The Quality of Life in Patients with Psoriasis

Background and Design: Psoriasis is a chronic skin disease requiring recurrent treatment and causing cosmetical problems. Therefore it affects patients’ lives negatively. Opinions upon apperance, social relationships and daily activities alter due to cultural and religious factors in distinct populations. In this study we aimed to investigate the quality of life of patients in our population. MATERIAL-METHOD: “Psoriasis Quality of Life Questionnaire” was completed by 124 patients. Disease severity was scored with Psoriasis Area Severity Index (PASI). Patients’ ages, sexes and illness duration were recorded. Joint involvement was also searched. The relationship between total quality of life score and each item was investigated. RESULTS: Quality of life was worse in young patients (r = -0.19, P = 0.037) and in patients with a longer duration (r = 0.20, P = 0.026) or severe disease (r = 0.29, P = 0.002). No effect of age and arthritis on life quality was established (P>0.05). Men described more that people moved away by thinking of the contaquisity of the disease, hesitation of going to public places and negative influence on sex life when compared to women (p=0.009, p=0.003, p=0.001). Psychosocial problems (98.4%) were accepted more important than problems in daily activities (95.2%) and concerns about therapy (76.6%). CONCLUSION: Psoriasis constitutes a great concern in patients’ lives. Patients especially young, with a long duration and a severe disease should be evaluated for the neseccity of psychiatric support in addition to the classical therapy.

Psoriasisli Hastalarda Yaþam Kalitesi

AMAÇ: Psoriasis kozmetik problemlere yol açan ve aralýklý tedavi gerektiren kronik bir deri hastalýðýdýr. Bu nedenle, hastalarýn yaþamlarýný olumsuz yönde etkiler. Dýþ görünümle ilgili yargýlar, sosyal iliþkiler ve günlük aktiviteler farklý toplumlarda kültürel ve dinsel faktörler doðrultusunda deðiþiklik gösterir. Bu çalýþmada, toplumumuzda psoriasisli hastalarýn yaþam kalitelerini araþtýrmayý amaçladýk. GEREÇ-YÖNTEM: “Psoriasis Yaþam Kalite Ölçeði (PYKÖ)” 124 hasta tarafýndan yanýtlandý. Hastalýk þiddeti “Psoriasis Area Severity Index (PASI)” ile hesaplandý. Hastalarýn yaþlarý, cinsiyetleri ve hastalýk süreleri kaydedildi. Eklem tutulumu araþtýrýldý. Her bir parametrenin PYKÖ skoru ile iliþkisi araþtýrýldý. BULGULAR: Yaþam kalitesi gençlerde (r = -0.19, P = 0.037), hastalýðý uzun süredir (r = 0.20, P = 0.026) ve daha þiddetli olan (r = 0.29, P = 0.002) hastalarda daha kötüydü. Yaþam kalitesi ile cinsiyet ve psoriatik artrit varlýðý arasýnda iliþki saptanmadý (p>0.05). Hastalýðýn bulaþýcý olduðunu düþünerek insanlarýn kendinden uzak durduðunu, insanlarýn toplu halde bulunduðu yerlere gitmeye çekindiðini ve cinsel yaþamýnýn etkilendiðini tanýmlayan erkek hastalar kadýnlara oranla daha fazlaydý (p=0.009, p=0.003, p=0.001). Psikososyal sorunlar (%98.4) günlük aktivitelerdeki problemlerden (%95.2) ve tedavi ile ilgili kaygýlardan daha önemli kabul edilmekteydi. SONUÇ: Psoriasis hastalarýn yaþamlarýnda önemli bir sorun teþkil etmektedir. Özellikle genç, hastalýðý þiddetli seyreden ve uzun süredir mevcut olan hastalar klasik tedaviye ek olarak psikiyatrik destek gerekliliði açýsýndan da deðerlendirilmelidir.