Subjective Health Complaints in Individuals with Psoriasis and Psoriatic Arthritis: Associations with the Severity of the Skin Condition and Illness Perceptions – A Cross-Sectional Study

Nordbø, Emma Charlott Andersson; Ihlebæk, Camilla

doi:10.1007/s12529-017-9637-4

Cited by 21 publications

(16 citation statements)

References 41 publications

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“…Scharloo et al found that in patients with psoriasis, strong illness identity, passive coping, belief in a long illness duration, and belief in strong consequences were associated with worse measures of functioning [6]. Cognitive and emotional representations of illness are also associated with subjective health complaints in patients with psoriasis [25]. One proposed theory posits that a process of cognitive sensitization leads to objective changes in a patient's experience of illness through cognitive bias (such as increased attention to, or [31].…”

Section: Discussion Illness Perception and Quality Of Lifementioning

confidence: 99%

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

Nagpal

Gordon-Elliott²,

Lipner³

2019

Dermatology Online Journal

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Section: Discussion Illness Perception and Quality Of Lifementioning

confidence: 99%

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

Nagpal

Gordon-Elliott²,

Lipner³

2019

Dermatology Online Journal

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“…Whilst there was coverage of constructs relating to pain, emotions, walking, daily activity and footwear, the results of this study indicate that the LFIS-RA may not comprehensively measure the multifaceted impact of foot functional impairments in PsA. Foot involvement can be a major characteristic feature of the disease for a large proportion of people with PsA [39]. A diverse range of disease manifestations can affect the foot in PsA relating to skin, toenails and musculoskeletal structures, which broadens the impact of localised disease on daily activities, social interactions, paid employment and community participation [18].…”

Section: Discussionmentioning

confidence: 77%

Linking the Effect of Psoriatic Arthritis-Related Foot Involvement to the Leeds Foot Impact Scale using the International Classification for Functioning, Disability and Health: A Study to Assess Content Validity.

Carter

Tannous

Walmsley

et al. 2020

Preprint

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Background Previous research to describe the impact of foot involvement in psoriatic arthritis has used the Leeds Foot Impact Scale in Rheumatoid Arthritis (LFIS-RA) in the current absence of any psoriatic arthritis foot-specific tools. However, the LFIS-RA is a rheumatoid arthritis disease-specific outcome measure and its content validity for evaluating the experiences of people with psoriatic arthritis-related foot involvement is unknown. The study objective was to determine the content validity of the LFIS-RA for assessing people with psoriatic arthritis, using the International Classification of Functioning, Disability and Health (ICF) as the frame of reference.Method Concepts within each item of the LFIS-RA were linked to the best-matched ICF categories using established linking rules, which enable a systematic and standardised linking process. All concepts were independently linked to the ICF by 2 investigators with different professional backgrounds, which included occupational therapy and podiatry. The list of ICF categories derived from previous research that pertained to the foot in psoriatic arthritis was then compared with the ICF categories linked to the LFIS-RA. The comparison was undertaken in order to determine the extent to which concepts important and relevant to people with psoriatic arthritis-related foot involvement were addressed. Results Thirty-five distinct ICF categories were linked to the LFIS-RA, which related to body functions (44%), activities and participation (35%), environmental factors (16%) and body structure (5%). In comparison with the ICF categories derived from concepts of the foot in psoriatic arthritis previously defined, the LFIS-RA provided coverage of key constructs including pain, functioning, daily activities, footwear restrictions and psychological impact. Other concepts of importance in psoriatic arthritis such as skin and toenail involvement, self-management and paid employment were not addressed in the LFIS-RA. Conclusion Content validity of the LFIS-RA to determine the impact of foot functional impairments and disability in people with psoriatic arthritis was not supported by the results of this study. Future work should consider the development of a psoriatic arthritis foot-specific patient reported outcome measure, using the LFIS-RA as an important foundation.

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“…Although psychosocial comorbidities are not always proportional to psoriasis severity and perception of psoriasis severity is not always proportional to psoriasis severity [45], patients with psoriasis report more subjective health complains than controls [46]. The location and size of the physical lesions is the second most important factor that contributes to explaining psoriasis disease severity perception [47], suggesting a relationship between disease severity perception and body image that is negatively affected in patients with psoriasis [44].…”

Section: Discussionmentioning

confidence: 99%

The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability

Almeida

Leite

Constante

et al. 2020

Behavioral Sciences

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Psoriasis is a long-term skin disorder without a cure, whose patients are particularly susceptible to mental health diseases. Using a sample of patients diagnosed with psoriasis, this study aimed to: (1) identify the clinical and positive psychological variables that contribute the most to psoriasis disability and (2) assess the mediator role of body image-related cognitive fusion in the relation between disease severity perception and acceptance and self-compassion, on one hand, and psoriasis disability on the other. This is an initial cross-sectional exploratory study, with 75 patients diagnosed with psoriasis (males 52%; mean age 54.99 ± 13.72) answering a sociodemographic and a clinical questionnaire, the Psoriasis Disability Index (PDI), the Cognitive Fusion Questionnaire—Body Image (CFQ-BI), the Acceptance and Action Questionnaire—II (AAQ-II), and the Self-Compassion Scale (SCS). Descriptive and inferential statistics were used to characterize and assess the measures and the final model used. Through path analysis and a hierarchical multiple linear regression, it was found that the variables that significantly contributed to psoriasis disability were years of education, impact on social life and body image, explaining 70% of the variance. Body image-related cognitive fusion was a significant mediator in the relationship between disease severity and acceptance, and psoriasis disability. The implications of this study are considered to be extremely relevant, since it will allow additional information to be provided to psoriasis patients, appropriated to their educational level, aiming to reduce distorted perceptions of disease severity and intervene in the ability to accept this specific and important chronic health condition.

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Subjective Health Complaints in Individuals with Psoriasis and Psoriatic Arthritis: Associations with the Severity of the Skin Condition and Illness Perceptions – A Cross-Sectional Study

Cited by 21 publications

References 41 publications

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

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

Linking the Effect of Psoriatic Arthritis-Related Foot Involvement to the Leeds Foot Impact Scale using the International Classification for Functioning, Disability and Health: A Study to Assess Content Validity.

The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability

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