López-Mejía Ricardo, Ramales-Montes Eugenia Montserrat, Ley-Silva Liza Stephanny, Romero-Sansalvador Concepción Yaredi, Gutiérrez-Gabriel Itzel
Instituto Mexicano del Seguro Social, Hospital General de Zona No. 20 La Margarita, Unidad de Medicina Familiar No. 57, Servicio de Medicina Familiar. Puebla, Puebla, México.
Instituto Mexicano del Seguro Social, Hospital General de Zona No. 20 La Margarita, Servicio de Dermatología. Puebla, Puebla, México.
Rev Med Inst Mex Seguro Soc. 2022 May 2;60(3):315-320.
BACKGROUND: Psoriasis affects 1-3% of the world population. In recent years, it has been studied the relationship of psoriasis with other comorbidities that determine a significant reduction in quality of life and the emotional state of those who suffer from it. OBJECTIVE: To determine the differences between quality of life and degree of depression related to the degree of severity of the disease in patients with psoriasis. MATERIAL AND METHODS: We performed an observational, cross-sectional study in the Outpatient Service of the General Zone Hospital, inside the IMSS Family Medicine Unit No. 57, from June 1 to December 31, 2020. The Dermatology Life Quality Index (DLQI), Psoriasis Area Severity Index (PASI) and Beck Depression Inventory were applied. The results of the instruments were compared using Fisher's exact test. Statistical tests were performed with a 95% confidence level with the SPSS software, version 25. RESULTS: 83 patients participated, with an age of 51.6 ± 13.9 years; 59% were male. When comparing the degree of depression with the degree of severity, no statistically significant difference was found (p = 0.430). The comparison of quality of life measured by the degree of severity did show a statistically significant difference (p = 0.008). CONCLUSIONS: The degree of severity of psoriasis affects the quality of life of patients, but not the degree of depression.
背景：银屑病影响着全球1%-3%的人口。近年来，人们对银屑病与其他合并症之间的关系进行了研究，这些合并症会导致患者的生活质量和情绪状态显著下降。 目的：确定银屑病患者的生活质量和抑郁程度与疾病严重程度之间的差异。 材料与方法：2020年6月1日至12月31日，我们在IMSS第57号家庭医学单元的综合区医院门诊部进行了一项观察性横断面研究。应用了皮肤病生活质量指数（DLQI）、银屑病面积严重程度指数（PASI）和贝克抑郁量表。使用Fisher精确检验比较这些工具的结果。使用SPSS 25版软件在95%置信水平下进行统计检验。 结果：83名患者参与研究，年龄为51.6±13.9岁；59%为男性。比较抑郁程度与疾病严重程度时，未发现统计学上的显著差异（p=0.430）。按疾病严重程度衡量的生活质量比较确实显示出统计学上的显著差异（p=0.008）。 结论：银屑病的严重程度会影响患者的生活质量，但不会影响抑郁程度。
Rev Med Inst Mex Seguro Soc. 2022-5-2
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