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Stress, Relaxation, and General Well-Being

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Preventive Dermatology
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Abstract

We instinctively understand that, in general, stress is an uncomfortable and deleterious physical and emotional state. However, it is often difficult to recognize and control. In dermatology, stress can be both a consequence and an instigator of disease. This chapter will explore (1) definitions of stress, (2) the interplay between stress and the skin, and (3) various stress-reducing modalities.

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References

  1. Cannon WB. The Wisdom of the Body. New York: Norton; 1932

    Google Scholar 

  2. Selye H. The Stress of Life. New York: McGraw-Hill; 1956

    Google Scholar 

  3. Sterling P, Eyer J. Allostasis: a new paradigm to explain arousal pathology. In: Fisher S, Reason J, eds. Handbook of Life Stress, Cognition and Health. New York: John Wiley; 1988:629–649

    Google Scholar 

  4. McEwen BS. Protective and damaging effects of stress mediators. Seminars in Medicine of the Beth Israel Deaconess Medical Center. N Engl J Med. 1998;338(3):171–179

    Article  PubMed  CAS  Google Scholar 

  5. Elenkov IJ, Chrousos GP. Stress hormones, Th1/Th2 patterns, pro/anti-inflammatory cytokines and susceptibility to disease. Trends Endocrinol Metab. 1999;10(9):359–368

    Article  PubMed  CAS  Google Scholar 

  6. Trinchieri G. Interleukin-12 and the regulation of innate resistance and adaptive immunity. Nat Rev. 2003;3(2):133–146

    Article  CAS  Google Scholar 

  7. Marucha PT, Kiecolt-Glaser JK, Favagehi M. Mucosal wound healing is impaired by examination stress. Psychosom Med. 1998;60(3):362–365

    PubMed  CAS  Google Scholar 

  8. Stamenkovic I. Extracellular matrix remodelling: the role of matrix metalloproteinases. J Pathol. 2003;200(4):448–464

    Article  PubMed  CAS  Google Scholar 

  9. Yang EV, Bane CM, MacCallum RC, et al Stress-related modulation of matrix metalloproteinase expression. J Neuroimmunol. 2002;133(1–2):144–150

    Article  PubMed  CAS  Google Scholar 

  10. Chiu A, Chon SY, Kimball AB. The response of skin disease to stress: changes in the severity of acne vulgaris as affected by examination stress. Arch Dermatol. 2003;139(7):897–900

    Article  PubMed  Google Scholar 

  11. Papadopoulos L, Bor R, Legg C, Hawk JL. Impact of life events on the onset of vitiligo in adults: preliminary evidence for a psychological dimension in aetiology. Clin Exp Dermatol. 1998;23(6):243–248

    Article  PubMed  CAS  Google Scholar 

  12. Barisic-Drusko V, Rucevic I. Trigger factors in childhood psoriasis and vitiligo. Coll Antropol. 2004;28(1):277–285

    PubMed  Google Scholar 

  13. Gulec AT, Tanriverdi N, Duru C, et al The role of psychological factors in alopecia areata and the impact of the disease on the quality of life. Int J Dermatol. 2004;43(5):352–356

    Article  PubMed  Google Scholar 

  14. Chaudhary S. Psychosocial stressors in oral lichen planus. Aust Dental J. 2004;49(4):192–195

    Article  CAS  Google Scholar 

  15. Cohen F, Kemeny ME, Kearney KA, et al Persistent stress as a predictor of genital herpes recurrence. Arch Intern Med. 1999;159(20):2430–2436

    Article  PubMed  CAS  Google Scholar 

  16. Goldberg IA, Brenner S. Pemphigus vulgaris triggered by rifampin and emotional stress. Skinmed. 2004;3(5):294

    Article  PubMed  Google Scholar 

  17. Berrino AM, Voltolini S, Fiaschi D, et al Chronic urticaria: importance of a medical-psychological approach. Allerg Immunol. 2006;38(5):149–152

    CAS  Google Scholar 

  18. Naldi L, Peli L, Parazzini F, Carrel CF. Family history of psoriasis, stressful life events, and recent infectious disease are risk factors for a first episode of acute guttate psoriasis: results of a case-control study. J Am Acad Dermatol. 2001;44(3):433–438

    Article  PubMed  CAS  Google Scholar 

  19. Fortune DG, Richards HL, Griffiths CE, Main CJ. Psychological stress, distress and disability in patients with psoriasis: consensus and variation in the contribution of illness perceptions, coping and alexithymia. Br J Dermatol. 2002;41:157–174

    Google Scholar 

  20. Fortune DG, Richards Hl, Griffiths CE, Main CJ. Psychologic factors in psoriasis: consequences, mechanisms, and interventions. Dermatol Clin. 2005;4:681–694

    Google Scholar 

  21. Farber RSP, EM RSK. Role of nerve growth factor in RANTES expression by keratinocytes. Acta Derm Venereol. 2000;80(4):247–250

    Article  PubMed  Google Scholar 

  22. Nickoloff BJ, Schroeder JM, von den Driesch P, et al Is psoriasis a T-cell disease? Exp Dermatol. 2000;9:357–375

    Article  Google Scholar 

  23. Farber EM, Nall L. Psoriasis: a stress-related disease. Cutis. 1993;51(5):322–326

    PubMed  CAS  Google Scholar 

  24. Farber EM, Nickoloff BJ, Recht B, Fraki JE. Stress, symmetry, and psoriasis: possible role of neuropeptides. J Am Acad Dermatol. 1986;14(2 Pt 1):305–311

    Article  PubMed  CAS  Google Scholar 

  25. Aloe L, Alleva E, Fiore M. Stress and nerve growth factor: findings in animal models and humans. Pharmacol Biochem Behav. 2002;73(1):159–166

    Article  PubMed  CAS  Google Scholar 

  26. Raychaudhuri SP, Jiang WY, Farber EM. Psoriatic keratinocytes express high levels of nerve growth factor. Acta Derm Venereol. 1998;78(2):84–86

    Article  PubMed  CAS  Google Scholar 

  27. Raychaudhuri SP, Jiang WY, Smoller BR, Farber EM. Nerve growth factor and its receptor system in psoriasis. Br J Dermatol. 2000;143(1):198–200

    Article  PubMed  CAS  Google Scholar 

  28. Richards HL, Ray DW, Kirby B, et al Response of the hypothalamic-pituitary-adrenal axis to psychological stress in patients with psoriasis. Br J Dermatol. 2005;153(6):1114–1120

    Article  PubMed  CAS  Google Scholar 

  29. Schmid-Ott GJR, Jaëger B, et al Stress induced endocrine and immunological changes in psoriasis patients and healthy controls. Psychother Psychosom. 1998;67:37–42

    Article  PubMed  CAS  Google Scholar 

  30. Langan SM, Bourke JF, Silcocks P, Williams HC. An exploratory prospective observational study of environmental factors exacerbating atopic eczema in children. Br J Dermatol. 2006;154(5):979–980

    Article  PubMed  CAS  Google Scholar 

  31. Faulstich ME, Williamson DA, Duchmann EG, et al Psychophysiological analysis of atopic dermatitis. J Psychosom Res. 1985;29(4):415–417

    Article  PubMed  CAS  Google Scholar 

  32. Altemus M, Rao B, Dhabhar FS, et al Stress-induced changes in skin barrier function in healthy women. J Invest Dermatol. 2001;117(2):309–317

    Article  PubMed  CAS  Google Scholar 

  33. Zane L. Psychoneuroendocrinimmunodermatology: pathophysiological mechanisms of stress in cutaneous disease. In: Koo JYM, Lee CS, eds. Psychocutaneous Medicine. New York: Marcel Dekker; 2003:65–95

    Google Scholar 

  34. Buske-Kirschbaum A, Jobst S, Psych D, et al Attenuated free cortisol response to psychosocial stress in children with atopic dermatitis. Psychosom Med. 1997;59(4):419–426

    PubMed  CAS  Google Scholar 

  35. Buske-Kirschbaum A, Geiben A, Hollig H, et al Altered responsiveness of the hypothalamus-pituitary-adrenal axis and the sympathetic adrenomedullary system to stress in patients with atopic dermatitis. J Clin Endocrinol Metab. 2002;87(9):4245–4251

    Article  PubMed  CAS  Google Scholar 

  36. Rupprecht M, Rupprecht R, Kornhuber J, et al Elevated glucocorticoid receptor concentrations before and after glucocorticoid therapy in peripheral mononuclear leukocytes of patients with atopic dermatitis. Dermatologica. 1991;183:100–105

    Article  PubMed  CAS  Google Scholar 

  37. Schmid-Ott G, Jaeger B, Meyer S, et al Different expression of cytokine and membrane molecules by circulating lymphocytes on acute mental stress in patients with atopic dermatitis in comparison with healthy controls. J Allergy Clin Immunol. 2001;108:455–462

    Article  PubMed  CAS  Google Scholar 

  38. Delgado M, Fernandez-Alphonso MS, Fuentes A. Effect of adrenaline and glucocorticoids on monocyte cAMP-specific phospodiesterase (PDE4) in a monocyte cell line. Arch Dermatol Res. 2002;294:190–197

    Article  PubMed  CAS  Google Scholar 

  39. Theoharides TC, Donelan JM, Papadopoulou N, et al Mast cells as targets of corticotropin-releasing factor and related peptides. Trends Pharmacol Sci. 2004;25(11):563–568

    Article  PubMed  CAS  Google Scholar 

  40. Papadopoulou N, Kalogeromitros D, Staurianeas NG, et al Corticotropin-releasing hormone receptor-1 and histidine decarboxylase expression in chronic urticaria. J Invest Dermatol. 2005;125(5):952–955

    Article  PubMed  CAS  Google Scholar 

  41. Biondi M, Zannino LG. Psychological stress, neuroimmunomodulation, and susceptibility to infectious diseases in animals and man: a review. Psychother Psychosom. 1997;66(1):3–26

    Article  PubMed  CAS  Google Scholar 

  42. Bailey MT, Engler H, Sheridan JF. Stress induces the translocation of cutaneous and gastrointestinal microflora to secondary lymphoid organs of C57BL/6 mice. J Neuroimmunol. 2006;171(1–2):29–37

    Article  PubMed  CAS  Google Scholar 

  43. Rojas IG, Padgett DA, Sheridan JF, Marucha PT. Stress-induced susceptibility to bacterial infection during cutaneous wound healing. Brain Behav Immun. 2002;16(1):74–84

    Article  PubMed  Google Scholar 

  44. Buske-Kirschbaum A, Geiben A, Wermke C, et al Preliminary evidence for Herpes labialis recurrence following experimentally induced disgust. Psychother Psychosom. 2001;70(2):86–91

    Article  PubMed  CAS  Google Scholar 

  45. Cohen S, Frank E, Doyle WJ, et al Types of stressors that increase susceptibility to the common cold in healthy adults [see comments]. Health Psychol. 1998;17(3):214–223

    Article  PubMed  CAS  Google Scholar 

  46. Cohen S, Tyrrell DA, Smith AP. Psychological stress and susceptibility to the common cold [see comments]. N Engl J Med. 1991;325(9):606–612

    Article  PubMed  CAS  Google Scholar 

  47. VanderPlate C, Kerrick G. Stress reduction treatment of severe recurrent genital herpes virus. Biofeedback Self Regul. 1985;10(2):181–188

    Article  PubMed  CAS  Google Scholar 

  48. Yang EV, Glaser R. Stress-induced immunomodulation: implications for tumorigenesis. Brain Behav Immun. 2003;17(suppl 1):S37–S40

    Article  PubMed  Google Scholar 

  49. Reiche EM, Nunes SO, Morimoto HK. Stress, depression, the immune system, and cancer. Lancet Oncol. 2004;5(10):617–625

    Article  PubMed  CAS  Google Scholar 

  50. Reiche EM, Morimoto HK, Nunes SM. Stress and depression-induced immune dysfunction: implications for the development and progression of cancer. Int Rev Psychiatr. 2005;17(6):515–527

    Article  Google Scholar 

  51. Lillberg K, Verkasalo PK, Kaprio J, et al Stressful life events and risk of breast cancer in 10, 808 women: a cohort study. Am J Epidemiol. 2003;157(5):415–423

    Article  PubMed  Google Scholar 

  52. Riley V. Psychoneuroendocrine influences on immunocompetence and neoplasia. Science. 1981;212(4499):1100–1109

    Article  PubMed  CAS  Google Scholar 

  53. Wu W, Yamaura T, Murakami K, et al Social isolation stress enhanced liver metastasis of murine colon 26–L5 carcinoma cells by suppressing immune responses in mice. Life Sci. 2000;66(19):1827–1838

    Article  PubMed  CAS  Google Scholar 

  54. Ramirez AJ, Craig TK, Watson JP, et al Stress and relapse of breast cancer [see comments]. BMJ. 1989;298(6669):291–293

    Article  PubMed  CAS  Google Scholar 

  55. Havlik RJ, Vukasin AP, Ariyan S. The impact of stress on the clinical presentation of melanoma. Plast Reconstr Surg. 1992;90(1):57–61; discussion 2-4

    Article  PubMed  CAS  Google Scholar 

  56. Reynolds P, Kaplan GA. Social connections and risk for cancer: prospective evidence from the Alameda County Study. Behav Med. 1990;16(3):101–110

    Article  PubMed  CAS  Google Scholar 

  57. Jacobs JR, Bovasso GB. Early and chronic stress and their relation to breast cancer [In Process Citation]. Psychol Med. 2000;30(3):669–678

    Article  PubMed  CAS  Google Scholar 

  58. Grossarth-Maticek R, Eysenck HJ, Boyle GJ, et al Interaction of psychosocial and physical risk factors in the causation of mammary cancer, and its prevention through psychological methods of treatment. J Clin Psychol. 2000;56(1): 33–50

    Article  PubMed  CAS  Google Scholar 

  59. Laudenslager ML, Ryan SM, Drugan RC, et al Coping and immunosuppression: inescapable but not escapable shock suppresses lymphocyte proliferation. Science. 1983;221(4610):568–570

    Article  PubMed  CAS  Google Scholar 

  60. Ben-Eliyahu S, Page GG, Yirmiya R, Shakhar G. Evidence that stress and surgical interventions promote tumor development by suppressing natural killer cell activity. Int J Cancer. 1999;80(6):880–888

    Article  PubMed  CAS  Google Scholar 

  61. Ben-Eliyahu S. The promotion of tumor metastasis by surgery and stress: immunological basis and implications for psychoneuroimmunology. Brain Behav Immun. 2003;17(suppl 1):S27–S36

    Article  PubMed  CAS  Google Scholar 

  62. Parker J, Klein SL, McClintock MK, et al Chronic stress accelerates ultraviolet-induced cutaneous carcinogenesis. J Am Acad Dermatol. 2004;51(6):919–922

    Article  PubMed  Google Scholar 

  63. Saul AN, Oberyszyn TM, Daugherty C, et al Chronic stress and susceptibility to skin cancer. J Natl Cancer Inst. 2005; 97(23):1760–1767

    Article  PubMed  CAS  Google Scholar 

  64. Spiegel D, Bloom JR, Kraemer HC, Gottheil E. Effect of psychosocial treatment on survival of patients with metastatic breast cancer [see comments]. Lancet. 1989;2(8668):888–891

    Article  PubMed  CAS  Google Scholar 

  65. Fawzy FI, Fawzy NW, Hyun CS, et al Malignant melanoma. Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Arch Gen Psychiatr. 1993;50(9):681–689

    Article  PubMed  CAS  Google Scholar 

  66. Herberman RB, Ortaldo JR. Natural killer cells: their roles in defenses against disease. Science. 1981;214:24–30

    Article  PubMed  CAS  Google Scholar 

  67. Kiecolt-Glaser JK, Garner W, Speicher C, et al Psychosocial modifiers of immunocompetence in medical students. Psychosom Med. 1984;46(1):7–14

    PubMed  CAS  Google Scholar 

  68. Glaser R, Rice J, Speicher CE, et al Stress depresses interferon production by leukocytes concomitant with a decrease in natural killer cell activity. Behav Neurosci. 1986;100(5):675–678

    Article  PubMed  CAS  Google Scholar 

  69. Riley V. Psychoneuroendocrine Influences on immunocompetence and neoplasia. Science. 1981;212:1100–1109

    Article  PubMed  CAS  Google Scholar 

  70. Wu W. Social isolation stress enhanced liver metastasis of murine colon 26–L5 carcinoma cells by suppressing immune responses in mice. Life Sci. 2000;66:1827–1838

    Article  PubMed  CAS  Google Scholar 

  71. Laudenslager ML. Coping and immunosuppression: inescapable but not escapable shock supresses lymphocyte proliferation. Science. 1983;221:568–570

    Article  PubMed  CAS  Google Scholar 

  72. Ernst E. The use of complementary therapies by dermatological patients: a systematic review. Br J Dermatol. 2000;142:857–861

    Article  PubMed  CAS  Google Scholar 

  73. Baron SE, Goodwin RG, Nicolau N, et al Use of complementary medicine among outpatients with dermatologic conditions within Yorkshire and South Wales, United Kingdom. J Am Acad Dermatol. 2005;52:589–594

    Article  PubMed  Google Scholar 

  74. Nicolaou N, Johnston GA. The use of complementary medicine by patients referred to a contact dermatitis clinic. Contact Derm. 2004;51:30–33

    Article  PubMed  Google Scholar 

  75. Augustin M, Zschocke I, Buhrke U. Attitudes and prior experience with respect to alternative medicine among dermatological patients: the Freiburg questionaire on attitudes to naturopathy (FAN). Res Complement Med. 1999;6 (suppl 2): 26–29

    Article  Google Scholar 

  76. Chen Yu-Fu, Chang JS. Complementary and alternative medicine use among patients attending a hospital dermatology clinic in Taiwan. Int J Dermatol. 2003;42:616–621

    Article  PubMed  Google Scholar 

  77. Simpson EL, Basco M, Hanifin J. Cross-sectional survey of complementary and alternative medicine use in patients with atopic dermatitis. Am J Contact Derm. 2003;14:144–147

    Google Scholar 

  78. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. CDC Advance Data Report #343. 2004

    Google Scholar 

  79. Rutledge JC, Hyson DA, Garduno D, et al Lifestyle modification program in management of patients with coronary artery disease: the clinical experience in a tertiary care hospital. J Cardiopulm Rehabil. 1999;19(4):226–234

    Article  PubMed  CAS  Google Scholar 

  80. Luskin FM, Newell KA, Griffith M, et al A review of mind/body therapies in the treatment of musculoskeletal disorders with implications for the elderly. Altern Ther Health Med. 2000;6(2):46–56

    PubMed  CAS  Google Scholar 

  81. Astin JA, Shapiro SL, Eisenberg DM, et al Mind-body medicine: state of the science, implications for practice. J Am Board Fam Pract. 2003;16(2):131–147

    Article  PubMed  Google Scholar 

  82. Mundy EA, DuHamel KN, Montgomery GH. The efficacy of behavioral interventions for cancer treatment-related side effects. Sem Clin Neuropsychiatr. 2003;8(4):253–275

    Google Scholar 

  83. Irwin MR, Pike JL, Cole JC, et al Effects of a behavioral intervention, Tai Chi Chih, on varicella-zoster virus specific immunity and health functioning in older adults. Psychosomatic Med. 2003;65(5):824–830

    Article  Google Scholar 

  84. Kiecolt-Glaser JK, Marucha PT, Atkinson C, et al Hypnosis as a modulator of cellular immune dysregulation during acute stress. J Consult Clin Psychol. 2001;69(4):674–682

    Article  PubMed  CAS  Google Scholar 

  85. yoga.about.com Yoga and Your Health, by Ann Pizer; 2008 Accessed 12.1.08

    Google Scholar 

  86. Cancer.gov. Pain control: Support for People with Cancer; 2008 Accessed 25.1.08

    Google Scholar 

  87. Deutsch J, Anderson E. Complementary Therapies for Physical Therapy: A Clinical Decision-Making Approach. Chapter 8: Therapeutic Aspects of Yoga. St. Louis, MO: Saunders/Elsevier; 2008

    Google Scholar 

  88. Stevensen CJ. Aromatherapy in dermatology. Clin Dermatol. 1998;16:689–694

    Article  PubMed  CAS  Google Scholar 

  89. Bensouilah J. Psoriasis and aromatherapy. Int J Aromatherap. 2003;13:2–8

    Article  Google Scholar 

  90. Hosoi J, Tanida M, Tsuchiya T. Mitigation of stress-induced suppression of contact hypersensitivity by odorant inhalation. Br J Dermatol. 2001;145:716–719

    Article  PubMed  CAS  Google Scholar 

  91. Fujiwara R, Komori T, Noda Y, et al Effects of a long-term inhalation of fragrances on the stress-induced immunosuppression in mice. Neuroimmunomodulation. 1998;5(6):318–322

    Article  PubMed  CAS  Google Scholar 

  92. Atsumi T, Tonosaki K. Smelling lavender and rosemary increases free radical scavenging activity and decreases cortisol level in saliva. Psychiatr Res. 2007;150:89–96

    Article  CAS  Google Scholar 

  93. Hay I, Jamieson M, Ormerod AD. Randomized trial of aromatherapy: successful treatment for alopecia areata. Arch Dermatol. 1998;134:1349–1352

    Article  PubMed  CAS  Google Scholar 

  94. Gaston L, Crombez J, Lassonde M, et al Psychological stress and psoriasis: experimental and prospective correlational studies. Acta Derm Venereol (Stockh). 1991;156:37–43

    CAS  Google Scholar 

  95. Kabat-Zinn J, Wheeler E, Light T, et al Influence of a mindfullness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemotherapy (PUVA). Psychosomatic Med. 1998;60:625–632

    CAS  Google Scholar 

  96. Sarti MG. Biofeedback in dermatology. Clin Dermatol. 1998;16:711–714

    Article  PubMed  CAS  Google Scholar 

  97. Keinan G, Segal A, Gal U, Brenner S. Stress management for psoriasis patients: the effectiveness of biofeedback and relaxation techniques. Stress Med. 1995;11(1):235–241

    Article  Google Scholar 

  98. Schenefelt PD. Complementary psychocutaneous therapies in dermatology. Dermatol Clin. 2005;23:723–734

    Article  CAS  Google Scholar 

  99. Bellini MA. Hypnosis in dermatology. Clin Dermatol. 1998;16:725–726

    Article  PubMed  CAS  Google Scholar 

  100. Tausk FA, Whitmore E. A pilot study of hypnosis in the treatment of patients with psoriasis. Psychother Psychosom. 1998;68:221–225

    Article  Google Scholar 

  101. Thomsen RJ. Spirituality in medical practice. Arch Derm. 1998;134:1443–1446

    Article  PubMed  CAS  Google Scholar 

  102. Sollner W, Zingg-Schir M, Rumpold G, Fritsch P. Attitude toward alternative therapy, compliance with standard treatment, and need for emotional support in patients with melanoma. Arch Derm. 1997;133:316–321

    Article  PubMed  CAS  Google Scholar 

  103. Branzzini B, Ghersetich I, Hercogava J, Lotti T. The neuro-immuno-cutaneous-endocrine network: relationship between mind and skin. Dermatol Ther. 2003;16:123–131

    Article  Google Scholar 

  104. Harth W, Gieler U, Kusnir D, Tausk FA. Clinical Management of Psychodermatology. Heidelberg: Springer; 2009

    Google Scholar 

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Smith, N., Tausk, F.A. (2011). Stress, Relaxation, and General Well-Being. In: Norman, R. (eds) Preventive Dermatology. Springer, London. https://doi.org/10.1007/978-1-84996-021-2_1

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