Living with Psoriasis: Prevalence of Shame, Anger, Worry, and Problems in Daily Activities and Social Life

Abstract

Psychosocial problems are frequent among patients with psoriasis. The aim of this study was to analyse the prevalence of some specific psychosocial issues. These were evaluated in 936 patients using the emotions and functioning scales of the Skindex-29 questionnaire. The problems most frequently experienced were: shame, anger, worry, difficulties in daily activities and social life. All problems were associated with the severity of psoriasis and with depression or anxiety. Shame, worry and annoyance were more frequent in women than in men, and shame and anger were associated with a low level of education. Impairment in work/hobbies was significantly higher in patients with palmoplantar psoriasis and those with arthro-pathic psoriasis. In conclusion, clinicians could gain important insights about their patients by looking at the single items of a quality of life instrument, to identify patients with high levels of emotional and social problems, in order to improve quality of care.

Exploring the relationship between EQ-5D, DLQI and PASI, and mapping EQ-5D utilities: a cross-sectional study in psoriasis from Hungary

“…The clinical type of palmoplantar 487 involvement had the greatest negative standardized 488 regression coefficient. This finding seems to be consistent 489 with earlier researches, which described that patients with 490 palmoplantar involvement have reported significantly 491 greater physical disability, discomfort, and work or leisure 492 impairment than those without palmoplantar involvement 493 [25,26]. In contrast, scalp psoriasis was the only variable 494 with positive unstandardized regression coefficient (b) 495 involved in the model.…”

Quality of Life in Psoriasis

“…In different studies, patients with psoriasis reported feelings of embarrassment and shame compared to healthy controls [74,75]. Shame is one of the most reported emotions, especially by women and by patients with a long disease duration [74].…”

Assessment of Level of Knowledge and Beliefs Toward Psoriasis Among Community In Almadina Almonawara City, 2016.

“…Disfiguration, disability and marked loss of productivity are common challenges for people with psoriasis. There is also a significant cost to mental wellbeing, such as higher rates of depression ,leading to negative impact for individuals and society [13,14] .…”