Comparison of quality of life and illness perception among patients with acne, eczema, and psoriasis

Nagpal, Neha; Gordon-Elliott, Janna; Lipner, Shari R.

doi:10.5070/d3255044060

Cited by 21 publications

(6 citation statements)

References 27 publications

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“…Considering the available literature, DLQI median value tends to be lower in our study compared to previous pieces of evidence [40][41][42][43]. In a previous study, DLQI median score was 7 in patients with diagnosis of eczema [40]. The differences between our results and the already published data may be linked to the heterogeneity of the samples, especially in terms of the diseases addressed.…”

Section: Discussioncontrasting

confidence: 81%

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Suffering and Quality of Life Impairment in Patients with Eczematous Diseases: Results from an Observational Study Assessing the Relevance of the Involvement of Two Sensitive Body Sites, Namely, the Face and Hands

et al. 2023

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Background: quality of life (QoL) impairment by eczematous diseases, with reference to body site involvement, has not been deeply addressed; Objectives: to assess: i) the impact on QoL of eczematous diseases affecting the face or hands; ii) any differences in QoL impairment in the case of face versus hands involvement; iii) sensitivity of Pictorial Representation of Illness and Self-Measure (PRISM) and Dermatology Life Quality Index (DLQI) in measuring disease-related burden; Methods: adults with eczematous diseases of the face or hands were involved. Patients were patch tested and underwent DLQI and PRISM; Results: 143 patients were included, 43.36% with face and 56.64% with hands involvement. PRISM and DLQI scores showed a moderate-to-strong inverse correlation, but PRISM revealed a higher sensitivity in capturing patients’ suffering than DLQI, especially in the case of face involvement. Itching was the sole parameter significantly associated with both PRISM and DLQI scores. Conclusions: PRISM appeared to be more accurate in detecting the burden of eczematous diseases involving the face, probably due to the interception of the emotional impact, while DLQI, focusing on patient functioning, was more affected by hands involvement. Site involvement could be a criterion for selecting the best QoL assessment tool.

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Section: Discussioncontrasting

confidence: 81%

Section: Discussioncontrasting

confidence: 46%

Suffering and Quality of Life Impairment in Patients with Eczematous Diseases: Results from an Observational Study Assessing the Relevance of the Involvement of Two Sensitive Body Sites, Namely, the Face and Hands

et al. 2023

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“…27 Prior evaluations of the DLQI in patients with rosacea have reported total scores ranging from 4.3 to 17.3, 28 which are consistent with our data. Similar correlations between self-reported illness perception and QoL have been demonstrated in other dermatoses, such as acne, psoriasis, and eczema, 29 bullous pemphigoid, 27 and vitiligo. 30 Psoriasis has been shown to have a greater impact on QoL than angina and hypertension, 28 while acne produces QoL deficits comparable to those observed in patients with asthma, epilepsy, diabetes, or arthritis.…”

Section: Discussionsupporting

confidence: 75%

Perspectives on rosacea patient characteristics and quality of life using baseline data from a phase 3 clinical study conducted in Japan

Yamasaki

2022

The Journal of Dermatology

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There is a lack of contemporary data on rosacea originating in Japan. Using baseline data from a randomized, phase 3 study of 130 Japanese patients with rosacea treated with metronidazole gel (0.75%) or vehicle, the authors evaluated demographic and clinical characteristics, pretreatment quality of life, and exacerbating factors. In line with global data, most patients were women (82.3%; 107/130) and aged between 30 and 50 years (60.7%; 79/130). Patient‐reported quality of life scores indicated that rosacea had an impact similar to that of other debilitating and disfiguring skin conditions (such as psoriasis), particularly in terms of the emotional burden. Anxiety or depression was reported by 30% of patients (39/130), with 6.9% (9/130) reporting moderate levels and 0.8% (1/130) reporting severe levels. The top five exacerbating factors reported to trigger worsening of rosacea were temperature changes, sun exposure, hot weather, seasonal variation, and heavy exercise. In addition, pollen exposure and menstruation were noted as triggers of rosacea symptoms; these are novel findings that require further investigation to fully understand the implications for patients and treatment. Rosacea is likely to be underdiagnosed and undertreated in Japan because of the current lack of consensus guidelines and standardized therapy. The authors anticipate that the results of this analysis will provide much needed information to help improve diagnosis and facilitate the management of rosacea in patients.

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confidence: 99%

Patient Perspectives on the Lived Experience of Acne and Its Treatment Among Adult Women With Acne

et al. 2021

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cne is responsible for a greater global burden of disease than psoriasis, cellulitis, and melanoma. [1][2][3] Not only can acne be associated with physical disfigurement, such as permanent scarring, but its emotional impact can lead to social isolation, depression, and suicidality. In fact, treatment of acne is associated with reduced symptoms of depression. [4][5][6] Given the profound association of acne with quality of life, several qualitative studies [7][8][9][10][11] have sought to understand the lived experience of acne among adolescents. These studies [7][8][9][10][11] have highlighted that acne can have important effects on social and emotional functioning, relationships, school, and work. 12 However, few studies have specifically explored the lived experience of acne in adult populations, and these studies 13,14 have been limited by small sample sizes. Because acne often persists into adulthood in women, understanding their perspectives on acne and its treatment is important to guide clinical management in this population. 15 The purpose of this study was to examine the lived experience of acne and its treatment among a large cohort of adult women. Methods Study ParticipantsFemale patients 18 to 40 years of age with moderate to severe acne were recruited from clinics at the University of Pennsylvania Health System and Dermatologists of Southwest Ohio (a INTRODUCTION Acne often persists into adulthood in women. However, few studies have specifically explored the lived experience of acne in adult populations.OBJECTIVE To examine the lived experience of acne and its treatment among a cohort of adult women. DESIGN, SETTING, AND PARTICIPANTSA qualitative analysis was conducted from free listing and open-ended, semistructured interviews of patients at a large academic health care system (University of Pennsylvania Health System) and a private practice (Dermatologists of Southwest Ohio). Fifty women 18 to 40 years of age with moderate to severe acne participated in interviews conducted between August 30, 2019, and December 31, 2020. MAIN OUTCOMES AND MEASURESFree-listing data from interviews were used to calculate the Smith S, a measure of saliency for each list item. Semistructured interviews were examined to detect themes about patient perspectives regarding their acne and its treatment.RESULTS Fifty participants (mean [SD] age, 28 [5.38] years; 24 [48%] White) described acne-related concerns about their appearance that affected their social, professional, and personal lives, with many altering their behavior because of their acne. Depression, anxiety, and social isolation were commonly reported. Participants described successful treatment as having completely clear skin over time or a manageable number of blemishes. Many participants described frustration with finding a dermatologist with whom they were comfortable and with identifying effective treatments for their acne. CONCLUSIONS AND RELEVANCEThe results of this qualitative study suggest that women with acne have strong concerns about appearance and exp...

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Comparison of quality of life and illness perception among patients with acne, eczema, and psoriasis

Cited by 21 publications

References 27 publications

Suffering and Quality of Life Impairment in Patients with Eczematous Diseases: Results from an Observational Study Assessing the Relevance of the Involvement of Two Sensitive Body Sites, Namely, the Face and Hands

Suffering and Quality of Life Impairment in Patients with Eczematous Diseases: Results from an Observational Study Assessing the Relevance of the Involvement of Two Sensitive Body Sites, Namely, the Face and Hands

Perspectives on rosacea patient characteristics and quality of life using baseline data from a phase 3 clinical study conducted in Japan

Patient Perspectives on the Lived Experience of Acne and Its Treatment Among Adult Women With Acne

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