Illness Acceptance as the Measure of the Quality of Life in Moderate Psoriasis

Jankowiak, Barbara; Kowalewska, Beata; Kułak, Elżbieta Krajewska; Milewski, Rafał; Turosz, Maria Anna

doi:10.2147/ccid.s318603

Cited by 8 publications

(9 citation statements)

References 39 publications

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“…Similar findings were also observed in patients with melanoma, where correlation analyses revealed that illness denial was significantly associated to higher levels of psychological distress [74]. In patients with plaque psoriasis, Jankowiak et al [75] showed that denial, defined as a lower level of illness acceptance, was significantly associated with impaired quality of life.…”

Section: Clinical Outcomementioning

confidence: 56%

Illness Denial in Medical Disorders: A Systematic Review

Patierno

Fava

Carrozzino

2023

Psychother Psychosom

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Introduction: Illness denial pertains to medical patients who do not acknowledge the presence or severity of their disease or the need of treatment. Objective: This systematic review was performed to clarify the clinical role and manifestations of illness denial, its impact on health attitudes and behavior, as well as on short- and long-term outcomes in patients with medical disorders. Methods: The systematic search according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was conducted on PubMed, Scopus, and Web of Science. Results: The initial search yielded a total of 14,098 articles; 176 studies met the criteria for inclusion. Illness denial appeared to be a relatively common condition affecting a wide spectrum of health attitudes and behavior. In some cases, it may help a person cope with various stages of illness and treatment. In other situations, it may determine delay in seeking treatment, impaired adherence, and reduced self-management, leading to adverse outcomes. The Diagnostic Criteria for Psychosomatic Research (DCPR) were found to set a useful severity threshold for the condition. An important clinical distinction can also be made based on the DCPR for illness denial, which require the assessment of whether the patient has been provided with an adequate appraisal of the medical situation. Conclusions: This systematic review indicates that patients with medical disorders experience and express illness denial in many forms and with varying degrees of severity. The findings suggest the need for a multidimensional assessment and provide challenging insights into the management of medical disorders.

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Section: Clinical Outcomementioning

confidence: 56%

Illness Denial in Medical Disorders: A Systematic Review

Patierno

Fava

Carrozzino

2023

Psychother Psychosom

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“…Each individual perceives the disease, its somatic effects, resultant dysfunction, and related problems differently. This attitude is primarily determined by one's character traits and type of illness [2].…”

Section: Introductionmentioning

confidence: 99%

Psycho-Social Impact and Quality of Life Among Patients With Psoriasis Attending a Tertiary Care Institute in North Chennai

Khan,

et al. 2024

Asian J Pharm Clin Res

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Objective: To assess the psycho-social impact of psoriasis and the quality of life (QoL) among psoriasis patients. Methods: This is a cross-sectional study with a sample size of 140 done in a dermatology outpatient clinic in a tertiary care institution in North Chennai. The dermatology life quality index (DLQI) was the primary tool for assessing QoL. Results: The study participants’ mean±SD DLQI score was 8.84±4.59. Out of 140 patients, 32.9% had severely affected QoL with a DLQI score >10. About 81.4% of study participants felt embarrassed due to their skin lesions, and marital life was affected by 36.4%. Suicidal thoughts and alcohol addiction (for coping up) were found to be prevalent among 12.9% of the subjects, both of which were maladaptive coping strategies. It was found that patients with DLQI scores of 10 or more tend to cling to alcohol as a coping mechanism, and this association is statistically significant. Further, a significant association was also noted between the site of the lesion and marital life getting affected by psoriasis. (x2=9.893, p=0.042). Conclusion: Patients with psoriasis are subjected to an intricate web of physical and psycho-emotional challenges. Hence, the physician offering chronic follow-up care to those patients needs to adopt a holistic strategy to address their continuing medical and psychosocial needs.

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“…Acceptance of illness was originally described as acceptance of the sense of loss [17]. It is a psychological state in which illness is perceived as part of the individual's perception of reality and no longer seen as a limiting factor for the individual.…”

Section: Introductionmentioning

confidence: 99%

Low acceptance of illness with inflammatory bowel disease tending to receive fecal microbiota transplantation

Liu

Luo

Tao

et al. 2022

Preprint

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Background Fecal microbiota transplantation(FMT) can improve and reestablish the normal function of intestinal flora. It has been shown to have great potential in the treatment of inflammatory bowel disease(IBD). Objective To assess the current status and analyse the factors influencing the acceptance of FMT treatment in IBD patients. Methods IBD patients were recruited at the Inflammatory Bowel Disease Center in Yunnan Province, China. Participants voluntarily completed a self-designed questionnaire and a Chinese version of the Acceptance of illness Scale(AIS) test under the premise of informed consent, to assess their attitudes toward FMT and acceptance of illness. Results Of the 310 patients surveyed, 70.6% and 29.4% have diagnosed ulcerative colitis and Crohn's disease respectively. Less than half of IBD patients (43.55%) were willing to undergo FMT, 2.90% refused, and 53.55% were unsure about it.The most preferred routes of FMT among IBD patients were oral fecal capsules (50.97%) and colonoscopy (21.94%). In addition, prior knowledge of FMT (OR = 3.986, 95% CI: 2.304–6.896, P < 0.001), previous experience with FMT (OR = 12.505, 95% CI: 2.454–63.717, P = 0.002) and illness acceptance (OR = 0.951, 95% CI: 0.917–0.987. P = 0.029) were independent influences on the acceptance of FMT treatment in patients with IBD. Conclusion This study suggested that the acceptance of FMT treatment with IBD patients still needs to be improved, and the confidence of treatment may be enhanced by strengthening cognition and sharing the surrounding successful cases with FMT treatment. Furthermore, attention should also be paid to patients with low acceptance of illness with IBD patients, which may be a potential population for FMT treatment.

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Illness Acceptance as the Measure of the Quality of Life in Moderate Psoriasis

Cited by 8 publications

References 39 publications

Illness Denial in Medical Disorders: A Systematic Review

Illness Denial in Medical Disorders: A Systematic Review

Psycho-Social Impact and Quality of Life Among Patients With Psoriasis Attending a Tertiary Care Institute in North Chennai

Low acceptance of illness with inflammatory bowel disease tending to receive fecal microbiota transplantation

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