.png){kind=icon}
.png){kind=icon}
Return
Psychosexual burden in adult genital psoriasis: outcome measurement; construct coverage; and clinical recognition gaps
.png){kind=icon}
OA
AI
H
H
H
L
H
D
C
DOI：10.3389/fpsyt.2026.1890558.png)
.png){kind=icon}
Original request for help.png){kind=icon}
Share.png){kind=icon}
Save
Abstract
En 中文
Adult genital psoriasis is associated with local symptoms and effects on sexual activity; intimate relationships; body exposure; and patient communication. The associated psychosexual burden is not adequately summarized by lesion severity or sexual function scores alone. This integrative review examines outcome measurement; construct coverage; and clinical recognition of psychosexual burden in adult genital psoriasis. Existing measurement tools and related measurement approaches capture several relevant components; including genital-site severity; local symptoms; sexual activity-related impact; sexual function; quality of life; sexual health-related quality of life; genital self-image; sexual distress; and selected communication or care needs. These tools and approaches differ in measurement targets; assessment perspectives; applicable populations; scoring assumptions; and contexts of use. They therefore do not readily provide a complete representation of psychosexual burden. This review uses four candidate domains—symptom experience; sexual and intimacy-related impact; psychological and self-presentation burden; and communication and care needs—to compare construct coverage across existing tools. Sexual function scores provide information on sexual response and functional status; but do not substitute for identifying sexual distress; sexual avoidance; genital self-image; self-presentation burden; or communication needs. Even when related burden is recorded in research instruments; it does not necessarily gain clinical visibility in routine dermatology practice. To address this clinical recognition gap; this review proposes a brief; non-diagnostic; low-burden communication entry point that serves as a conceptual starting point for initial discussion; documentation; and future evaluation of psychosexual concerns in routine dermatology practice.
Keywords:
sexual function
outcome measurement
adult genital psoriasis
clinical recognition gap
construct coverage
psychosexual burden
Journal
IF:
3.2
Papers:
1.8W
Citations:
4.8W
Organization
Cited Papers