Work-Related Stress and Its Psychodermatological Impact on Nursing Professionals

Abstract

Background: Occupational stress is a prevalent issue among nursing professionals, often resulting from high workloads, shift rotations, and emotional demands. While the psychological effects of stress are well-documented, its physical manifestations, particularly dermatological symptoms, remain underexplored. Psychodermatology examines the bidirectional link between psychological stress and skin health, offering insight into how chronic work stress may contribute to conditions such as eczema, psoriasis, and acne. This study investigated the relationship between work-related stress and psychodermatological symptoms among nurses in Dubai, United Arab Emirates.
Methods: A descriptive-correlational research design involving 92 full-time registered nurses from two hospitals was employed. Data were collected using a structured questionnaire comprising demographic variables, the Work-Related Stressor Scale, a psychodermatological symptom checklist, and the Dermatology Life Quality Index (DLQI). Descriptive statistics, Pearson and Spearman correlations, and multiple linear regression analyses were performed to identify associations and predictive factors.
Results: Nearly half (49%) of the participants reported experiencing psychodermatological conditions, with acne, seborrheic dermatitis, and eczema being most prevalent. Moderate levels of occupational stress were observed, especially in emotional exhaustion, job insecurity, and lack of administrative support. A strong positive correlation was found between overall stress levels and symptom severity (r = 0.728, p < 0.001). Regression analysis identified emotional distress exposure, job insecurity, role ambiguity, and workload as significant predictors of symptom severity. Years of service and shift type were also associated with stress levels and dermatological outcomes.
Conclusion: The findings demonstrate a significant link between occupational stress and stress-related skin conditions among nursing professionals. These results highlight the need for holistic occupational wellness programs that address stress's psychological and physical manifestations. Targeted interventions focusing on stress management, workload regulation, and skin health promotion are recommended to enhance nurses’ well-being and professional performance.