Factors Influencing Major Life-Changing Decisions in Patients with Psoriasis: A Cross-sectional Study
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Sánchez Díaz, Manuel; Díaz Calvillo, Pablo; Soto Moreno, Alberto; Molina Leyva, Alejandro; Arias Santiago, Salvador AntonioEditorial
Medical Journals Sweden AB
Materia
Psoriasis Quality of life Life-Changing decision
Fecha
2023-10-10Referencia bibliográfica
Sanchez-Diaz, M., Pablo, D. C., Alberto, S. M., Molina-Leyva, A., & Arias-Santiago, S. (2023). Factors Influencing Major Life-Changing Decisions in Patients with Psoriasis: A Cross-sectional Study. Acta Dermato-Venereologica, 103.[DOI: 10.2340/actadv.v103.11640]
Resumen
Psoriasis is a chronic inflammatory disease associated
with significant impairment in quality of life. Although
quality of life in patients with psoriasis has been widely
studied, there is little evidence regarding the impact
of psoriasis on major life-changing decisions (MLCD).
The aims of this study are to describe the impact of
psoriasis on MLCD and to explore the potential clinical
factors associated with MLCD. This cross-sectional
study included 113 patients with psoriasis, regardless
of disease severity, duration, or current treatment.
The impact of the disease on different MLCD, including
those related to professional career, decision of having
children, choice of clothing, and leisure activities, was
explored using Likert scales. Mean age was 51 years
old and female to male ratio was 1.08 (54/50). The
mean Psoriasis Area Severity Index was 3.75, and
30% (35/113) of the patients had psoriatic arthropathy.
The most affected MLCD were career choice (median
(interquartile range) score 3 (2–4)), social relationships
(2 (1–3)), choice of clothing (2 (1–3)), job
performance, absenteeism, and choice of holiday destination
(1 (0–2)). Female sex, early age of onset and
psoriatic arthropathy were associated with a greater
impact of the disease on MLCD (p < 0.05). The results
showed that a range of MLCD are affected in patients
with psoriasis, such as career choice, job performance,
absenteeism, or choice of clothing. Female sex,
psoriatic arthritis and early age of onset are factors
associated with a greater impact on MLCD. In order
to limit the long-term negative effects of psoriasis on
patients, special attention should be paid to detection
of psoriatic arthritis, and to patients with early disease
onset.