Psychological (co)morbidity in patients with psoriasis: The impact of pruritus and anogenital involvement on symptoms of depression and anxiety and on body dysmorphic concerns – a cross-sectional study
Beteiligte Einrichtungen
Abstract
Design: Cross-sectional study.
Setting: Conducted at the University Medical Center Hamburg-Eppendorf (UKE).
Participants: 107 patients with psoriasis (mean age = 46.3, SD = 14.6 years; 53.3% male): 64 with none/mild pruritus; 43 with moderate/severe pruritus; 31 with anogenital psoriasis; 76 not affected in the anogenital area.
Primary/secondary outcomes measures: Disease severity was assessed with Psoriasis Area and Severity Index and intensity of pruritus was rated by patients. Patient-reported outcomes included the Dermatology Life Quality Index, ItchyQoL, Patient Benefit Index, Perceived Stigmatisation Questionnaire, and Relationship and Sexuality Scale. Psychological morbidity was assessed with the Patient Health Questionnaire, Generalised Anxiety Disorder, and Dysmorphic Concern Questionnaire.
Results: Patients with moderate/severe pruritus reported more quality of life impairments, depression, anxiety and dysmorphic concerns, and less treatment benefits than those with none/mild pruritus. Moderate/severe pruritus had a deleterious effect on depression and stigmatisation for patients without anogenital involvement. Less patient benefits were associated with a higher likelihood of clinically significant depression/anxiety.
Conclusion: Pruritus induces significant burden and psychological morbidity, particularly for patients without anogenital involvement. However, coping strategies used by patients with anogenital psoriasis might be dysfunctional for overall psychosocial adaptation. Patient-centred healthcare might be the best way to prevent psychological comorbidity.
Ethics approval: Ethics Committee of the Medical Association of Hamburg (process number PV6083, 28 May 2019).
Bibliografische Daten
Originalsprache | Englisch |
---|---|
Aufsatznummer | e055477 |
ISSN | 2044-6055 |
DOIs | |
Status | Veröffentlicht - 23.09.2022 |