Bień Beata, Krajewski Piotr K, Szepietowski Jacek C
University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Department of Dermato-Venereology, 4th Military Hospital, 50-981 Wroclaw, Poland.
J Clin Med. 2024 Dec 17;13(24):7684. doi: 10.3390/jcm13247684.
Psoriasis is a chronic skin disorder affecting over 60 million people worldwide, with both physical and psychological impacts due to the visible lesions and associated somatic symptoms. This study aimed to assess disease acceptance among psoriasis patients and to explore its correlation with disease severity, itch intensity, and quality of life (QoL) The study included 166 psoriasis patients, comprising 101 men and 65 women, all with a disease duration of at least one year. Clinical and psychological aspects of psoriasis were comprehensively assessed using various standardized tools, along with a demographic questionnaire. The study found that psoriasis patients had a mean illness acceptance score of 25.1 points, with most respondents (44%) exhibiting a moderate level of acceptance. A high level of acceptance was observed in 28% of participants, while an equal proportion of patients (28%) demonstrating low acceptance, with no significant gender-based differences. Acceptance was negatively correlated with disease severity (PASI score), quality of life impairment (DLQI), and itch intensity (NRS), indicating that lower acceptance was linked to more severe symptoms. Additionally, a slight negative correlation was observed between acceptance and disease duration, while acceptance levels were unaffected by factors such as education, relationship status, or age of disease onset. A comprehensive approach to psoriasis treatment should address not only the physical aspects but also the psychological challenges faced by patients, with a particular focus on improving disease acceptance as a coping strategy. Reducing itch intensity may contribute to better disease acceptance.
银屑病是一种慢性皮肤病，全球有超过6000万人受其影响，由于可见皮损和相关躯体症状，它对患者的生理和心理都有影响。本研究旨在评估银屑病患者对疾病的接受程度，并探讨其与疾病严重程度、瘙痒强度和生活质量（QoL）的相关性。该研究纳入了166例银屑病患者，其中男性101例，女性65例，所有患者病程均至少为一年。使用各种标准化工具以及一份人口统计学调查问卷，对银屑病的临床和心理方面进行了全面评估。研究发现，银屑病患者的疾病接受度平均得分为25.1分，大多数受访者（44%）表现出中等程度的接受度。28%的参与者表现出高度接受，而同样比例（28%）的患者接受度较低，且不存在基于性别的显著差异。接受度与疾病严重程度（PASI评分）、生活质量受损程度（DLQI）和瘙痒强度（NRS）呈负相关，这表明接受度较低与更严重的症状相关。此外，接受度与病程之间存在轻微的负相关，而接受度水平不受教育程度、恋爱状况或发病年龄等因素的影响。银屑病的综合治疗方法不仅应解决身体方面的问题，还应应对患者面临的心理挑战，尤其应注重提高疾病接受度作为一种应对策略。减轻瘙痒强度可能有助于提高对疾病的接受度。
