Psychosocial Factors, Stress, and Well-Being: Associations with Common Dermatological Manifestations in a Large Polish Cross-Sectional Analysis.

Background/Objectives: Cutaneous manifestations can signal underlying systemic inflammation, potentially exacerbated by chronic stress and diminished well-being. While links between psychosocial factors and skin health are recognized, comprehensive data across diverse populations remain limited. This study aimed to quantify associations between self-reported stress management capabilities, sociodemographic factors (gender, age, education, urbanization, professional status), lifestyle factors indicative of well-being, and the prevalence of six common dermatological manifestations (pruritus, burning sensations, redness, rash, desquamation, sunburn) within a large Polish cohort. Methods: This cross-sectional study analyzed data from 27,000 adult participants (22,043 women, 4887 men) collected during the National Healthy Skin Test (2023) via an online questionnaire. Participants reported the frequency of dermatological symptoms, stress management practices related to skin health, and relevant lifestyle factors (indicators of well-being). Logistic regression analyses identified significant predictors for each skin manifestation. Results: Effective stress coping ability was significantly associated with a lower prevalence of all six investigated dermatological manifestations (p < 0.001 for all). Significant gender differences emerged: women reported more frequent redness and burning sensations (p < 0.001), while men reported more frequent rash, sunburn, and desquamation (p < 0.001). Younger age (18-24 years) was associated with increased rash, desquamation, and redness compared to older adults (>65 years), who reported fewer burning sensations and less pruritus. Higher education and residence in large urban centers (≥500,000 inhabitants) were associated with increased reports of specific symptoms like sunburn and redness. Conclusions: This large-scale study demonstrates a significant association between psychosocial factors, particularly self-reported stress management, and the prevalence of six common, self-reported dermatological manifestations across various sociodemographic groups in Poland. The findings underscore the potential importance of considering a biopsychosocial approach in relation to these common skin symptoms. Further research is warranted, but these results suggest that for such common, self-reported skin issues, integrating stress reduction strategies and considering sociodemographic contexts and well-being may be valuable considerations for potentially enhancing personalized patient care and warrant further clinical investigation.