Quality of Life in Patients with Psoriasis: A Systematic Literature Review

Abstract

Data on physical, psychological, and social functioning of patients with psoriasis have been presented in many studies. The introduction of quality-of-life questionnaires has made it possible to systematically compare these data across studies. The aim of this study was to present an overview of quality-of-life data and to describe the relationship between demographic and clinical variables and quality of life in patients with psoriasis. Computerized bibliographic databases were screened for publications from January 1966 to April 2000. Predefined selection criteria were used to identify quality-of-life studies in psoriasis. Two investigators independently assessed and, subsequently, agreed on inclusion. Data were extracted on the objectives, methods, sample characteristics, and results of the studies. A total of 118 publications were found. Seventeen studies met the inclusion criteria. Patients with psoriasis reported physical discomfort, impaired emotional functioning, a negative body and self-image, and limitations in daily activities, social contacts and (skin-exposing) activities, and work. More severe psoriasis was associated with lower levels of quality of life. There was a tendency that higher age was associated with slightly lower levels of physical functioning and slightly higher levels of psychological functioning and overall quality of life. Sex and quality of life were found to be unrelated.

The conceptualization and measurement of quality of life in older adults: a review of empirical studies published during 1994–2006

“…Citations in Medline of this term go back to 1989. Although this term is intended to focus on the effects of health, illness and treatment on aspects of life QoL (De Korte et al 2004;Ferrans et al 2005;Fries 1983;Hyland 1992;White 1967), both HRQoL and QoL as concepts include many of the same domains and literature supports problems in their differentiation (Farquhar 1995;Frytak 2000;Gill and Feinstein 1994). QoL and HRQoL are concepts that are often used interchangeably in discourse and in outcomes measurement, although it is generally agreed that QoL is considerably more comprehensive than HRQoL and includes aspects of the environment that may or may not be affected by heath and treatment (Patrick and Chiang 2000).…”

Is sexology necessary in dermatology? Review of most common sexual dysfunction in skin disorders

“…There are many forms and tips for learning and improving personal non-verbal skills. Correct interpretation as well as usage of learned skills could be helpful in context of achieving goals on work or medical therapy [4,5].…”

Psoriasis disability index: The role of sociodemographic and clinical variables

“…Yaşam kalitesi üzerinde büyük bir etki yaratabilmesi nedeniyle psoriasis şiddetinin tanımlanmasında fiziksel, psikolojik ve sosyal bileşenlerin birlikte göz önünde bulundurulması gerekmektedir [1][2][3][4][5][6][7][8] . Psoriasisli olgularda hastalık şiddetinin değerlendirilmesi öznel ve nesnel ölçüm metodları ile birlikte karışık bir klinik süreçtir.…”

“…Günümüze kadar psoriasis şiddeti hekim ve/veya hasta tarafından genellikle tutulan alanın yoğunluğu ve deri tutulumunun klinik özelliklerini göz önünde tutan fiziksel yöntemlerle değerlendirilmiştir 5,7,8 . Bazı çalışmalarda psoriasis klinik şiddet ölçümlerinin, hastalığın olguların yaşamı üzerindeki etkilerini tam olarak yansıtamayabileceği öne sürülmüştür 3,9 . Son zamanlarda psoriasis şiddetinin bozulmuş fiziksel ve sosyal fonksiyonlar ve psikolojik stres ile ilişkilendirilmesi üzerinde durulmuş, psoriasisli olgularda farklı indekslerle yapılan çeşitli çalışmalarda yaşam kalitesinin değişik açılardan etkilenebildiği gösterilmiştir.…”

“…Son zamanlarda psoriasis şiddetinin bozulmuş fiziksel ve sosyal fonksiyonlar ve psikolojik stres ile ilişkilendirilmesi üzerinde durulmuş, psoriasisli olgularda farklı indekslerle yapılan çeşitli çalışmalarda yaşam kalitesinin değişik açılardan etkilenebildiği gösterilmiştir. Bu çalışmalarda psoriasisin yaşam kalitesine etkisini değerlendirmek için genel, dermatolojik hastalıklara yönelik ve/veya psoriasise özgün indeksler kullanılmıştır [1][2][3][4][5][6][7][8] . Psoriasise özgün indekslerden ilki Psoriasis İşlev Kaybı İndeksi (PİKİ, "Psoriasis Disability Index") olup 1987 yılında Finlay ve ark.…”