Assessment of quality of life in patients with psoriasis: a study from Serbia

Abstract

Our results support the importance of assessing the quality of life in psoriasis and effects of stress in patients' adjustment to their condition and may have important implications for a psychological stress management approach in the clinical management of psoriasis.

Stress and psoriasis

“…With the exception of a few studies, no relationship has been established between the intensity of the stress and the severity of the psoriasis . No correlation has been demonstrated between the PASI score for the severity of the psoriasis and the values of laboratory tests for stress intensity such as salivary cortisol, ICAM‐3, and sIL‐2R .…”

“…A very large part of stress is because of other people's opinion, by the reaction of family and friends and by discriminating behavior in everyday life, often related to misunderstanding of the disease. This stress causes a feeling of being an outcast, leading to a fall in self‐confidence, rejection, shame with a sometimes considerable impact on physical and sexual activities, but also in interpersonal and socio‐professional relationships . There is a close relationship among stress, feelings of stigmatization, and degradation of quality of life (in the professional domain, social, everyday, and sexual activities) .…”

Evaluation of the correlation between scales determining disease severity in patients with moderate‐severe chronic plaque‐type psoriasis

“…11 Milcic et al examined the association between PASI and PDI and found a weak association between these. 18 Takahashi et al compared systemic treatments in psoriasis and reported that there was no association between PASI and DLQI. 19 In our study, while a strong association was found between PASI and BSA (r = 0.780) involvement, which are scales measuring disease severity, a weak association was found between PASI-DLQI (r = 0.172) and PASI-PDI (r = 0.179).…”

“…Fernandez‐Torres et al reported that PASI and BSA involvement were not associated with the deterioration in quality of life 11 . Milcic et al examined the association between PASI and PDI and found a weak association between these 18 . Takahashi et al compared systemic treatments in psoriasis and reported that there was no association between PASI and DLQI 19 …”