomized controlled trials are limited, these interventions have shown beneficial effects on itching, psychosocial outcomes, and even skin severity. These interventions have been evaluated in diseases such as atopic dermatitis, psoriasis, trichotillomania, and others. Given the potential benefits, improvements in psychosocial outcomes, and a low risk profile, referral to qualified practitioners or multidisciplinary clinics should be considered for some patients. Rachel GraubardAriadna Perez-SanchezRajani KattaMattioli1885articledermatologystresscognitive behavioral therapymind body therapiesbiofeedbackDermatologyRL1-803ENDermatology Practical & Conceptual (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermatology stress cognitive behavioral therapy mind body therapies biofeedback Dermatology RL1-803
spellingShingle	dermatology stress cognitive behavioral therapy mind body therapies biofeedback Dermatology RL1-803 Rachel Graubard Ariadna Perez-Sanchez Rajani Katta Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
description	Stress has multiple and wide-ranging physiologic and clinical impacts on skin disease. This has led to an interest in mind body therapies as potential adjunct treatments for skin disease. The stress response results in the activation of the endocrine, neurologic, and immune systems, with a resulting cascade of impacts, that are both systemic and cutaneous. The 2 main arms of the stress response are the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. The resultant release of cortisol, catecholamines, and neuropeptides has multiple effects. Clinically, these have been shown to increase skin inflammation, increase itching, impair skin barrier function, impair wound healing, and suppress immunity. Mind body therapies are those that focus on the interaction between the mind and the body, with the goal to influence physical function and impact health. These have been shown to ameliorate some of the harmful physiologic changes attributed to stress or to reduce harmful behaviors. In some cases, such as with biofeedback, they may also result in beneficial physiologic changes. Treatments such as meditation, biofeedback, hypnosis, guided imagery, and others have been evaluated in the treatment of skin disease and have shown some benefits. Although randomized controlled trials are limited, these interventions have shown beneficial effects on itching, psychosocial outcomes, and even skin severity. These interventions have been evaluated in diseases such as atopic dermatitis, psoriasis, trichotillomania, and others. Given the potential benefits, improvements in psychosocial outcomes, and a low risk profile, referral to qualified practitioners or multidisciplinary clinics should be considered for some patients.
format	article
author	Rachel Graubard Ariadna Perez-Sanchez Rajani Katta
author_facet	Rachel Graubard Ariadna Perez-Sanchez Rajani Katta
author_sort	Rachel Graubard
title	Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
title_short	Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
title_full	Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
title_fullStr	Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
title_full_unstemmed	Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
title_sort	stress and skin: an overview of mind body therapies as a treatment strategy in dermatology
publisher	Mattioli1885
publishDate	2021
url	https://doaj.org/article/e9450d4d7f8b4eab922de3ec0aded3fb
work_keys_str_mv	AT rachelgraubard stressandskinanoverviewofmindbodytherapiesasatreatmentstrategyindermatology AT ariadnaperezsanchez stressandskinanoverviewofmindbodytherapiesasatreatmentstrategyindermatology AT rajanikatta stressandskinanoverviewofmindbodytherapiesasatreatmentstrategyindermatology
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Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology

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