Gaikwad Rohini, Deshpande Sharmishtha, Raje Swati, Dhamdhere D V, Ghate M R
Department of Skin, MIMER Medical College, Talegaon Dabhade, Maharashtra, India.
Indian J Dermatol Venereol Leprol. 2006 Jan-Feb;72(1):37-40. doi: 10.4103/0378-6323.19716.
Psoriasis is a chronic disease, the course of which is punctuated by exacerbations and remissions. The impact of a chronic, relapsing, and disfiguring disease such as psoriasis on occupational, social, and other areas of functioning is substantial and needs attention.
The purpose of this study was to assess the level and nature of functional impairment in psoriasis.
Forty-three consecutive patients attending the dermatology clinic of a rural hospital were studied for psychiatric comorbidity and the level of functioning, using a semistructured questionnaire.
Psoriasis affected social functioning of 48% patients, led to decreased work efficiency in 51.1% and to subjective distress at work in 62.8% of patients. Stress in home environment and interpersonal relationships was reported by 69.8%. Social and occupational functioning worsened with increasing severity of psoriasis after 1-year duration of illness. Patients complaining of pruritus frequently had anxiety disorders. Psychiatric comorbidity was detected in 67.4% cases.
Substantial proportion of patients suffered deterioration of functioning, especially with increasing duration of illness. Thus, timely attention by dermatologists is needed in order to limit the disability caused by psoriasis. To achieve this, liaison with psychiatrist would be crucial along with illness education and emotional support.
银屑病是一种慢性疾病，其病程呈发作与缓解交替状态。像银屑病这样一种慢性、复发性且有损外观的疾病，对职业、社交及其他功能领域的影响很大，需要引起关注。
本研究旨在评估银屑病患者功能损害的程度及性质。
采用半结构化问卷，对一家乡村医院皮肤科门诊连续就诊的43例患者进行精神共病及功能水平研究。
银屑病影响了48%患者的社交功能，导致51.1%的患者工作效率下降，62.8%的患者在工作中感到主观痛苦。69.8%的患者报告家庭环境和人际关系存在压力。患病1年后，随着银屑病严重程度的增加，社交和职业功能恶化。经常抱怨瘙痒的患者常有焦虑症。67.4%的病例检测到精神共病。
相当一部分患者的功能出现恶化，尤其是随着病程延长。因此，皮肤科医生需要及时关注，以限制银屑病所致的残疾。要做到这一点，与精神科医生联络以及开展疾病教育和给予情感支持至关重要。
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