Al-Mazeedi K, El-Shazly M, Al-Ajmi H S
Department of Dermatology, AL-Mansouria Clinic, AL-Amiri Hospital, Ministry of Health, Kuwait.
Int J Dermatol. 2006 Apr;45(4):418-24. doi: 10.1111/j.1365-4632.2006.02502.x.
Psoriasis can seriously affect the quality of life (QOL) of patients and has a strong impact on social relations, psychological status and daily activities.
The aim of this study was to describe the impact of different grades of severity in psoriasis on QOL in patients in Kuwait.
PATIENTS/METHODS: We used the Dermatology Quality Of Life scale (DQOLS) developed by Morgan and then validated for use in Kuwait to study a sample of 330 out-patients with psoriasis.
Overall, physical activities were affected in greater than 50% of cases. This figure increased significantly with increased severity of psoriasis. Also, social relationships were disrupted in more than half of the patients but with no significant difference between different grades of severity. All psychological feeling items were affected by psoriasis to variable degrees. However, significant differences related to the severity of psoriasis were detected: feeling embarrassed, feeling short tempered, feeling depressed, and feeling a lack of hope. One third of cases declared their sexual activities were affected by psoriasis.
Data provided should improve the physicians' awareness of the importance of patients' QOL and enhance psychological evaluation of the psoriatic patient which will promote his/her positive outcome and compliance with treatment.
银屑病会严重影响患者的生活质量（QOL），并对社会关系、心理状态和日常活动产生重大影响。
本研究旨在描述科威特患者中不同严重程度的银屑病对生活质量的影响。
患者/方法：我们使用了由摩根开发并在科威特验证过的皮肤病生活质量量表（DQOLS），对330例银屑病门诊患者进行了研究。
总体而言，超过50%的病例身体活动受到影响。这一数字随着银屑病严重程度的增加而显著上升。此外，超过一半的患者社会关系受到干扰，但不同严重程度之间无显著差异。所有心理感受项目均不同程度地受到银屑病的影响。然而，检测到与银屑病严重程度相关的显著差异：感到尴尬、脾气暴躁、情绪低落和感到缺乏希望。三分之一的病例称其性活动受到银屑病的影响。
所提供的数据应提高医生对患者生活质量重要性的认识，并加强对银屑病患者的心理评估，这将促进其积极转归和对治疗的依从性。
