Quality of life and psychosocial aspects in Greek patients with psoriasis: a cross-sectional study

An Bras Dermatol. 2015 Nov-Dec;90(6):841-5. doi: 10.1590/abd1806-4841.20154147.

Abstract

Background: Psoriasis is a common, long-term skin disease associated with high levels of psychological distress and a considerable adverse impact on life. The effects of psoriasis, beyond skin affliction, are seldom recognized and often undertreated.

Objective: The aim of the study is to evaluate the quality of life, anxiety and depression, self-esteem and loneliness in patients with psoriasis.

Methods: Eighty-four patients with psoriasis were enrolled in the study. The quality of life, depression and anxiety, loneliness and self-esteem of the patient were assessed using the Dermatology Life Quality Index, Hospital Anxiety and Depression Scale, the UCLA loneliness Scale (UCLA-Version 3) and Rosenberg's Self-esteem Scale, respectively.

Results: The Dermatology Quality of Life Index score among psoriasis patients was 12.61 ± 4.88. They had statistically significantly higher scores according to the Hospital Anxiety and Depression Scale -anxiety subscale (p=0.032)-compared with healthy volunteers. Moreover, a statistically significant difference was found between the two groups concerning the UCLA-scale (p=0.033) and RSES-scale (p<0.0001). Female patients presented with lower self-esteem than male patients.

Conclusion: Psoriasis is a distressing, recurrent disorder that significantly impairs quality of life. Therefore, the recognition and future management of psoriasis may require the involvement of multi-disciplinary teams to manage the physical, psychological and social aspects of the condition, as is the case for systemic, long-term conditions.

MeSH terms

  • Adult
  • Anxiety / psychology*
  • Case-Control Studies
  • Cross-Sectional Studies
  • Depression / psychology*
  • Female
  • Greece
  • Humans
  • Loneliness / psychology*
  • Male
  • Middle Aged
  • Psoriasis / psychology*
  • Psychological Tests
  • Quality of Life / psychology*
  • Self Concept*
  • Severity of Illness Index
  • Sex Factors
  • Sickness Impact Profile
  • Social Isolation
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult