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Volume 11,Issue 6

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26 June 2026

Preliminary Clinical Investigation on Social Anxiety and Quality of Life in Patients with Facial Psoriasis Vulgaris

Jun Tian1 Lu Li1 Xiyan Wang1 Lei Zhang1 Li Yang1*
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1 Department of Dermatology, Shaanxi Provincial People’s Hospital, Xi’an 710068, Shaanxi, China
APM 2026 , 11(6), 72–78; https://doi.org/10.26689/APM.v11i6.15124
© 2026 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Objective: To investigate the psychological status and quality of life in patients with psoriasis involving the facial region, and to further analyze the associated influencing factors. Methods: A total of 60 patients with facial psoriasis vulgaris who had complete clinical data and demonstrated high compliance were enrolled as the investigation group, and 60 patients with non-facial psoriasis vulgaris were selected as the control group. The Liebowitz Social Anxiety Scale (LSAS), Hospital Anxiety and Depression Scale (HADS), and Dermatology Life Quality Index (DLQI) were employed to assess psychological disorders and quality of life in both groups. Statistical analyses were subsequently performed. Results: The investigation group exhibited significantly higher levels of social anxiety, depression, and anxiety compared with the control group (P < 0.05), and quality of life was more severely impaired in the investigation group (P < 0.05). No significant correlation was observed between overall disease severity and social anxiety, depression, or anxiety levels in the investigation group (P > 0.05). However, facial disease severity was positively correlated with social anxiety, depression, and anxiety levels (P < 0.05), and negatively correlated with quality of life (P < 0.05). Social anxiety, depression, and anxiety levels were negatively correlated with quality of life (P < 0.05). Conclusion: Patients with psoriasis vulgaris involving the facial area are predisposed to psychological disorders and social avoidance, with significant impairment in work and academic performance, as well as diminished quality of life.

Keywords
Face
Psoriasis vulgaris
Social anxiety
Depression
Quality of life
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