Psychological differences between early- and late-onset psoriasis: a study of personality traits, anxiety and depression in psoriasis

Remröd, Charlotta; Sjöström, Karin; Svensson, Åke

doi:10.1111/bjd.12371

Cited by 61 publications

(64 citation statements)

References 40 publications

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“…On the other hand, they have shown that limited psoriasis on a visible area may also have greater impact on mental health (21) . Recently, a study from Sweden showed that early detection of psychological vulnerability when treating patients with psoriasis seems to be of great importance (22). They showed a significant relationship between early onset disease and grater psychological symptoms and concluded that these traits may be seen as a consequence of psoriasis, and/or as individual traits modulating and impairing clinical course and efforts to cope with psoriasis.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Some Psychological Factors in Psoriatic Patients

Fakour

Nourmohammadpour

Gholamali

et al. 2015

European Psychiatry

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BackgroundPsoriasis is a disease which may have direct impact on the psychological and social aspects, particularly due to its visibility. To date, we are unaware of any study showing relationship between psoriasis and psychological parameters such as psychological vulnerability and coping strategies.Objectiveto evaluate the effects of psoriasis on some psychological parameters in an Iranian population.MethodsPatients having histopathologically confirmed psoriasis for at least 6 months attending the Clinic of Razi Hospital and evaluated by PASI,CISS,IPQ-RResultsThere were 101 females and 99 males with the mean age of 43.2 (±16.32). The mean PASI Score was 6.58 ± 6.04. Diffuse skin involvement was the commonest form of disease (133 patients, 66.5%). the highest score for Illness perception belongs to those with genitalia involvement (185.2, worst illness perception) and the lowest score for Illness perception belong to those with nail involvement (168.2). Consistently, the lowest score of facing with the problems (CISS: approach strategy to disease) belongs to those with hand involvement (50.5) whereas the highest score belongs to those with genitalia involvement (60.4). There was significant correlation between psychological vulnerability vs. Illness perception score as well as psychological vulnerability vs. coping strategies score. Surprisingly, PASI score had insignificant relationship with illness perception, coping strategies or psychological vulnerability score.ConclusionPASI score as a representing factor of skin involvement has limited role in predicting effect of psoriasis on mental status and illness perception of psoriatic patients. Psychological vulnerability of patients is the main predicting factor of illness perception and coping strategiesThere were 101 females and 99 males with the mean age of 43.2 (±16.32). The mean PASI Score was 6.58 ± 6.04. Diffuse skin involvement was the commonest form of disease (133 patients, 66.5%). the highest score for Illness perception belongs to those with genitalia involvement (185.2, worst illness perception) and the lowest score for Illness perception belong to those with nail involvement (168.2). Consistently, the lowest score of facing with the problems (CISS: approach strategy to disease) belongs to those with hand involvement (50.5) whereas the highest score belongs to those with genitalia involvement (60.4). There was significant correlation between psychological vulnerability vs. Illness perception score as well as psychological vulnerability vs. coping strategies score. Surprisingly, PASI score had insignificant relationship with illness perception, coping strategies or psychological vulnerability score.There were 101 females and 99 males with the mean age of 43.2 (±16.32). The mean PASI Score was 6.58 ± 6.04. Diffuse skin involvement was the commonest form of disease (133 patients, 66.5%). the highest score for Illness perception belongs to those with genitalia involvement (185.2, worst illness perception) and the lowest score for Illness perception belong...

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Section: Discussionmentioning

confidence: 99%

Evaluation of Some Psychological Factors in Psoriatic Patients

Fakour

Nourmohammadpour

Gholamali

et al. 2015

European Psychiatry

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“…De Jager et al [14] interviewed 15 pediatric psoriasis patients (mean age 12.8 ± 4.25 years), 65% of whom felt stigmatized due to bullying or name calling. The stigmatization and bullying lead to a decreased perception of social connectivity that impacts family and social relationships [18] . Adolescents with psoriasis have expressed feelings of isolation and being 'different than others', with some families even planning vacations that revolved around the adolescent's comfort and ability to keep lesions concealed [16] .…”

Section: Hrql In Adolescents With Chronic Illness and Psoriasismentioning

confidence: 99%

Systematic Review of Health-Related Quality of Life in Adolescents with Psoriasis

et al. 2016

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Background: Many cases of psoriasis begin in adolescence. The affected adolescents face the combined physical and psychosocial challenges of their disease-free peers with the added complexity of a visible disease. Objective: To review the impact of psoriasis on the health-related quality of life (HRQL) in adolescents as compared to their peers with other chronic diseases and to determine the best tools to measure HRQL in this population. Methods: A systematic literature review was completed using PubMed. Results: 256 publications were screened for inclusion, 37 were relevant to objectives and included in the systematic review. Most studies are pediatric psoriasis studies with an adolescent subgroup, very few are dedicated to solely addressing HRQL in adolescents with psoriasis. Adolescents with psoriasis face both the challenges similar to an adult psoriasis population in addition to the complexities inherent to healthy adolescents. Studies often use a general pediatric HRQL measure, PedsQL 4.0, or a dermatology-specific measure adapted from an adult questionnaire. Only one psoriasis-specific measurement tool exists, and it is specifically for scalp psoriasis. Conclusion: Both dermatologists and primary care physicians should treat the visible cutaneous lesions and disease comorbidities and address the psychosocial impact of psoriasis in their adolescent patients. Use of both a general and dermatology-specific HRQL questionnaire may allow physicians to better identify the impact of the disease and recognize improvement or impairment over time.

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“…In fact, increased anger levels frequently accompanying psychiatric disorders has been also studied in patients with psoriasis and increasing level of anger was noted in several studies [13,14]. It was found that anxiety, insecurity and aggressive behaviors were more common especially in patients with early-onset psoriasis [5,10,[14][15][16]. However, the correlation of anger and anger expression styles with self-esteem in psoriasis which is a psychosomatic disease has not been studied before.…”

Section: Introductionmentioning

confidence: 99%

Identification of anger and self-esteem in psoriasis patients in a consultation-liaison psychiatry setting: a case control study

Aydın

Atış

Bolu

et al. 2017

Psychiatry and Clinical Psychopharmacology

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Objective: Psoriasis is one of the most common chronic skin diseases, which has a negative impact on the interpersonal relationship and psychosocial well-being. Therefore, psoriasis may lead to a decrease in the self-esteem of the patients. Increased level of anger often accompanies patients with psoriasis. Our aim is to investigate the relationship of anger, anger expression style and level of self-esteem in patients with psoriasis and to determine whether duration and severity of disease affects anger, anger expression style and level of self-esteem. In addition, we aimed to compare the level of self-esteem in patients with early and late onset of psoriasis. Methods: Eighty-five patients with psoriasis and 86 healthy controls were included in the study. Severity of disease was calculated with Psoriasis Area and Severity Index (PASI). The patients were classified as early-onset (age < 20 years) and late-onset psoriasis (age ≥ 20 years). Duration of disease and socio-demographic characteristics were recorded. State-Trait Expression Inventory for Anger (STAXI) and Roserberg Self-esteem Scale (RSES) were used for determining anger, anger expression style and self-esteem. Results: Trait anger, state anger and anger-in scores were statistically significantly higher in patients with psoriasis (p < .05). Anger-out and anger-control scores were similar in both groups. RSES scores were statistically significantly higher in the psoriasis group (p < .05). There was a negative weak statistically significant correlation between RSES and angercontrol scores (r = −0.246, p = .027). A positive, weak, statistically significant correlation was found between RSES scores and anger-out scores (r = 0.224, p = .045). A positive, mild, statistically significant correlation between duration of the disease and anger-in scores (r = 0.277, p = .027) was detected in patients with psoriasis whereas no statistically significant correlation between the other parameters and duration and severity of the disease was detected. No significant difference was detected when patients with early-and late-onset psoriasis were compared in terms of self-esteem (p = .722). A positive, mild, statistically significant correlation between duration of the disease and anger-in scores (r = 0.277, p = .027) was detected in patients with psoriasis whereas no statistically significant correlation between the other parameters and duration and severity of the disease was detected. Conclusion: Reduced self-esteem and increased anger levels are remarkable in psoriasis patients. While evaluating and arranging treatment of psoriasis patients, it should be considered that psoriasis is not only a dermatological disease, but also a disease resulting in reduced self-esteem and increased anger level; therefore dermatologic and psychiatric approaches should be taken with the patients. ARTICLE HISTORY

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Psychological differences between early- and late-onset psoriasis: a study of personality traits, anxiety and depression in psoriasis

Cited by 61 publications

References 40 publications

Evaluation of Some Psychological Factors in Psoriatic Patients

Evaluation of Some Psychological Factors in Psoriatic Patients

Systematic Review of Health-Related Quality of Life in Adolescents with Psoriasis

Identification of anger and self-esteem in psoriasis patients in a consultation-liaison psychiatry setting: a case control study

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