{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T08:27:15Z","timestamp":1782289635417,"version":"3.54.5"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR302258"],"award-info":[{"award-number":["NIHR302258"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,19]]},"abstract":"<jats:p>We developed mySkin, an online platform that captures self-reported information from people with psoriasis across the UK, to improve our knowledge on the environmental determinants of psoriasis. In this cross-sectional analysis of the first 529 participants, stress was the most commonly reported trigger for both the onset and worsening of disease. Within individuals, triggers for psoriasis onset also often triggered disease worsening. We did not observe a clear association between different triggers to psoriasis onset and subsequent disease severity. These findings highlight the value of patient self-reported data to deliver valuable insights into the role of environmental triggers and may inform early intervention strategies to mitigate against triggers of disease progression.<\/jats:p>","DOI":"10.1093\/bjd\/ljaf073","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T20:34:21Z","timestamp":1740515661000},"page":"1138-1141","source":"Crossref","is-referenced-by-count":4,"title":["Environmental triggers of psoriasis: insights from a UK patient-reported cohort (mySkin)"],"prefix":"10.1093","volume":"192","author":[{"given":"Madeline","family":"Kroah-Hartman","sequence":"first","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]},{"name":"School of Medicine, University of Groningen , Groningen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Y W","family":"Lee","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh","family":"Dooley","sequence":"additional","affiliation":[{"name":"Centre for Rheumatic Diseases, Faculty of Life Sciences & Medicine, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Ren","family":"Tan","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maaike\u00a0F\u00a0M","family":"Mineur","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]},{"name":"School of Medicine, University of Utrecht , Utrecht ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Paolino","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jade","family":"Pizzato","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freya","family":"Jackson-Duffy","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kingsley","family":"Powell","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manpreet K","family":"Sagoo","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgia","family":"Sewell","sequence":"additional","affiliation":[{"name":"Psoriasis Association , Northampton ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Lancelot","sequence":"additional","affiliation":[{"name":"International Federation of Psoriasis Associations , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Moorhead","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"McAteer","sequence":"additional","affiliation":[{"name":"Psoriasis Association , Northampton ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bolaji","family":"Coker","sequence":"additional","affiliation":[{"name":"NIHR Biomedical Research Centre, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Weinman","sequence":"additional","affiliation":[{"name":"Centre for Adherence Research and Education, Faculty of Life Sciences & Medicine, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan N","family":"Barker","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Chapman","sequence":"additional","affiliation":[{"name":"Centre for Adherence Research and Education, Faculty of Life Sciences & Medicine, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1714-9963","authenticated-orcid":false,"given":"Sam","family":"Norton","sequence":"additional","affiliation":[{"name":"Centre for Rheumatic Diseases, Faculty of Life Sciences & Medicine, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine H","family":"Smith","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4692-3794","authenticated-orcid":false,"given":"Satveer K","family":"Mahil","sequence":"additional","affiliation":[{"name":"St John\u2019s Institute of Dermatology, King\u2019s College London & Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"issue":"1","key":"2025052712585756800_ljaf073-B1","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1038\/s41467-025-56719-8","article-title":"GWAS meta-analysis of psoriasis identifies new susceptibility alleles impacting disease mechanisms and therapeutic targets","volume":"16","author":"Dand","year":"2025","journal-title":"Nat Commun"},{"key":"2025052712585756800_ljaf073-B2","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1111\/bjd.19755","article-title":"Risk-mitigating behaviours in people with inflammatory skin and joint disease during the COVID-19 pandemic differ by treatment type: a cross-sectional patient survey","volume":"185","author":"Mahil","year":"2021","journal-title":"Br J Dermatol"},{"key":"2025052712585756800_ljaf073-B3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1177\/2040622318759282","article-title":"Interleukin 23 in the skin: role in psoriasis pathogenesis and selective interleukin 23 blockade as treatment","volume":"9","author":"Chan","year":"2018","journal-title":"Ther Adv Chronic Dis"},{"key":"2025052712585756800_ljaf073-B4","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1016\/S1081-1206(10)61482-2","article-title":"Neuroendocrine mechanisms of immune dysregulation: applications to allergy and asthma","volume":"93","author":"Marshall","year":"2004","journal-title":"Ann Allergy Asthma Immunol"},{"key":"2025052712585756800_ljaf073-B5","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1111\/ced.14105","article-title":"Influence of stress on the development of psoriasis","volume":"45","author":"Yang","year":"2020","journal-title":"Clin Exp Dermatol"},{"key":"2025052712585756800_ljaf073-B6","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1111\/j.1365-2133.2011.10799.x","article-title":"Core beliefs and psychological distress in patients with psoriasis and atopic eczema attending secondary care: the role of schemas in chronic skin disease","volume":"166","author":"Mizara","year":"2012","journal-title":"Br J Dermatol"},{"key":"2025052712585756800_ljaf073-B7","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.jpsychores.2004.03.012","article-title":"Perceived stress, stress attributions and psychological distress in psoriasis","volume":"57","author":"O\u2019Leary","year":"2004","journal-title":"J\u00a0Psychosom Res"},{"key":"2025052712585756800_ljaf073-B8","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1007\/s40257-022-00714-y","article-title":"Psychological therapies and mind\u2013body techniques in the management of dermatologic diseases: a systematic review","volume":"23","author":"Rafidi","year":"2022","journal-title":"Am J Clin Dermatol"}],"container-title":["British Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjd\/advance-article-pdf\/doi\/10.1093\/bjd\/ljaf073\/62169785\/ljaf073.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjd\/article-pdf\/192\/6\/1138\/62169785\/ljaf073.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjd\/article-pdf\/192\/6\/1138\/62169785\/ljaf073.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T17:00:00Z","timestamp":1748365200000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjd\/article\/192\/6\/1138\/8042536"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,25]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,2,25]]},"published-print":{"date-parts":[[2025,5,19]]}},"URL":"https:\/\/doi.org\/10.1093\/bjd\/ljaf073","relation":{},"ISSN":["0007-0963","1365-2133"],"issn-type":[{"value":"0007-0963","type":"print"},{"value":"1365-2133","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,2,25]]}}}