The Use of PRISM (Pictorial Representation of Illness and Self Measure) in Patients Affected by Chronic Cutaneous Ulcers

Monari, Paola; Pelizzari, Laura; Crotti, Silvia; Damiani, Giovanni; Calzavara‐Pinton, Piergiacomo; Gualdi, Giulio

doi:10.1097/01.asw.0000471977.92623.65

Cited by 7 publications

(10 citation statements)

References 10 publications

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“…PRISM has been validated in a number of dermatological and non-dermatological disorders to measure illness-related suffering. [18][19][20][21][22][23][24][25][26][27][28] To our knowledge, it has not been used before in this clinical context. We chose PRISM since it has several advantages, both practical and conceptual.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of this study was to assess the global burden of suffering in patients affected with vulvar chronic inflammatory diseases using the PRISM tool. PRISM has been validated in a number of dermatological and non ‐ dermatological disorders to measure illness‐related suffering 18–28 . To our knowledge, it has not been used before in this clinical context.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20][21][22][23][24] It has been successfully validated in dermatological diseases too. [25][26][27][28] The main purpose of this study was to quantify the burden of suffering in patients with vulvar chronic inflammatory diseases using PRISM. Quality-of-life impairment was also assessed with the best known skin-specific quality-of-life questionnaire, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…PRISM has proved to be valid and reliable in various conditions such as chronic illness, pain and advanced cancer 18–24 . It has been successfully validated in dermatological diseases too 25–28 …”

Section: Introductionmentioning

confidence: 99%

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Pictorial Representation of Illness and Self‐Measure to assess the perceived burden in patients with chronic inflammatory vulvar diseases: an observational study

Corazza

Virgili

Toni

et al. 2020

Acad Dermatol Venereol

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Background Chronic inflammatory vulvar diseases can have a huge detrimental impact on patient welfare. A few studies have addressed this issue so far, mainly measuring patients' quality of life or sexual dysfunction. Objective To assess the burden of suffering in patients with chronic inflammatory vulvar diseases using the Pictorial Representation of Illness and Self-Measure (PRISM), a visual, non-verbal instrument. We also assessed (i) the concordance between PRISM and the Dermatology Life Quality Index (DLQI), (ii) whether some variables, both patient-related and disease-related, affect the patient's suffering and quality-of-life impairment. Methods We evaluated for inclusion in this cross-sectional study all patients who attended our Vulva Unit over a 9month period with histologically proven lichen sclerosus (LS), lichen planus (LP), lichen simplex chronicus (LSC), eczema, plasma cell vulvitis and psoriasis (at least five for each disease). Demographics and disease-related subjective and objective scores were recorded. The PRISM and DLQI were administered. Results We included 87 patients affected with LS, 13 with LSC and seven with LP. Median PRISM values (0-273 mm) ranged from 95 to 120 mm, depending on the disease, and median DLQI scores (0-30) were five for all three groups. Neither PRISM nor DLQI scores differed significantly among the three groups. Moderate coherence was found between PRISM and DLQI (q = 0.5455, P < 0.001). Global subjective score was the only variable significantly associated with the degree of suffering and quality-of-life impairment. Conclusions Pictorial Representation of Illness and Self-Measure proved to be a valuable, highly reliable tool for measuring the perceived burden in these patients. In spite of a moderate correlation, PRISM resulted more sensitive in capturing patient distress than DLQI.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pictorial Representation of Illness and Self‐Measure to assess the perceived burden in patients with chronic inflammatory vulvar diseases: an observational study

Corazza

Virgili

Toni

et al. 2020

Acad Dermatol Venereol

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“…The process is highly efficient, but sometimes it can deviate from its physiological course, resulting in an ulcerative skin defect (chronic wound) or an excessive scar formation (hypertrophic scar or keloid). Chronic wound development may be common in various conditions including pressure, diabetes, venous pathology (venous, arterial, mixed, and vasculitis), trauma, and surgery, with significant morbidity and mortality risk [ 15 , 16 ] as well as impact for a healthy economy [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Wound Repair and Extremely Low Frequency-Electromagnetic Field: Insight from In Vitro Study and Potential Clinical Application

Gualdi

Costantini

Reale

et al. 2021

IJMS

Self Cite

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Wound healing is a complex, staged process. It involves extensive communication between the different cellular constituents of various compartments of the skin and its extracellular matrix (ECM). Different signaling pathways are determined by a mutual influence on each other, resulting in a dynamic and complex crosstalk. It consists of various dynamic processes including a series of overlapping phases: hemostasis, inflammation response, new tissue formation, and tissue remodeling. Interruption or deregulation of one or more of these phases may lead to non-healing (chronic) wounds. The most important factor among local and systemic exogenous factors leading to a chronic wound is infection with a biofilm presence. In the last few years, an increasing number of reports have evaluated the effects of extremely low frequency (ELF) electromagnetic fields (EMFs) on tissue repair. Each experimental result comes from a single element of this complex process. An interaction between ELF-EMFs and healing has shown to effectively modulate inflammation, protease matrix rearrangement, neo-angiogenesis, senescence, stem-cell proliferation, and epithelialization. These effects are strictly related to the time of exposure, waveform, frequency, and amplitude. In this review, we focus on the effect of ELF-EMFs on different wound healing phases.

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Assessment of the perceived burden associated with Malignant Melanoma with Pictorial Representation of Illness and Self Measure (PRISM) and Melanoma Concerns Questionnaire (MCQ-28)

Borghi

Flacco

Monti

et al. 2022

Support Care Cancer

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Purpose The impact of malignant melanoma (MM) on patients’ psychophysical well-being has been poorly addressed. We aimed to assess the perceived burden in patients with a diagnosis of MM, using two different tools, one generic and one specific for MM, such as Pictorial Representation of Illness and Self Measure (PRISM) and Melanoma Concerns Questionnaire (MCQ-28), respectively. The correlation between PRISM and MCQ-28 subscales and the relevance of disease and patient-related variables were also investigated. Methods This single-centre, cross-sectional study included all adult consecutive MM patients who attended our Dermatology Unit from December 2020 to June 2021. Demographics and disease-related data were recorded. PRISM and MCQ-28 were administered. Results One hundred and seventy-one patients were included (mean age: 59.5 ±14.9 years.; 48.0% males). Median time from MM diagnosis to inclusion was 36 months. Nearly 80% of the patients had in situ or stage I MM. Overall, 22.2% of the patients reported a PRISM score <100mm and similar percentages provided scores indicating impaired quality of life, as assessed with MCQ-28 subscales. A weak, albeit significant, correlation was found between PRISM scores and ACP, CON and SOC2 subscales. The most relevant association found was that between lower PRISM scores and higher-stage MM. Conclusions In the study population, mostly affected with superficial MM, their perception of the burden associated with MM did not appear either particularly dramatic or disabling. PRISM seems a reliable system for capturing and quantifying the domains correlated with the emotive dimension of MM, especially MM-related concerns and willingness to face life

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The Use of PRISM (Pictorial Representation of Illness and Self Measure) in Patients Affected by Chronic Cutaneous Ulcers

Abstract: PRISM is an easy and sensitive instrument to record information about the patient's expectations and suffering in order to improve the overall physician-patient relationship.

Cited by 7 publications

References 10 publications

Pictorial Representation of Illness and Self‐Measure to assess the perceived burden in patients with chronic inflammatory vulvar diseases: an observational study

Pictorial Representation of Illness and Self‐Measure to assess the perceived burden in patients with chronic inflammatory vulvar diseases: an observational study

Wound Repair and Extremely Low Frequency-Electromagnetic Field: Insight from In Vitro Study and Potential Clinical Application

Assessment of the perceived burden associated with Malignant Melanoma with Pictorial Representation of Illness and Self Measure (PRISM) and Melanoma Concerns Questionnaire (MCQ-28)

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