Rüschenschmidt C, Somberg B, Häussler G, Lohmann J
Fachklinik Bad Bentheim, Klinik für Innere Medizin und Rheumatologie, Bad Bentheim.
Rehabilitation (Stuttg). 2008 Dec;47(6):343-9. doi: 10.1055/s-0028-1100407. Epub 2008 Dec 15.
The present study investigates possible differences in quality of life impairment of patients with psoriasis vulgaris and psoriatic arthritis. One hundred and sixteen patients who were admitted for inpatient rehabilitation to the Fachklinik Bad Bentheim were asked to fill in a self-assessment questionnaire. This questionnaire comprised the SF-12, the German version of the Health Assessment Questionnaire, questions regarding the occupational and the social situation as well as additional questions for identification of specific disease-related burden. Altogether, both groups exhibited impairments of the quality of life. As was to be expected, the arthritis patients suffered from considerably more functional impairment than the patients who only had skin involvement. Interestingly, however, the psychic burden attributable to the disease is equal in patients with isolated skin involvement in comparison to patients with additional arthritis. Summarizing, a different proportion between the extent of psychic and physical impairment is found in the two groups, which might be due to a different pattern of coping with the disease. Taking this aspect into account is imperative when assessing the severity of the disease.
本研究调查了寻常型银屑病患者和银屑病关节炎患者在生活质量受损方面可能存在的差异。116名入住巴特本特海姆专科诊所接受住院康复治疗的患者被要求填写一份自我评估问卷。该问卷包括SF-12、德国版健康评估问卷、有关职业和社会状况的问题以及用于识别特定疾病相关负担的附加问题。总体而言，两组患者的生活质量均受到损害。正如预期的那样，关节炎患者的功能损害比仅皮肤受累的患者严重得多。然而，有趣的是，与合并关节炎的患者相比，单纯皮肤受累患者因疾病所致的心理负担相当。总之，两组患者心理和身体损害程度的比例不同，这可能是由于应对疾病的方式不同。在评估疾病严重程度时，必须考虑到这一方面。
