Bridging the Gap: Mental Health Support for Individuals With Skin Conditions

A review published in the Journal of the European Academy of Dermatology and Venereology explores the impact of skin diseases on mental health and the availability of resources globally to support individuals with skin conditions, highlighting the importance of culturally sensitive approaches and leveraging digital health technologies for widespread adoption.

Skin conditions such as vitiligo, eczema, and atopic dermatitis can impact social activities, employment, and mental health, leading to stigma and lower quality of life. Resources for mental health support for individuals with skin conditions are limited in dermatology clinics, highlighting the need for accessible and culturally sensitive options. This study highlights the importance of adapting existing mental health resources for individuals with skin conditions to address cultural diversity and stigma, ultimately improving care. 

Researchers compiled a list of dermatology patient advocacy groups, skin health organizations, and foundations, including members of GlobalSkin and other groups. Each organization's website was searched and reviewed for information on the impact of skin conditions on mental health and well-being, as well as references to supportive resources. Resources were required to provide education on the mental health impact of skin conditions or offer mental health support and training specifically for individuals with skin conditions. Researchers also searched MEDLINE for articles on the effectiveness of these resources through randomized controlled trials or observational studies and contacted organizations for further information.

Researchers identified 26 websites providing resources for mental health support for individuals with skin diseases. The resources were created by patient advocacy groups, health foundations, pharmaceutical companies, and academia, targeting individuals with a range of skin conditions, including psoriasis, eczema, vitiligo, and alopecia. Resources included educational information, coping strategies, and support systems, offered through electronic, in-person, and telephone-based formats. 

In the US and Canada, 1 in 4 individuals has a skin condition. The Americas have the highest prevalence of anxiety disorders and the second highest rate of depressive disorders globally, yet only 10% to 25% of those in need receive mental health care. Barriers to accessing mental health care in the Americas include lack of awareness, discrimination, and access challenges, especially for marginalized groups.

Cultural stigma around mental health suggests the need for tailored interventions, such as task-shifting and digital health resources. Many digital resources already exist, offering self-guided support. However, challenges remain in ensuring these resources are effective and culturally appropriate for individuals with skin conditions worldwide, highlighting the need for further research and evaluation. Ultimately, understanding the diverse needs of specific populations will be key in developing mental health resources for individuals with skin conditions.

“Much work has already been done to develop resources to best support individuals with skin conditions who are experiencing negative impacts on their mental health. Adaptation of these tools to ensure that they are aligned with the varied needs and cultural diversity of the individuals who are served by GlobalSkin's member organizations, while sensitive to existing stigmas that exist with respect to mental health, will allow for optimal care of those with skin conditions,” researchers said. 

Reference 
Shipowick T, Austin J, Sudiacal N, Miller S, Pereira JA, Bundy C. Mental health and well-being support for individuals living with skin conditions: a global landscape analysis of patient needs and current resources. JEADV Clin Prac. Published online January 8, 2025. doi:10.1002/jvc2.606.