In recent years, the prevalence of socially significant dermatoses such as psoriasis, vitiligo, and alopecia has increased markedly. Psychoemotional stress is considered one of the major provoking factors influencing both the onset and course of these diseases. Conversely, chronic and torpid dermatological conditions often lead to depressive and anxiety-related disorders, significantly impairing patients’ quality of life and social functioning. This article analyzes the psychosomatic mechanisms underlying chronic dermatoses, emphasizing the role of premorbid personality traits, social consequences of visible skin lesions, and changes in the patient’s internal psychological position. Particular attention is paid to psychosomatic dermatoses and arthropathic psoriasis as clinical models illustrating the interaction between skin pathology and mental processes. The review highlights the necessity of integrating psychotherapeutic approaches into comprehensive dermatological care.

Psychodermatology, chronic dermatoses, psychosomatic disorders

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