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Mento, C., Rizzo, A., Muscatello, M. R. A., Zoccali, R. A., & Bruno, A. (2020). Negative Emotions in Skin Disorders: A Systematic Review. International Journal of Psychological Research, 13(1), 71–86. https://doi.org/10.21500/20112084.4078
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The main purpose of this study is to describe how negative emotions were investigated in the sphere of dermatological diseases, in order (1) to summarize literature trends about skin disorders and emotions, (2) to highlight any imbalances between the most studied and neglected emotions, (3) and to offer directions for future research. A computerized literature search provided 41 relevant and potentially eligible studies. Results showed that the study of emotions in skin disease is limited to Sadness/depression and Fear/anxiety. The emotions of Anger and Disgust have been poorly explored in empirical studies, despite they could be theoretically considered a vulnerability factor for the development of skin disorders and the dermatological extreme consequences, as negative emotionality toward self and the pathological skin condition. The bibliometric qualitative analysis with VOSViewer software revealed that the majority of the studies have been focused on the relationships between vitiligo and Sadness/depression, dermatitis and Fear/anxiety, psoriasis, and Anger, suggesting the need of future research exploring Disgust and, in general, a wider emotional spectrum.



Abram, K., Silm, H., Maaroos, H., & Oona, M. (2009). Subjective disease perception and symptoms of depression in relation to healthcare-seeking behaviour in patients with rosacea. Acta dermatovenereologica, 89 (5), 488–491.
Ahmed, I., Ahmed, S., & Nasreen, S. (2007). Frequency and pattern of psychiatric disorders in patients with vitiligo. J Ayub Med Coll Abbottabad, 19 (3), 19–21.
Alfani, S., Antinone, V., Mozzetta, A., Pietro, C., Mazzanti, C., Stella, P., & Abeni, D. (2012). Psychological status of patients with alopecia areata. Acta dermato-venereologica, 92 (3), 304–306.
Al-Harbi, M. (2013). Prevalence of depression in vitiligo patients. Skinmed, 11 (6), 327–330.
Altınöz, A., Taskıntuna, N., Altınöz, S., & Ceran, S. (2014). A cohort study of the relationship between anger and chronic spontaneous urticaria. Advances in therapy, 31 (9), 1000–1007.
Altunay, I., & Demirci, G. (2015). The relationship of functional pruritus with anger and associated psychiatric disorders. Turkderm, 49 (A00101s1), 28–32.
Arck, P., Handjiski, B., Hagen, E., Pincus, M., Bruenahl, C., Bienenstock, J., & Paus, R. (2010). Is there a ‘gut-brain-skin axis’? Experimental dermatology, 19 (5), 401–405.
Averill, J. R. (2012). Anger and aggression: An essay on emotion. Springer Science & Business Media.
Aydin, E., Atis, G., Bolu, A., Aydin, C., Karabacak, E., Dogan, B., & Ates, M. (2017). Identification of anger and self-esteem in psoriasis patients in a consultation-liaison psychiatry setting: a case control study. Psychiatry and Clinical Psychopharmacology, 27 (3), 222–226.
Boswell, J. (2016). Recognizing anger in clinical research and practice. Clinical Psychology: Science and Practice, 23 (1), 86–89.
Buljan, D., Buljan, M., & Situm, M. (2005). Psychodermatology: a brief review for clinicians. Psychiatria Danubina, 17 (1–2), 76–83.
Chan, M., Chua, T., Goh, B., Aw, C., Thng, T., & Lee, S. (2012). Investigating factors associated with depression of vitiligo patients in Singapore. Journal of clinical nursing, 21 (11–12), 1614–1621.
Cheng, C., Hsu, J., Huang, K., Bai, Y., Su, T., Li, C., & Chen, M. (2015). Risk of developing major depressive disorder and anxiety disorders among adolescents and adults with atopic dermatitis: A nationwide longitudinal study. Journal of affective disorders, 178, 60–65.
Coneo, A., Thompson, A., & Lavda, A. (2017). The influence of optimism, social support and anxiety on aggression in a sample of dermatology patients: an analysis of cross-sectional data. British Journal of Dermatology, 176 (5), 1187–1194.
Conrad, R., Geiser, F., Haidl, G., Hutmacher, M., Liedtke, R., & Wermter, F. (2008). Relationship between anger and pruritus perception in patients with chronic idiopathic urticaria and psoriasis. Journal of the European Academy of Dermatology and Venereology, 22 (9), 1062–1069.
Dalgard, F., Gieler, U., Tomas-Aragones, L., Lien, L., Poot, F., Jemec, G., & Evers, A. (2015). The psychological burden of skin diseases: a crosssectional multicenter study among dermatological out-patients in 13 european countries. Journal of Investigative Dermatology, 135 (4), 984–991.
Damasio, A. (2003). Feelings of emotion and the self. Annals of the New York Academy of Sciences, 1001 (1), 253–261.
Devrimci-Ozguven, H., Kundakci, N., Kumbasar, H., & Boyvat, A. (2000). The depression, anxiety, life satisfaction and affective expression levels in psoriasis patients. Journal of the European Academy of dermatology and venereology, 14 (4), 267–271.
Dhabhar, F. (2000). Acute stress enhances while chronic stress suppresses skin immunity: the role of stress hormones and leukocyte trafficking. Annals of the New York Academy of Sciences, 917 (1), 876–893.
Dieris-Hirche, J., Gieler, U., Kupfer, J., & Milch, W. (2009). Suicidal ideation, anxiety and depression in adult patients with atopic dermatitis. Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 60 (8), 641–646.
Duman, K., Ozdemir, Y., Yucel, E., & Akin, M. (2014). Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or limberg flap reconstruction for pilonidal sinus. Clinics, 69 (6), 384–387.
Egeberg, A., Hansen, P., Gislason, G., & Thyssen, J. (2016). Patients with rosacea have increased risk of depression and anxiety disorders: a Danish nationwide cohort study. Dermatology, 232 (2), 208–213.
Ehsani, A., Toosi, S., Shahshahani, M., Arbabi, M., & Noormohammadpour, P. (2009). Psycho-cutaneous disorders: an epidemiologic study. Journal of the European Academy of Dermatology and Venereology, 23 (8), 945–947.
Eming, S., Krieg, T., & Davidson, J. (2007). Inflammation in wound repair: molecular and cellular mechanisms. Journal of Investigative Dermatology, 127 (3), 514–525.
Engin, B., Uguz, F., Yilmaz, E., Özdemir, M., & Mevlitoglu, I. (2008). The levels of depression, anxiety and quality of life in patients with chronic idiopathic urticaria. Journal of the European Academy of Dermatology and Venereology, 22 (1), 36–40.
Esposito, M., Saraceno, R., Giunta, A., Maccarone, M., & Chimenti, S. (2006). An italian study on psoriasis and depression. Dermatology, 212 (2), 123–127.
Femiano, F. (2007). Pemphigus vulgaris: recent advances in our understanding of its pathogenesis. Minerva stomatologica, 56 (4), 215–223.
Fritzsche, K., Ott, J., Zschocke, I., Scheib, P., Burger, T., & Augustin, M. (2001). Psychosomatic liaison service in dermatology. Dermatology, 203 (1), 27–31.
Ghajarzadeh, M., Ghiasi, M., & Kheirkhah, S. (2012). Associations between skin diseases and quality of life: a comparison of psoriasis, vitiligo, and alopecia areata. Acta Medica Iranica, 50 (7), 511.
Gieler, U., Niemeier, V., Kupfer, J., Brosig, B., & Schill, W. (2001). Psychosomatic dermatology in germany: a survey of 69 dermatologic clinics. Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 52(2), 104–110.
Gupta, M., & Gupta, A. (2001). The use of antidepressant drugs in dermatology. Journal of the European Academy of Dermatology and Venereology, 15 (6), 512–518.
Halioua, B., Cribier, B., Frey, M., & Tan, J. (2017). Feelings of stigmatization in patients with rosacea. Journal of the European Academy of Dermatology and Venereology, 31 (1), 163–168.
Khattri, S., Bist, J., Arun, A., & Mehta, A. (2015). Clinical correlates of vitiligo with depression and anxiety: A comparative study in patients and their caregivers. International Journal, 3 (1), 200–205.
Kim, S., Hur, J., Jang, J., Park, H., Hong, C., Son, S., & Chang, K. (2015). Psychological Distress in Young Adult Males with Atopic Dermatitis: A Cross-Sectional Study. Medicine, 94 (23).
Konda, D., Chandrashekar, L., Rajappa, M., Kattimani, S., Thappa, D., & Ananthanarayanan, P. (2015). Serotonin and interleukin-6: Association with pruritus severity, sleep quality and depression severity in prurigo nodularis. Asian journal of psychiatry, 17 , 24–28.
Kossakowska, M., Ciescinska, C., Jaszewska, J., & Placek, W. (2010). Control of negative emotions and its implication for illness perception among psoriasis and vitiligo patients. Journal of the European Academy of Dermatology and Venereology, 24 (4), 429–433.
Krooks, J., Weatherall, A., & Holland, P. (2017). Review of epidemiology, clinical presentation, diagnosis, and treatment of common primary psychiatric causes of cutaneous disease. Journal of Dermatological Treatment, (just-accepted), 1–45.
Lahousen, T., Kupfer, J., Gieler, U., Hofer, A., Linder, M., & Schut, C. (2016). Differences Between Psoriasis Patients and Skin-healthy Controls Concerning Appraisal of Touching, Shame and Disgust. Acta dermato-venereologica, 96 (217), 78–82.
Lateiner, D., & Spatharas, D. (2016). The ancient emotion of disgust. Oxford University Press.
Layegh, P., Arshadi, H., Shahriari, S., Pezeshkpour, F., & Nahidi, Y. (2010). A comparative study on the prevalence of depression and suicidal ideation in dermatology patients suffering from psoriasis, Acne, Alopecia areata and Vitiligo. Iranian Journal of Dermatology, 13 (4), 106–111.
Lewis, M., Haviland-Jones, J., & Barrett, L. E. (2010). Handbook of emotions. Guilford Press.
Linder, D., Dall’Olio, E., Gisondi, P., Berardesca, E., De Gennaro, E., Pennella, A., & Girolomoni, G. (2009). Perception of disease and doctor-patient relationship experienced by patients with psoriasis. American journal of clinical dermatology, 10 (5), 325–330.
Livingstone, A. G., Shepherd, L., Spears, R., & Manstead, A. S. (2016). “fury, us”: Anger as a basis for new group self-categories. Cognition and Emotion, 30 (1), 183–192. Marshall, C., Taylor, R., & Bewley, A. (2016). Psychodermatology in Clinical Practice: Main Principles. Acta dermato-venereologica, 96 (217), 30–34.
Mattoo, S., Handa, S., Kaur, I., Gupta, N., & Malhotra, R. (2001). Psychiatric morbidity in vitiligo and psoriasis: a comparative study from india. The Journal of dermatology, 28 (8), 424–432.
Mento, C., Le Donne, M., Crisafulli, S., Rizzo, A., & Settineri, S. (2017). Bmi at early puerperium: body image, eating attitudes and mood states. Journal of Obstetrics and Gynaecology, 37 (4), 428–434.
Mento, C., Piraino, B., Rizzo, A., Vento, R., Rigoli, L., Moschella, E., & Settineri, S. (2015). Affective control and life satisfaction in thalassemics. International Journal of Psychological Research, 8 (1), 90–97.
Muscatello, M., Bruno, A., Scimeca, G., Pandolfo, G., & Zoccali, R. (2014). Role of negative affects in pathophysiology and clinical expression of irritable bowel syndrome. World Journal of Gastroenterology: WJG, 20 (24), 7570.
Parisi, R., Symmons, D., Griffiths, C., & Ashcroft, D. (2013). Global epidemiology of psoriasis: a systematic review of incidence and prevalence. Journal of Investigative Dermatology, 133 (2), 377–385.
Paus, R., Theoharides, T., & Arck, P. (2006). Neuroimmunoendocrine circuitry of the ‘brain-skin connection’. Trends in immunology, 27 (1), 32–39.
Pavlovic, S., Daniltchenko, M., Tobin, D., Hagen, E., Hunt, S., Klapp, B., & Peters, E. (2008). Further exploring the brain-skin connection: stress worsens dermatitis via substance P-dependent neurogenic inflammation in mice. Journal of Investigative Dermatology, 128 (2), 434–446.
Perusini, J., & Fanselow, M. (2015). Neurobehavioral perspectives on the distinction between fear and anxiety. Learning & Memory, 22 (9), 417–425.
Picardi, A., Abeni, D., Melchi, C., Puddu, P., & Pasquini, P. (2000). Psychiatric morbidity in dermatological outpatients: an issue to be recognized. British Journal of dermatology, 143 (5), 983–991.
Pärna, E., Aluoja, A., & Kingo, K. (2015). Quality of life and emotional state in chronic skin disease. Acta Derm Venereol, 95 , 312–316.
Rashid, M., Mullick, M., Jaigirdar, M., Ali, R., Nirola, D., Salam, M., & Ahsan, M. (2011). Psychiatric Morbidity in Psoriasis and Vitiligo in Two Tertiary Hospitals in Bangladesh. Bangabandhu Sheikh Mujib Medical University Journal, 4 (2), 88–93.
Rizzo, A., Muscatello, M., Autunno, M., Borgese, C., Pandolfo, G., Zoccali, R., & Bruno, A. (2018). Negative emotions in headache patients. Recenti progressi in medicina, 109 (7), 393–397.
Sampogna, F., Tabolli, S., & Abeni, D. (2012). Living with psoriasis: prevalence of shame, anger, worry, and problems in daily activities and social life. Acta dermato-venereologica, 92 (3), 299–303.
Sarkar, S., Sarkar, A., Saha, R., & Sarkar, T. (2014). Psoriasis and psychiatric morbidity: a profile from a tertiary care centre of Eastern India. Journal of family medicine and primary care, 3 (1), 29.
Sayar, K., Ugurad, I., Kural, Y., & Acar, B. (2000). The psychometric assessment of acne vulgaris patients. Dermatology and Psychosomatics/Dermatologie und Psychosomatik, 1 (2), 62–65.
Sellami, R., Masmoudi, J., Ouali, U., Mnif, L., Amouri, M., Turki, H., & Jaoua, A. (2014). The relationship between alopecia areata and alexithymia, anxiety and depression: a case-control study. Indian journal of dermatology, 59 (4), 421.
Settineri, S., Guarneri, F., Saitta, A., Mento, C., & Cannavò, S. (2013). Depression profiles in skin disorders. Open Journal of Psychiatry, 3 (1).
Settineri, S., & Mento, C. (2014). Questionnaire of Disgust. Mediterranean Journal of Clinical Psychology, 2 (1).
Settineri, S., Rizzo, A., Liotta, M., & Mento, C. (2017). Clinical Psychology of Oral Health: The Link Between Teeth and Emotions. SAGE Open, 7 (3), doi: 10.1177/2158244017728319.
Sharma, N., Koranne, R., & Singh, R. (2001). Psychiatric morbidity in psoriasis and vitiligo: a comparative study. The Journal of dermatology, 28 (8), 419–423.
Shenefelt, P. (2010). Psychological interventions in the management of common skin conditions. Psychology research and behavior management, 3 (51).
Tabolli, S., Mozzetta, A., Antinone, V., Alfani, S., Cianchini, G., & Abeni, D. (2008). The health impact of pemphigus vulgaris and pemphigus foliaceus assessed using the Medical Outcomes Study 36-item short form health survey questionnaire. British Journal of Dermatology, 158 (5), 1029–1034.
Takaki, H., & Ishii, Y. (2013). Sense of coherence, depression, and anger among adults with atopic dermatitis. Psychology, health & medicine, 18 (6), 725–734.
Tareen, R., & Tareen, A. (2015). Dermatology practice and psychiatric disorders. Journal of Alternative Medicine Research, 7 (1), 47.
Uhlenhake, E., Yentzer, B., & Feldman, S. (2010). Acne vulgaris and depression: a retrospective examination. Journal of cosmetic dermatology, 9 (1), 59–63.
Van Eck, N., & Waltman, L. (2014). Visualizing bibliometric networks. In Y. Ding, R. Rousseau, & D. Wolfram (Eds.), Measuring Scholarly Impact: Methods and practice. New York, NY: Springer International Publishing, pp. 285–320.
Vernwal, D. (2017). A study of anxiety and depression in Vitiligo patients: New challenges to treat. European Psychiatry, 41 , S321.
Wakefield, J., & Demazeux, S. (2016). Sadness or Depression? International Perspectives on the Depression Epidemic and Its Meaning. Springer.
Wojtyna, E., Łakuta, P., Marcinkiewicz, K., Bergler-Czop, B., & Brzezinska-Wcisło, L. (2017). Gender, body image and social support: Biopsychosocial determinants of depression among patients with psoriasis. Acta dermato-venereologica, 97 (1), 91–97.
Yadav, S., Narang, T., & Kumaran, M. (2013). Psychodermatology: A comprehensive review. Indian Journal of Dermatology, Venereology, and Leprology, 79 (2), 176.
Yamasaki, K., & Gallo, R. (2009). The molecular pathology of rosacea. Journal of dermatological science, 55 (2), 77–81.
Yoder, A., Widen, S., & Russell, J. (2016). The word disgust may refer to more than one emotion. Emotion, 16 (3), 301.


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