Department of Dermatovenerology, University Hospital Centre Split, Split 21000, Croatia.
Department of Otorhinolaringology, University Hospital Centre Split, Split 21000, Croatia.
Pain Med. 2023 Oct 3;24(10):1189-1196. doi: 10.1093/pm/pnad067.
Pain is a major factor in the psychosocial impact of psoriasis. There is a paucity of qualitative reports of dermatologists' views on psoriasis-related pain.
The aim of this study was to explore the views of dermatologists on the presence and importance of pain associated with psoriasis.
This qualitative study, based on semi-structured interviews, included dermatologists from different cities working in the hospital and private sector in Croatia between May and July, 2022. We collected demographic and occupational data on participants and information about their experiences and attitudes toward psoriasis-related pain. Data were analysed by applying interpretative descriptive and thematic analysis using the 4-stage method for systematic text condensation.
We included 19 dermatologists, all women, aged 38 (range: 31 to 63 years). Most dermatologists acknowledged the presence of pain in patients with psoriasis. They indicated that they sometimes do not sufficiently address this pain in daily practice. Some indicated that pain was a neglected symptom in psoriasis, while for others it was not crucial. Most indicated that it is necessary to focus more on psoriasis-related pain in clinical practice, to disambiguate between skin pain and joint pain in psoriatic conditions, and to better educate family physicians about psoriasis-related pain. They emphasized the importance of considering pain during psoriatic patient assessment and management. Further research on psoriasis-related pain was suggested.
More emphasis is needed on psoriasis-related pain for effective management of psoriasis, informing decision-making in the context of patient-centric care and improving the quality of life in patients with psoriasis.
疼痛是银屑病心理社会影响的一个主要因素。关于皮肤科医生对银屑病相关疼痛的看法，定性报告很少。
本研究旨在探讨皮肤科医生对银屑病相关疼痛的存在和重要性的看法。
这是一项基于半结构化访谈的定性研究，包括 2022 年 5 月至 7 月在克罗地亚不同城市的医院和私营部门工作的皮肤科医生。我们收集了参与者的人口统计学和职业数据，以及他们对银屑病相关疼痛的经验和态度的信息。数据采用解释性描述和主题分析进行分析，使用系统文本浓缩的 4 阶段方法。
我们纳入了 19 名皮肤科医生，均为女性，年龄 38 岁（范围：31 至 63 岁）。大多数皮肤科医生承认银屑病患者存在疼痛。他们表示，在日常实践中，他们有时并没有充分解决这种疼痛。一些人表示，疼痛是银屑病中被忽视的症状，而对其他人来说，疼痛并不重要。大多数人表示，有必要在临床实践中更加关注银屑病相关疼痛，区分银屑病状况下的皮肤疼痛和关节疼痛，更好地教育家庭医生有关银屑病相关疼痛的知识。他们强调在评估和管理银屑病患者时考虑疼痛的重要性。建议进一步研究银屑病相关疼痛。
为了有效管理银屑病，需要更加重视银屑病相关疼痛，为以患者为中心的护理背景下的决策提供信息，并改善银屑病患者的生活质量。
