Ayala F, Sampogna F, Romano G V, Merolla R, Guida G, Gualberti G, Paparatti U D L, Amerio P, Balato N, Potenza C
Department of Clinical Medicine and Surgery, Università di Napoli, Federico II, Naples, Italy.
J Eur Acad Dermatol Venereol. 2014 Dec;28(12):1623-32. doi: 10.1111/jdv.12233. Epub 2013 Aug 21.
Psoriasis can have cumulative physical and psychosocial effects preventing sufferers from achieving their full-life potential. Few studies have addressed the impact of psoriasis on work-related characteristics.
To evaluate the impact of psoriasis on education prospects and work limitations in patients with moderate-to-severe psoriasis.
This study was conducted in 29 dermatology centres across Italy. Information was collected by questionnaire during office visits.
A total of 787 patients (64% male, aged 50 years) completed the questionnaire. At the time of the survey, mean Psoriasis Area and Severity Index (PASI) score and disease duration were 10 and 19 years respectively. Current smokers had higher PASI scores compared to non-smokers (10.8 vs. 9.4, P = 0.02). Plaque psoriasis was the most frequently described (91.2%). Fifty-five percent of patients had limited expectations of career progression. Similarly, in 42% of cases, psoriasis reduced the prospects of improvement in employment status and 35% of patients reported having reduced earning potential. Approximately 60% of patients reported that psoriasis localized to their hands or feet caused work limitations, whilst in about 25%, it caused them to quit their job. Approximately 37% of patients reported having lost between 3-10 work days in the past 3 months due to clinical assessment or treatment. Logistic regression revealed that gender, low standard of education, number of localizations, shame, anger and self-esteem were predictors significantly associated with limitations in work.
Moderate-to-severe psoriasis has a profound negative impact on the employment capacity of patients in Italy. Psoriasis also contributes to days lost from work, affects job opportunity, career prospects and revenue potential.
银屑病会产生累积性的身体和心理社会影响，使患者无法充分发挥其生活潜能。很少有研究探讨银屑病对与工作相关特征的影响。
评估中重度银屑病患者中银屑病对教育前景和工作限制的影响。
本研究在意大利的29个皮肤科中心进行。通过门诊就诊时的问卷调查收集信息。
共有787名患者（64%为男性，年龄50岁）完成了问卷。在调查时，银屑病面积和严重程度指数（PASI）的平均得分及疾病持续时间分别为10分和19年。与不吸烟者相比，当前吸烟者的PASI得分更高（10.8对9.4，P = 0.02）。斑块状银屑病是最常描述的类型（91.2%）。55%的患者对职业发展期望有限。同样，在42%的病例中，银屑病降低了就业状况改善的前景，35%的患者报告收入潜力降低。约60%的患者报告手部或足部的银屑病导致工作受限，约25%的患者因此辞职。约37%的患者报告在过去3个月中因临床评估或治疗损失了3至10个工作日。逻辑回归显示，性别、低教育水平、皮损部位数量、羞耻感、愤怒和自尊是与工作限制显著相关的预测因素。
中重度银屑病对意大利患者的就业能力有深远的负面影响。银屑病还导致工作天数损失，影响工作机会、职业前景和收入潜力。
