Acceptance of chronic illness in psoriasis vulgaris patients

Zalewska, Anna; Miniszewska, Joanna; Chodkiewicz, Jan; Narbutt, Joanna

doi:10.1111/j.1468-3083.2006.01912.x

Cited by 44 publications

(44 citation statements)

References 44 publications

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“…It is possible that people resort to religion when helplessness and hopelessness are profound, and thus religion may be a marker of severe psychological suffering. Our data add to the available evidence that self-esteem, self-efficacy, sense of coherence, assertive behavior and active coping strategies are crucial resources in psoriatic patients, both for accepting the disease and establishing a therapeutic alliance with the caregiver (25). On the other hand, psoriatic patients who use passive coping strategies have a worse quality of life (26).…”

Section: Discussionmentioning

confidence: 69%

Evolution of and Risk Factors for Psychological Distress in Patients with Psoriasis: The Psychae Study

Colombo¹,

Caputo

Af³

et al. 2010

Int J Immunopathol Pharmacol

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Psychological distress (PD) is common in patients with psoriasis but little is known about its evolution. The aim of this study is to assess the evolution of PD in psoriasis. For this purpose, 1,505 psoriatic patients, who had been previously enrolled in the PSYCHAE study, an observational multicenter Italian study, were re-evaluated after 6 and 12 months. Minor and major PD were assessed using the General Health Questionnaire (GHQ) and Brief Symptoms Inventory (BSI) questionnaires and coping using Brief COPE questionnaire. Minor PD was present in 46% of patients but halved during the study. Female gender, surface area, topical steroids, methotrexate, self-distraction, venting and behavioral disengagement were risk factors for minor PD; cyclosporine and humor were protective. Major PD was present in 11% of patients and remained stable. Female gender, venting, religion, behavioral disengagement and emotional support were risk factors for major PD; instrumental support was protective. In conclusion, the results obtained suggest that major PD remained stable after 12 months and that coping was a predictor of its evolution.

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Section: Discussionmentioning

confidence: 69%

Evolution of and Risk Factors for Psychological Distress in Patients with Psoriasis: The Psychae Study

Colombo¹,

Caputo

Af³

et al. 2010

Int J Immunopathol Pharmacol

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“…15,16 The quality of life was affected in psoriasis as well as neurodermatitis however the impact was significantly severe in patients of neurodermatitis in this study. Whereas in studies supports the impact of psoriasis on the quality of life, while Kabbur H et al study reveals that the stress-reaction has impact on the exacerbations of psoriasis which in turn has effect on quality of life.…”

Section: Discussionmentioning

confidence: 74%

Psoriasis and neurodermatitis: comparing psychopathology, quality of life and coping mechanisms

et al. 2017

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INTRODUCTIONSkin is the largest organ of the body and also an organ of expression, it responds to emotion with blushing, pallor, piloerection, and perspiration. Brain and skin originate from the same germ layer, the embryonic ectoderm, and are affected by same hormones and neurotransmitters. Psychiatry is focused on the "internal visible disease" and dermatology is focused on "external visible disease". The field of psycho-dermatology or psychocutaneous medicine focuses on the interaction between the mind, the brain and the skin. The interaction between mind, brain and skin is variable. It's not uncommon for dermatological patients to suffer the psychosocial consequences of disfigurement; also psychopathological factors can play an etiological role in development of skin disorders and exacerbation of pre-existing skin disorders. Various studies have reported significant psychiatric and psychosocial comorbidity in at least 30 percent of dermatological patients. 1 ABSTRACT Background: Both psoriasis and neurodermatitis patients report psychological distress and impaired quality of life, but how they cope with it is area of interest. The objective of this study was to study and compare psychopathology, quality of life and coping mechanism in psoriasis and neurodermatitis patients. Methods: 30 cases each of psoriasis and neurodermatitis were assessed at dermatology out-patient department of a tertiary care hospital by using Symptom check list -90-Revised (SCL-90-R), dermatological life quality index (DLQI) and Brief cope scale (BCS). Results: All Patients with neurodermatitis perceived it as a problem and in psoriasis it was 90%.The quality of life (QOL) was affected in both more in neurodermatitis as compared with psoriasis. Neurodermatitis showed significant psychopathology on SCL-90-Rin parameters of interpersonal sensitivity and Psychoticism. Depression, Anxiety, Somatisation, Obsessive-compulsiveness were seen in both groups. Self-blame, religion, positive-reframing were used commonly as coping mechanisms in neurodermatitis while in psoriasis there was acceptance, active coping, planning, and self-distraction, use of emotional and instrumental support, positive-reframing. Conclusions: Quality of life is significantly lower in neurodermatitis. Psychopathologies were significantly high in neurodermatitis. Maladaptive coping styles were used in both groups.

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“…On similar lines, Zalewska et al (2007) suggested that personal resources play an important role in acceptance of chronic illness. Enhancement of optimism, and minimizing one's conviction that one's health depends on others could lead to higher acceptance of skin disease.…”

Section: Discussionmentioning

confidence: 96%

Perceived Stress, Optimism and Social Appearance Anxiety in Patients with Skin Diseases: A Comparative Study

Jain

2016

IRAJMSS

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Acceptance of chronic illness in psoriasis vulgaris patients

Abstract: The results obtained seem to confirm that personal resources play an important role in acceptance of chronic illness. Enhancement of optimism, and minimizing one's conviction that one's health depends on others could lead to higher acceptance of illness.

Cited by 44 publications

References 44 publications

Evolution of and Risk Factors for Psychological Distress in Patients with Psoriasis: The Psychae Study

Evolution of and Risk Factors for Psychological Distress in Patients with Psoriasis: The Psychae Study

Psoriasis and neurodermatitis: comparing psychopathology, quality of life and coping mechanisms

Perceived Stress, Optimism and Social Appearance Anxiety in Patients with Skin Diseases: A Comparative Study

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