Clinical, cosmetic and investigational dermatology · 2025
Multidisciplinary Management of Psoriasis: Integrating Diet, Exercise, Psychological Support, and Sleep Interventions.
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Dymek Agnieszka, Czerwonogrodzka-Senczyna Aneta, Wyszyńska Justyna, Wójcik Małgorzata, Tarkowski Bartłomiej, Zalewska-Janowska Anna Małgorzata, Łuszczki Edyta
Аннотация
BACKGROUND: Psoriasis is a chronic inflammatory disease frequently associated with metabolic comorbidities, psychological distress, and reduced quality of life. Its multifactorial nature and frequent overlap with other conditions pose substantial challenges in clinical management.
PURPOSE: This narrative review emphasizes the importance of a multidisciplinary approach to psoriasis care, integrating dietary counseling, physical activity promotion, psychological support, and sleep interventions. While multidisciplinary care models such as integrated clinics and coordinated care pathways have been proposed, to our knowledge, this is the first review to comprehensively synthesize evidence across these interrelated domains.
METHODOLOGY: A comprehensive literature search was conducted using PubMed, Scopus, Cochrane, and Web of Science to identify studies addressing psoriasis in the context of lifestyle, nutrition, mental health, and interdisciplinary collaboration.
RESULTS: Lifestyle modifications, including weight management, anti-inflammatory dietary patterns, stress reduction strategies, regular physical activity, and sleep optimization, may significantly reduce disease severity and improve patient-reported outcomes. Mental health disorders and sleep disturbances are common among individuals with psoriasis and are increasingly recognized as important determinants of disease progression and treatment response.
CONCLUSION: Psoriasis management should extend beyond pharmacotherapy to address modifiable lifestyle-related factors. Integrating care from dermatologists, dietitians, psychologists, and physiotherapists facilitates a more comprehensive and individualized approach. This model has the potential to improve not only clinical outcomes but also sleep quality, psychological well-being, and long-term self-management in patients with psoriasis.
PURPOSE: This narrative review emphasizes the importance of a multidisciplinary approach to psoriasis care, integrating dietary counseling, physical activity promotion, psychological support, and sleep interventions. While multidisciplinary care models such as integrated clinics and coordinated care pathways have been proposed, to our knowledge, this is the first review to comprehensively synthesize evidence across these interrelated domains.
METHODOLOGY: A comprehensive literature search was conducted using PubMed, Scopus, Cochrane, and Web of Science to identify studies addressing psoriasis in the context of lifestyle, nutrition, mental health, and interdisciplinary collaboration.
RESULTS: Lifestyle modifications, including weight management, anti-inflammatory dietary patterns, stress reduction strategies, regular physical activity, and sleep optimization, may significantly reduce disease severity and improve patient-reported outcomes. Mental health disorders and sleep disturbances are common among individuals with psoriasis and are increasingly recognized as important determinants of disease progression and treatment response.
CONCLUSION: Psoriasis management should extend beyond pharmacotherapy to address modifiable lifestyle-related factors. Integrating care from dermatologists, dietitians, psychologists, and physiotherapists facilitates a more comprehensive and individualized approach. This model has the potential to improve not only clinical outcomes but also sleep quality, psychological well-being, and long-term self-management in patients with psoriasis.