TY - JOUR
T1 - Successful treatment of psoriasis improves psoriasis-specific but not more general aspects of patients' well-being
AU - Fortune, D. G.
AU - Richards, H. L.
AU - Kirby, B.
AU - McElhone, K.
AU - Main, C. J.
AU - Griffiths, C. E.M.
PY - 2004/12
Y1 - 2004/12
N2 - Background: Psoriasis has a detrimental effect on patients' quality of life. However, there is a relative dearth of information on which aspects of a patient's well-being are affected by successful treatment. Objectives: To investigate whether, and to what extent, improvement in the clinical severity of psoriasis induced by photochemotherapy with psoralen plus ultraviolet A (PUVA) translates into meaningful changes in beliefs about psoriasis, coping, stress, distress or disability. Methods: In a prospective study, 72 patients were assessed before PUVA therapy and again when they had achieved clearance of their psoriasis. Results: Patients demonstrated significant reductions in psoriasis-related disability, psoriasis-related stress or daily hassles and in the frequency of psoriasis-related symptoms. By comparison, there were no significant differences in levels of anxiety, depression or worrying. Similarly, patients' perceptions about cure, potential chronicity, causes, consequences and coping also remained unchanged. Conclusions: These results suggest that while clearance of psoriasis produces a significant reduction in factors specific to psoriasis (disability and stress), it does not impact upon psychological distress, on patients' beliefs about psoriasis or on coping. This observation highlights the complex features of patients' psychological experience of psoriasis and may provide further impetus for integration of psychological interventions into standard care protocols.
AB - Background: Psoriasis has a detrimental effect on patients' quality of life. However, there is a relative dearth of information on which aspects of a patient's well-being are affected by successful treatment. Objectives: To investigate whether, and to what extent, improvement in the clinical severity of psoriasis induced by photochemotherapy with psoralen plus ultraviolet A (PUVA) translates into meaningful changes in beliefs about psoriasis, coping, stress, distress or disability. Methods: In a prospective study, 72 patients were assessed before PUVA therapy and again when they had achieved clearance of their psoriasis. Results: Patients demonstrated significant reductions in psoriasis-related disability, psoriasis-related stress or daily hassles and in the frequency of psoriasis-related symptoms. By comparison, there were no significant differences in levels of anxiety, depression or worrying. Similarly, patients' perceptions about cure, potential chronicity, causes, consequences and coping also remained unchanged. Conclusions: These results suggest that while clearance of psoriasis produces a significant reduction in factors specific to psoriasis (disability and stress), it does not impact upon psychological distress, on patients' beliefs about psoriasis or on coping. This observation highlights the complex features of patients' psychological experience of psoriasis and may provide further impetus for integration of psychological interventions into standard care protocols.
KW - Disability
KW - Distress
KW - Psoralen plus ultraviolet A
KW - Psoriasis
KW - Psychology
KW - Stress
UR - http://www.scopus.com/inward/record.url?scp=11144339976&partnerID=8YFLogxK
U2 - 10.1111/j.1365-2133.2004.06222.x
DO - 10.1111/j.1365-2133.2004.06222.x
M3 - Article
C2 - 15606518
AN - SCOPUS:11144339976
SN - 0007-0963
VL - 151
SP - 1219
EP - 1226
JO - British Journal of Dermatology
JF - British Journal of Dermatology
IS - 6
ER -