Evaluation of functional impairment in psoriasis
| Autor: | Madhav Ghate, Swati Raje, D. V. Dhamdhere, Sharmishtha S Deshpande, Rohini Gaikwad |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Functional impairment Adolescent Health Status Psychiatric comorbidity MEDLINE Dermatology Disease Interpersonal relationship Psoriasis Surveys and Questionnaires medicine lcsh:Dermatology Humans Psychiatry Aged business.industry lcsh:RL1-803 Middle Aged medicine.disease Distress Infectious Diseases Anxiety Female medicine.symptom business Stress Psychological |
| Zdroj: | Indian Journal of Dermatology, Venereology and Leprology, Vol 72, Iss 1, Pp 37-40 (2006) |
| ISSN: | 0378-6323 |
| Popis: | Background: Psoriasis is a chronic disease, the course of which is punctuated by exacerbations and remissions. The impact of a chronic, relapsing, and disfiguring disease such as psoriasis on occupational, social, and other areas of functioning is substantial and needs attention. Aim: The purpose of this study was to assess the level and nature of functional impairment in psoriasis. Methods: Forty-three consecutive patients attending the dermatology clinic of a rural hospital were studied for psychiatric comorbidity and the level of functioning, using a semistructured questionnaire. Results: Psoriasis affected social functioning of 48% patients, led to decreased work efficiency in 51.1%, and to subjective distress at work in 62.8% of patients. Stress in home environment and interpersonal relationships was reported by 69.8%. Social and occupational functioning worsened with increasing severity of psoriasis after 1-year duration of illness. Patients complaining of pruritis frequently had anxiety disorders. Psychiatric comorbidity was detected in 67.4% cases. Conclusion : Substantial proportion of patients suffered deterioration of functioning, especially with increasing duration of illness. Thus, timely attention by dermatologists is needed in order to limit the disability caused by psoriasis. To achieve this, liaison with psychiatrist would be crucial along with illness education and emotional support. |
| Databáze: | OpenAIRE |
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