Psychosocial Impact and Quality of Life among Adult Egyptian Patients with Psoriasis

Abstract

Background: Psoriasis is common, chronic disease of the skin. The disease has psychosocial impact and associated with impairments in Quality of Life (QOL). Aim of the study: It was to define the psychosocial impact of psoriasis and to determine QOL of the psoriasis patients. Patients and methods: This study was conducted on 100 adult patients with psoriasis, attending Dermatology Clinic, Al-Hussein University Hospital and an equal number of normal adults as controls. An analytic, case-control, clinic based study design was selected to conduct this research. An interviewing form and Middle Sex Hospital Questionnaire were used to survey psychosocial impact of the disease and psychiatric symptoms. Dermatology life quality index was used to assess disease impact on the patients' QOL. Results: The most common statistically significant impact was the interference with daily activities (59.0%). This was higher in patients with severe disease (96.2%) and with disease affected visible areas of the body (70.6%). The depression was the commonest psychiatric symptom (27.0%); 46.2% and 35.3% in patients with severe disease and with disease affected visible areas of the body, respectively. QOL was poor in 73.0% of the patients; the most common affected QOL mean domains scores were symptoms and feelings (15.8 ± 5.4), personal relationships (14.6 ± 5.2), and daily activities (14.4 ± 4.9). All QOL mean domain scores were statistically significantly higher in patients with disease affected visible areas of the body and with severe disease. Conclusions and recommendations: Psoriasis has a great effect on the patients' QOL. It disrupting psychosocial aspects and interfering with symptoms and feelings, daily activities, etc. The highest mean domain was symptoms and feelings (15.8) and the lowest mean was treatment (13.6). It could be recommended that more researches should be carried out on big number of patients in Egypt and on different clinical types to understand the impact of this disease.

Study of Psychiatric Disorders in Patients with Psoriasis attending Outpatient Department in a Tertiary Hospital

“…Suicidal ideations are found in around 2-11% patients, mostly in the context of depressed mood and anhedonia 18,24,21,30 Similar finding was reported in our study where 10.6% reported suicidal intent, which was low in 6.7% and medium in 3.9% of patients. None of the patients reported high intent or suicidal attempts.…”

Staging and Management of Cervical Cancer at the Colposcopy Clinic of Bangabandhu Sheikh Sheikh Mujib Medical University (BSMMU), Bangladesh

“…Studies in India and Egypt also revealed increasing age of menopause as a significant risk factor for CC. 18 19 The World Health Organization (WHO) recommended upper limit of screening of women as 49 years of age, 20 21 and limiting screening at 49 years of age will fail to detect almost one third of the CC cases in Bangladesh and more in India. GOB adopted 60 years of age as the upper limit for CC screening.…”

“…A case–control study in Egypt reported young age at marriage (<18 years) as a significant risk factor for CC. 19 Though the legal age of marriage for women in Bangladesh is 18 years, a large proportion of marriages still take place before the women reach this age. Awareness on benefit of delaying marriage needs to be created for reducing risk of CC.…”

Perception Of Body Image And Health Control In Patients With Psoriasis: How It Is Related

“…Kontrolės praradimas dėl sunkiai suvaldomos ligos, neaiškios ir nenuspėjamos patogenezės kelia asmeniui nerimą, neviltį, dažnai ir bendravimo problemų. Tyrimai rodo, kad neigiamas požiūris į save ir savo išvaizdą, pakitęs kūno vaizdo suvokimas, depresinė simptomatika dažnai būdinga sergantiesiems psoriaze, ypač tiems, kurių veido, rankų ir kitų matomų sričių oda paveikta ligos [7].…”

“…Nestebina, kad odos pažeidimo laipsnis labai susijęs su suvokiamu stigmatizavimu. Tai artimai siejasi su socialinio gyvenimo kokybe, įsitikinimu, kad kiti asmenys juos atstums dėl ligos [7,15]. Yra pavienių tyrimų, teigiančių, kad psoriazės sunkumas nedaro įtakos kūno vaizdui [6,16].…”