Effect of Age at Diagnosis on Chronic Quality of Life and Long-Term Outcomes of Individuals with Psoriasis
| Autor: | E B S Grace Kim, M.P.H. Alexa B. Kimball M.D., M.B.A. Elizabeth Seidler M.D. |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Population Dermatology Severity of Illness Index Cohort Studies Young Adult Quality of life Surveys and Questionnaires Psoriasis Humans Medicine Young adult Child education Psychiatry Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry Age Factors Retrospective cohort study Dermatology Life Quality Index Middle Aged Prognosis medicine.disease Child Preschool Pediatrics Perinatology and Child Health Quality of Life Female business Psychosocial |
| Zdroj: | Pediatric Dermatology. 32:656-662 |
| ISSN: | 0736-8046 |
| DOI: | 10.1111/pde.12416 |
| Popis: | Psoriasis is a skin disorder that frequently begins in the pediatric and young adult population but imposes physical and psychosocial burdens over a lifetime. The objective of this retrospective cohort study was to evaluate the effect of age at diagnosis on the lifetime outcomes of psoriasis patients. Individuals with psoriasis (N = 114) completed a questionnaire regarding disabilities, relationships, education, finances, and medical outcomes. Responses were compared among quartiles of age at diagnosis and regression analyses were performed. Those diagnosed at a younger age were more likely to have a greater lifetime Dermatology Life Quality Index (LT DLQI) (p < 0.001), have felt depressed (p = 0.003), believe that psoriasis had caused their depression (p < 0.001), experience lifetime sleep problems (p = 0.004), use recreational drugs (p < 0.001), hide their psoriasis over their lifetime (p < 0.001), and experience more severe lifetime discrimination in social settings (p = 0.002). Early onset psoriasis is associated with depression, social discrimination, and greater LT DLQI. |
| Databáze: | OpenAIRE |
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