Multidisciplinary Management of Psoriasis: Integrating Diet, Exercise, Psychological Support, and Sleep Interventions
Bibliographic record
Abstract
Agnieszka Dymek,1 Aneta Czerwonogrodzka-Senczyna,2 Justyna Wyszyńska,1 Małgorzata Wójcik,3 Bartłomiej Tarkowski,4 Anna Małgorzata Zalewska-Janowska,4 Edyta Łuszczki1 1Faculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, Poland; 2Department of Clinical Dietetics, Medical University of Warsaw, Warsaw, Poland; 3Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Pediatric Institute, Jagiellonian University Medical College, Krakow, Poland; 4Psychodermatology Department, Medical University of Lodz, Lodz, PolandCorrespondence: Agnieszka Dymek, Faculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Kopisto Avenue 2a, Rzeszów, 35-959, Poland, Email adymek@ur.edu.plBackground: Psoriasis is a chronic inflammatory disease frequently associated with metabolic comorbidities, psychological distress, and reduced quality of life. Its multifactorial nature and frequent overlap with other conditions pose substantial challenges in clinical management.Purpose: This narrative review emphasizes the importance of a multidisciplinary approach to psoriasis care, integrating dietary counseling, physical activity promotion, psychological support, and sleep interventions. While multidisciplinary care models such as integrated clinics and coordinated care pathways have been proposed, to our knowledge, this is the first review to comprehensively synthesize evidence across these interrelated domains.Methodology: A comprehensive literature search was conducted using PubMed, Scopus, Cochrane, and Web of Science to identify studies addressing psoriasis in the context of lifestyle, nutrition, mental health, and interdisciplinary collaboration.Results: Lifestyle modifications, including weight management, anti-inflammatory dietary patterns, stress reduction strategies, regular physical activity, and sleep optimization, may significantly reduce disease severity and improve patient-reported outcomes. Mental health disorders and sleep disturbances are common among individuals with psoriasis and are increasingly recognized as important determinants of disease progression and treatment response.Conclusion: Psoriasis management should extend beyond pharmacotherapy to address modifiable lifestyle-related factors. Integrating care from dermatologists, dietitians, psychologists, and physiotherapists facilitates a more comprehensive and individualized approach. This model has the potential to improve not only clinical outcomes but also sleep quality, psychological well-being, and long-term self-management in patients with psoriasis.Keywords: psoriasis, patient-centered care, non-pharmacological treatment, lifestyle factors, multidisciplinary approach
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".