Assessment of Life Quality, Stress and Physical Activity Among Patients with Psoriasis

Nowowiejska, Julia; Baran, Anna; Grabowska, Paulina; Lewoc, Marta; Kamiński, Tomasz W.; Flisiak, Iwona

doi:10.1007/s13555-021-00662-1

Cited by 19 publications

(22 citation statements)

References 22 publications

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“… 11 A negative correlation was found between the Psoriasis Area and Severity Index (PASI) and physical activity in women, 12 whilst another study did not find a correlation between PASI and physical exercise. 13 Stress might be associated with a more severe psoriasis 14 ; however, other studies did not find a correlation between PASI and stress severity. 13 , 15 In patients with psoriasis, decreased quality of sleep occurred significantly more frequently compared to subjects without psoriasis.…”

Section: Introductionmentioning

confidence: 93%

“… 13 Stress might be associated with a more severe psoriasis 14 ; however, other studies did not find a correlation between PASI and stress severity. 13 , 15 In patients with psoriasis, decreased quality of sleep occurred significantly more frequently compared to subjects without psoriasis. 16 , 17 The correlation between sleep quality and the PASI was investigated in several studies and showed contradictory results.…”

Section: Introductionmentioning

confidence: 93%

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The Effect of Lifestyle Changes on Disease Severity and Quality of Life in Patients with Plaque Psoriasis: A Narrative Review

Acht¹,

Reek²,

Jong³

et al. 2022

PTT

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Objective To evaluate the effect of lifestyle changes on the severity of psoriasis and the quality of life in patients with psoriasis. Methods For this narrative review, PubMed, Embase and ClinicalTrials.gov were searched for lifestyle intervention studies with an intervention duration of at least 12 weeks. Results Thirty-four intervention studies were included. Most studies performed interventions in the diet of patients with psoriasis (n=9), or added supplements to the diet (n=18). Three studies comprised relaxation techniques and four studies combined relaxation or stress-reducing techniques with an educational program or exercise. No interventional studies were carried out regarding smoking, alcohol and sleep. Especially dietary and relaxation interventions showed promising results with respect to psoriasis severity and dermatology-related QoL, respectively. Regarding dietary supplements, the three largest studies investigating fish oil or vitamin D did not show significant effects. Conclusion There is some evidence that dietary and relaxation interventions could be promising with respect to psoriasis severity and dermatology-related QoL, respectively. Furthermore, our review identified important gaps in psoriasis lifestyle research regarding study design and reporting of outcomes.

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 93%

The Effect of Lifestyle Changes on Disease Severity and Quality of Life in Patients with Plaque Psoriasis: A Narrative Review

Acht¹,

Reek²,

Jong³

et al. 2022

PTT

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“… 21 Nowowiejska et al recently published findings from a cross-sectional study of 56 hospitalized psoriasis patients and 36 matched controls and showed that patients with psoriasis exercised significantly less in terms of MET-min/week as compared to controls (p < 0.01). 22 A major limitation of this study was the use of hospitalized patients which could have an associated with reduced exercise levels. The small sample sizes of these studies also limit the meaningfulness of the evidence presented but overall these results do mirror that of the larger cross-sectional studies described previously.…”

Section: Physical Activity In Psoriasis Patientsmentioning

confidence: 99%

Psoriasis and Exercise: A Review

Yeroushalmi¹,

Hakimi²,

Chung³

et al. 2022

PTT

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Psoriasis is a prevalent inflammatory skin disorder that is associated with a number of comorbidities including cardiovascular disease and metabolic syndrome. Exercise can influence the outcomes of chronic inflammatory diseases, and the presence of these diseases can also influence physical activity in afflicted patients. We reviewed the available literature published on exercise in psoriasis patients and aimed to explore physical activity levels, barriers to exercise, physical fitness, exercise as a prevention strategy as well as a treatment modality. Overall, patients with moderate to severe psoriasis are more sedentary than the general population and experience barriers to exercise secondary to their skin disease. Moderate to vigorous exercise may be an independent preventative factor in reducing the incident risk of developing psoriasis and the utilization of exercise as a weight loss strategy may improve disease severity especially in overweight patients. Expert panels agree that exercise can be beneficial as an adjunct treatment in patients with psoriasis who are overweight; however, more randomized clinical trials are needed to establish these links.

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“…The prevalence of anxiety symptoms (7–48%) is higher in these patients than in healthy controls [ 5 ]. Furthermore, patients with psoriasis were also found to be less satisfied with their health; had lower HRQoL in social, psychological, and environmental domains; and reported lower satisfaction with their sex life and physical appearance compared to controls [ 12 ]. Psoriasis was also found to be associated with increased risk of cognitive impairment and dementia, with the highest risk in patients with moderate-to-severe psoriasis with suboptimal medical control of the disease [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis

Quinto

Vincenzo

Graceffa

et al. 2022

IJERPH

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Background: Psoriasis is a common skin disease that affects quality of life, especially mental health. Alexithymia has been considered a relevant feature in psoriasis patients. Moreover, psoriasis was found to be associated with negative psychological health, including anxiety and depression. As the pathways linking alexithymia and mental health remain unclear among patients with psoriasis, we aimed to examine the mediating role of anxiety and depression in the relationship between alexithymia and mental health in these patients. Methods: To explore our variables of interest, we used the Toronto Alexithymia Scale (TAS-20), the 12-Item Short Form Health Survey (SF-12), and the Hospital Anxiety and Depression Scale (HADS). Results: Forty-four percent of patients were alexithymic and reported higher anxiety and depression, and lower quality of life compared to non-alexithymic patients. Alexithymic patients also had lower educational attainment. A correlation analysis showed positive associations between alexithymia and both anxiety and depression, whereas mental and physical health were negatively associated with alexithymia. Moreover, anxiety and depression fully mediated the relationship between alexithymia and mental health. Conclusions: Our findings highlight the importance of assessing alexithymia and psychological distress in clinical practice to identify vulnerable patients and to implement interventions aimed at improving negative emotional states.

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Assessment of Life Quality, Stress and Physical Activity Among Patients with Psoriasis

Abstract: Introduction: Psoriasis is a chronic, autoimmune, inflammatory skin disease affecting 2-4% of the general population, which nowadays is even perceived as a systemic illness. The nature of this dermatosis may negatively influence patients' general condition, life

Cited by 19 publications

References 22 publications

The Effect of Lifestyle Changes on Disease Severity and Quality of Life in Patients with Plaque Psoriasis: A Narrative Review

The Effect of Lifestyle Changes on Disease Severity and Quality of Life in Patients with Plaque Psoriasis: A Narrative Review

Psoriasis and Exercise: A Review

The Relationship between Alexithymia and Mental Health Is Fully Mediated by Anxiety and Depression in Patients with Psoriasis

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