Factors associated with the perception of body image in patients with psoriatic disease.

BACKGROUND

Patients with psoriatic disease (PsD), including psoriasis (Pso) and psoriatic arthritis (PsA), often experience challenges related to body image due to the visible nature of their lesions and their impact on quality of life.

OBJECTIVE

To describe body image perception (BIP) and explore the factors associated with it in patients with PsD.

METHODS

A cross-sectional study involving 91 patients with PsD was conducted. Clinical evaluations included disease activity scores, patient-reported outcomes, and validated questionnaires assessing body image, quality of life, fatigue, anxiety, and depression. Multivariate analyses were performed to determine associations.

RESULTS

Higher disease activity, as measured by PASI and DAPSA, was associated with poorer BIP. Multivariate analyses identified functional impairment, fatigue, and psychological factors as key determinants of BIP.

CONCLUSIONS

In this Mexican PsD cohort, poorer BIP was independently associated with functional impairment, fatigue, anxiety/depression, and nail involvement, underscoring the need for multidisciplinary strategies that address both physical and psychological domains.