Sampogna Francesca, Gisondi Paolo, Tabolli Stefano, Abeni Damiano
Health Services Research Unit, Istituto Dermopatico dell'Immacolata - Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy.
Dermatology. 2007;214(2):144-50. doi: 10.1159/000098574.
Sexual life can be severely affected in patients with psoriasis. However, this component is not often assessed by clinicians.
To estimate the prevalence of sexual impairment and its degree of association with clinical and personal factors among psoriasis patients.
Sexual life impairment was investigated in all eligible adults hospitalized with psoriasis in a dermatological hospital from February 2000 to February 2002, using answers to specific items from two dermatology-specific questionnaires, and from two psoriasis-specific questionnaires. Clinical severity and psychological problems were also evaluated. The same questionnaires were collected a month after hospital discharge, to estimate changes from baseline.
Of 936 patients,from 35.5% (Psoriasis Disability Index) to 71.3% (Impact of Psoriasis on Quality of Life Questionnaire) reported to have experienced sexual problems because of psoriasis. A more severe disease and the presence of psychological problems were also associated with sexual impairment. At 1-month follow-up, a reduction of >75% in clinical severity was associated with a twofold probability of substantial improvement of sexual life.
Sexual impairment is very frequent in patients with psoriasis. Single questions on sexual life from quality of life questionnaires provide a simple tool that may be useful in clinical practice to assess sensitive issues, and thus to provide better patient-physician communication.
银屑病患者的性生活可能会受到严重影响。然而，临床医生并不经常评估这一方面。
评估银屑病患者性功能障碍的患病率及其与临床和个人因素的关联程度。
2000年2月至2002年2月期间，对一家皮肤科医院所有符合条件的住院银屑病成年患者进行性生活障碍调查，采用两份皮肤科专用问卷和两份银屑病专用问卷中的特定问题答案进行调查。同时评估临床严重程度和心理问题。出院一个月后收集相同问卷，以评估与基线相比的变化。
936例患者中，35.5%（银屑病残疾指数）至71.3%（银屑病对生活质量问卷的影响）报告因银屑病出现过性问题。病情越严重以及存在心理问题也与性功能障碍有关。在1个月的随访中，临床严重程度降低>75%与性生活大幅改善的可能性增加两倍相关。
银屑病患者性功能障碍非常常见。生活质量问卷中关于性生活的单一问题提供了一种简单工具，可能有助于临床实践中评估敏感问题，从而改善医患沟通。
