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银屑病患者生活质量与抑郁之间的相关性

Correlation Between Quality of Life and Depression Among Persons Suffering from Psoriasis.

作者信息

Mahmutovic Jasmina, Zukic Mufida, Pasalic Arzija, Brankovic Suada, Jaganjac Amila, Katana Bakir

机构信息

Clinic Faculty of Health Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

University Clinical Center in Sarajevo, Sarajevo, Bosnia and Herzegovina.

出版信息

Med Arch. 2017 Oct;71(5):341-346. doi: 10.5455/medarh.2017.71.341-346.

DOI:10.5455/medarh.2017.71.341-346
PMID:29284903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5723187/
Abstract

INTRODUCTION

Chronic dermatitis is a major sociomedical issue still being marginalized due to generally accepted view that skin diseases are less of a health problem than is the case with diseases of other organs and organ systems for they are not life-threatening. Measurement of quality of life of persons suffering from psoriasis could become an important factor in assessing the success of treatment and modern aspect of integration of the diseased into the planning of therapeutic procedures, monitoring of their outcomes and improving the quality of treatment.

AIM

To determine the quality of life and the degree of depression of persons with psoriasis, as well as to make a correlation between the two.

PATIENTS AND METHODS

A descriptive and analytical study of cross-sectional character has been performed. The sample consisted of N = 56 respondents with medically verified diagnosis of psoriasis that was treated at the Clinic for Skin and Venereal Diseases of the Clinical Centre of the University of Sarajevo. Criteria for involvement of participants: respondents are to be over 18 years of age with verified medical diagnosis of psoriasis, and to voluntarily consent for inclusion in the research. The research instruments consisted of standardized questionnaires: the WHO-BREF Quality Questionnaire and the Beck Depression Inventory.

RESULTS

Median value of scores relating to quality of life of persons with psoriasis from our sample was highest in the domain of social interaction and amounted to 72 (51.50-81.00); the domain of physical health was 63 (39.50-75.00); the psychological condition was 63 (44.00-75.00); and the environmental domain was 63 (44.00-73.50). Depression of persons with psoriasis showed correlation with domains of quality of life. The depression proved correlated with the respondents': physical health (rho = -0.793 p = 0.0001); psychological health (rho = -0.842 p = 0.0001); social interactions (rho = -0.598 p = 0.0001); as well as with attitude towards the environment (rho = -0.709 p = 0.0001). Gender, age, education, marital or employment status did not prove statistically significant for influencing occurrence of the depression.

CONCLUSION

Given that median scores of all four domains of the quality of life of persons suffering from psoriasis were in the higher half of classification scale, the quality of their life can be considered as satisfactory. The degree of depression and the domain of quality of life are in negative correlation with psoriasis.

摘要

引言

慢性皮炎是一个主要的社会医学问题,由于人们普遍认为皮肤病不像其他器官和器官系统的疾病那样严重,不会危及生命,所以它仍处于被边缘化的状态。对银屑病患者生活质量的测量可能成为评估治疗效果以及将患者纳入治疗程序规划、监测治疗结果和提高治疗质量的现代方面的一个重要因素。

目的

确定银屑病患者的生活质量和抑郁程度,并对两者进行相关性分析。

患者与方法

进行了一项描述性和分析性的横断面研究。样本包括56名经医学确诊患有银屑病的受访者,他们在萨拉热窝大学临床中心的皮肤性病诊所接受治疗。参与研究的标准:受访者年龄超过18岁,经医学确诊患有银屑病,并自愿同意参与研究。研究工具包括标准化问卷:世界卫生组织简版生活质量问卷和贝克抑郁量表。

结果

我们样本中银屑病患者生活质量得分的中位数在社会交往领域最高,为72分(51.50 - 81.00);身体健康领域为63分(39.50 - 75.00);心理状况为63分(44.00 - 75.00);环境领域为63分(44.00 - 73.50)。银屑病患者的抑郁与生活质量领域存在相关性。抑郁与受访者的身体健康(rho = -0.793,p = 0.0001)、心理健康(rho = -0.842,p = 0.0001)、社会交往(rho = -0.598,p = 0.0001)以及对环境的态度(rho = -0.709,p = 0.0001)均相关。性别、年龄、教育程度、婚姻或就业状况对抑郁的发生没有统计学上的显著影响。

结论

鉴于银屑病患者生活质量的所有四个领域的中位数得分都在分类量表的上半部分,他们的生活质量可被视为令人满意。抑郁程度与生活质量领域与银屑病呈负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c6/5723187/f7a371e4515c/MA-71-341-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c6/5723187/352727126f8e/MA-71-341-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c6/5723187/f7a371e4515c/MA-71-341-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c6/5723187/352727126f8e/MA-71-341-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c6/5723187/f7a371e4515c/MA-71-341-g004.jpg

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