Shankar Vikas, Ghosh Sanjay, Ghosh Kisalay, Chaudhuri Uday
Department of Dermatology, Venerology, Leprology, M.G.M. Medical College and L.S.K. Hospital, Kishanganj, Bihar, India.
Indian J Dermatol. 2011 May;56(3):287-9. doi: 10.4103/0019-5154.82482.
Psoriasis, a common papulo-squamous disorder of the skin, is universal in occurrence and may interfere with the quality of life adversely. Whether extent of the disease has any bearing upon the patients' psychology has not much been studied in this part of the world.
The objective of this hospital-based cross-sectional study was to assess the disease severity objectively using Psoriasis area and severity index (PASI) score and the quality of life by Psoriasis quality-of-life questionnaire-12 (PQOL-12) and to draw correlation between them, if any.
PASI score denotes an objective method of scoring severity of psoriasis, reflecting not only the body surface area but also erythema, induration and scaling. The PQOL-12 represents a 12-item self-administered, disease-specific psychometric instrument created to specifically assess quality-of-life issues that are more important with psoriasis patients.PASI and PQOL-12 score were calculated in each patient for objectively assessing their disease severity and quality of life.
In total, 34 psoriasis patients (16 males, 18 females), of age ranging from 8 to 55 years, were studied. Maximum and minimum PASI scores were 0.8 and 32.8, respectively, whereas maximum and minimum PQOL-12 scores were 4 and 120, respectively. PASI and PQOL-12 values showed minimal positive correlation (r = +0.422).
Disease severity of psoriasis had no direct reflection upon their quality of life. Limited psoriasis on visible area may also have greater impact on mental health.
银屑病是一种常见的皮肤丘疹鳞屑性疾病,普遍存在,可能会对生活质量产生不利影响。在世界的这一地区,疾病的严重程度与患者心理之间的关系尚未得到充分研究。
本项基于医院的横断面研究旨在使用银屑病面积和严重程度指数(PASI)评分客观评估疾病严重程度,并通过银屑病生活质量问卷12(PQOL-12)评估生活质量,并探讨两者之间是否存在相关性。
PASI评分是一种评估银屑病严重程度的客观方法,不仅反映体表面积,还反映红斑、硬结和鳞屑情况。PQOL-12是一种由12个项目组成的自填式、针对疾病的心理测量工具,专门用于评估对银屑病患者更重要的生活质量问题。计算每位患者的PASI和PQOL-12评分,以客观评估他们的疾病严重程度和生活质量。
共研究了34例银屑病患者(男16例,女18例),年龄在8至55岁之间。PASI评分最高为32.8,最低为0.8;而PQOL-12评分最高为120,最低为4。PASI和PQOL-12值显示出最小的正相关性(r = +0.422)。
银屑病的疾病严重程度与其生活质量没有直接关联。可见部位的局限性银屑病也可能对心理健康产生更大影响。