Pearce Daniel J, Singh Saurabh, Balkrishnan Rajesh, Kulkarni Amit, Fleischer Alan B, Feldman Steven R
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
J Dermatolog Treat. 2006;17(1):24-8. doi: 10.1080/09546630500482886.
The health-related quality of life and economic impact of psoriasis has been documented. However, the negative impact of psoriasis on the workplace is poorly understood.
AIM/METHODS: Through anonymous surveys from 30 subjects of each of three psoriasis severity groups we aim to quantify the workplace impact experienced by psoriasis patients and factors that may contribute to this impact. Data were collected using several previously validated measures including the Work Productivity Assessment Index (WPAI), SF-8, Hospital Anxiety and Depression (HADS) and past medical/psoriasis history.
Psoriasis patients experienced negative impact at work as measured by the WPAI; this impact is directly associated with disease severity. The other instruments confirmed the negative impact of psoriasis though the degree of impact did not always correlate with disease severity or work impact. Owing to the relatively small numbers, the significance of these findings is not certain.
This preliminary study finds that psoriasis is associated with a reduction in work productivity and social functioning; this may explain the relatively high cost of this disease on both a macro- and microeconomic level. As there was a lack of significant trends in this study, formal inferences are limited and further investigation is warranted.
银屑病对健康相关生活质量和经济的影响已有文献记载。然而,银屑病对工作场所的负面影响却鲜为人知。
目的/方法:通过对三个银屑病严重程度组每组30名受试者进行匿名调查,我们旨在量化银屑病患者所经历的工作场所影响以及可能导致这种影响的因素。使用几种先前验证过的测量方法收集数据,包括工作效率评估指数(WPAI)、SF-8、医院焦虑抑郁量表(HADS)以及既往病史/银屑病病史。
通过WPAI测量,银屑病患者在工作中经历了负面影响;这种影响与疾病严重程度直接相关。其他工具证实了银屑病的负面影响,尽管影响程度并不总是与疾病严重程度或工作影响相关。由于样本数量相对较少,这些发现的意义尚不确定。
这项初步研究发现,银屑病与工作效率和社会功能的降低有关;这可能解释了这种疾病在宏观和微观经济层面上相对较高的成本。由于本研究缺乏显著趋势,正式推论有限,因此有必要进行进一步调查。