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The other 22 variables showed no significant difference Table 2. The other 19 variables showed no significant difference Table 3. Similarly, a positive correlation 0. The relationships between all 3 scales were evaluated using 3 regression models. Model 2 further includes the DLQI as the moderator in the model. The regression for the intersection term is also significant.

We found that at one point in time, severity of psoriasis and dermatologic and health-related quality of life and depression, anxiety, and psychological distress interact and influence each other. In addition, a number of patient characteristics influence disease severity, quality of life, and psychological status. In our study, educational background was associated with severity of disease; higher education helped the patients and they had less impairment of quality of life, a finding shared by others.

Disturbed eating was shown to significantly alter quality of life as measured by the DLQI in this research. Sleep and appetite are affected in patients with psoriasis depending on the location of the lesions on exposed parts of the skin. This loss of sleep may be very disturbing. Loss of sleep is due to physical symptoms and discomfort but affects quality of life to a great extent. Quality of sleep may also be reported due to subjective emotional experience.

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These changes may cause worsening of the disease. Impaired quality of life negatively affects the psyche of patients and initiates coping mechanisms, which have long-lasting implications on the psyche of patients. These indicators are measured by the GHQ Depression, anxiety, social dysfunction, and loss of confidence are all psychiatric and psychological disorders, which can be treated only if they are identified and evaluated by a clinician who knows about them. If they go unidentified and untreated, the life of the psoriasis patient may be miserable, and the psychosocial burden of the disease may become more than the physical burden.

As dermatologists have limited knowledge of psychiatry, related needs of these patients go unmet. Medical needs may be met, but functioning and disability are not addressed. Physical needs are partially addressed, ignoring functioning and disability, whereas psychosocial needs are not addressed at all. This study has limitations. The study design was cross-sectional and, therefore, while associations may be identified, the results do not imply causality.

Temporal associations were not evaluated. Selection bias is also possible, as sampling was time based and was not a probability sampling. Due to smaller sample size, sampling method, and the tertiary clinic setting of the study, generalizations to other groups of patients are unwarranted. Only plaque psoriasis was included in this study; other varieties of psoriasis may have different clinical and psychiatric correlates.

After patients with psoriasis are examined and treated by dermatologists, they should be screened for psychiatric, cardiac, and metabolic comorbidities.

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Health-related quality of life should also be estimated in all psoriasis patients. Liaison clinics should be set up in all dermatology departments. Dermatologists should be made aware of the psychiatric complications of psoriasis during their training. A system of active integrated management of psoriasis and comorbidities, both medical and psychiatric, should be developed and evaluated.

National Center for Biotechnology Information , U. Published online Jun Author information Article notes Copyright and License information Disclaimer. Received Jan 19; Accepted Nov This article has been cited by other articles in PMC. Open in a separate window. Sampling The sampling technique was nonprobability, convenient, and purposive.

Data and Instruments The 7 sociodemographic variables in this study included gender, employment status, residence, age, marriage years, current income, and education level. Analysis Descriptive and clinical statistics were first calculated. Model 1 Model 2 Model 3 Constant Potential conflicts of interest: The risk of stroke in patients with psoriasis. Pathogenesis and clinical features of psoriasis.

N Engl J Med. Comparative study of calcipotriol 0. Indian J Dermatol Venereol Leprol. Recent insights into the immunopathogenesis of psoriasis provide new therapeutic opportunities.

COMMENTS (93)

The clinical genetics of psoriasis. Meier M, Sheth PB. Clinical spectrum and severity of psoriasis. Nail psoriasis as a severity indicator: Patient Relat Outcome Meas. The epidemiology of psoriasis. Naldi L, Gambini D. The clinical spectrum of psoriasis. Moderate and severe plaque psoriasis: Ther Clin Risk Manag. The economic burden of skin disease in the United States. J Am Acad Dermatol. Patients with psoriasis feel stigmatized.

The psychosocial burden of psoriasis.

Am J Clin Dermatol. Experiences of stigmatization play a role in mediating the impact of disease severity on quality of life in psoriasis patients. Future trends in psychodermatological psoriasis research: Quality of life in patients with psoriasis and psoriasis arthritis with a special focus on stigmatization experience.

Significance of the stigmatization experience of psoriasis patients: Feelings of stigmatization in patients with psoriasis. Psychosocial consequences of rejection and stigma feelings in psoriasis patients. Barankin B, DeKoven J. Psychosocial effect of common skin diseases. The psychological sequelae of psoriasis: Relevance of psychiatry in dermatology: Rumsey N, Harcourt D. Body image and disfigurement: Choi J, Koo JY. Quality of life issues in psoriasis. Quality-of-life issues in psoriasis Dermatol Clin 22 4 — The bodily suffering of living with severe psoriasis: Coping with depression and anxiety in patients with psoriasis.

Dynamics of a stressful encounter: J Pers Soc Psychol. Psychological stress, distress and disability in patients with psoriasis: Br J Clin Psychol. The contribution of perceptions of stigmatization to disability in patients with psoriasis.


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Stress, social support, emotional regulation, and exacerbation of diffuse plaque psoriasis. Relevance of psychosomatic factors in psoriasis: The skin and the mind. Fava GA, Sonino N. The clinical domains of psychosomatic medicine. Quality of life in patients with psoriasis: Health, Stress and Coping. Unraveling the Mystery of Health. Emotional intelligence as an indicator of satisfaction with life of patients with psoriasis.

The risk of depression, anxiety, and suicidality in patients with psoriasis: Psychiatric morbidity in psoriasis: A comparative study of depression and anxiety in psoriasis and other chronic skin diseases.


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J Pakistan Assoc Dermatologists. Role of depression in quality of life for patients with psoriasis. Control of negative emotions and its implication for illness perception among psoriasis and vitiligo patients. J Eur Acad Dermatol Venereol. Psychosomatic concepts in dermatology: Wittkower E, Russell B. Emotional factors in skin disease. A critical appraisal of the quality of quality-of-life measurements.

Tadgh Dolan talks about the impact psoriasis has had on his life.

Quality of life assessment: Salad greens, such as spinach, Swiss chard, and kale, as well as broccoli and cabbage, are full of rich vitamins and minerals. Studies have shown that they contain special immune-boosting compounds too. Filling your plate with these nutritious foods may help protect you from unwanted viruses, pollens, and more. When you have psoriasis, the last thing you want to do is rub an alcohol-based sanitizer on your hands. While this formula can be a convenient way to wash away germs, it can be irritating for people with psoriasis.

Washing your hands with plain water and old-fashioned soap is always best, but essential oil and all-natural hand sanitizers are also available. Ask your dermatologist about the best products for you. What do curry, yellow rice, and golden milk have in common? Research has shown that this spice may also help boost immune health.

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Try sprinkling it on baked chicken or fish to give it some added color and flavor, or make your own DIY face mask with flour, milk, and honey for some instant, soothing relief. Regular exercise is a key part of healthy living, which means staying well and in tip-top shape. But if you have psoriasis, sweating can be your worst nightmare and trigger more flare-ups. Fortunately, there are plenty of exercises that can keep you healthy without huffing and puffing. Lifting weights or taking a low-key cardio class are also worth a shot.

Having psoriasis and dealing with flare-ups at work can be stressful. Here's how to remain professional and dress accordingly. Go inside Natasha's life, and watch how open and comfortable she is in her own skin in this documentary-style video.