Teixeira Ana, Teixeira Maribel, Gaio Rita, Torres Tiago, Magina Sofia, Dinis Maria Alzira Pimenta, Sousa-Lobo José, Almeida Isabel, Peixoto Miguel, Almeida Vera
Associate Laboratory i4HB-Institute for Health and Bioeconomy, University Institute of Health Sciences-CESPU, 4585-116 Gandra, Portugal.
UCIBIO-Applied Molecular Biosciences Unit, Translational Toxicology Research Laboratory, University Institute of Health Sciences (1H-TOXRUN, IUCS-CESPU), 4585-116 Gandra, Portugal.
Healthcare (Basel). 2024 Apr 12;12(8):822. doi: 10.3390/healthcare12080822.
(1) Background: Psoriasis is a common chronic inflammatory skin disease with different manifestations, affecting the quality of life at social, emotional, and professional dimensions and requiring long-term treatment. This study aimed to investigate the effect of psychosocial and clinical factors on adherence to topical treatment in psoriasis. (2) Methods: Self-reported measures and weighing the medicines were used to assess adherence. Psychopathological symptoms were measured using the Brief Symptoms Inventory (BSI). Social and clinical factors were assessed by a sociodemographic and clinical questionnaire. Adherence to treatment with topical medication was assessed using a sample of 102 psoriasis patients. (3) Results: The explanatory models of adherence to topical treatment in psoriasis translated into positive associations between adherence and the education level (higher education) ( = 0.03; φ = 0.23), the single-family household ( = 0.01; φ = 0.44), active employment status ( = 0.05; φ = -0.19), familiar history of psoriasis ( = 0.04; φ = -0.21), and the presence of obsessive-compulsive symptoms ( = 0.01; = 0.29). (4) Conclusions: In patients who present the characteristics identified that influence non-adherence, instructions should be reinforced to increase adherence. The experimental mortality (39.6%) reduced the sample size, representing a limitation of the study.
(1) 背景:银屑病是一种常见的慢性炎症性皮肤病,有不同的表现形式,在社会、情感和职业层面影响生活质量,需要长期治疗。本研究旨在调查心理社会因素和临床因素对银屑病局部治疗依从性的影响。(2) 方法:采用自我报告措施和药物称重来评估依从性。使用简明症状量表(BSI)测量心理病理症状。通过社会人口统计学和临床问卷评估社会和临床因素。使用102例银屑病患者样本评估局部用药治疗的依从性。(3) 结果:银屑病局部治疗依从性的解释模型转化为依从性与教育水平(高等教育)( = 0.03;φ = 0.23)、单户家庭( = 0.01;φ = 0.44)、在职状态( = 0.05;φ = -0.19)、银屑病家族史( = 0.04;φ = -0.21)以及强迫症状的存在( = 0.01; = 0.29)之间的正相关。(4) 结论:对于具有已确定的影响不依从性特征的患者,应加强指导以提高依从性。实验死亡率(39.6%)减少了样本量,这是本研究的一个局限性。