Trivial or terrible? The psychosocial impact of psoriasis.
BACKGROUND
Psoriasis remains a chronic disease with lesions that are often extensive and disfiguring. While the potential for psychosocial morbidity and impairment are recognized, the literature remains equivocal with regard to the prevalence and degree of this impairment.


METHODS
The present study utilized a new questionnaire designed to assess the type and degree of psychosocial impairment present among psoriasis patients. The questionnaire was designed to assess major areas of psychosocial functioning and was completed by 64 patients undergoing outpatient treatment.


RESULTS
Approximately half the patients were found to have moderate to extreme levels of anxiety, depression, and anger. Patients reported experiencing these negative emotional sequelae both during their disease flares and during periods of remission. Patients were also found to have moderate to extreme levels of pruritus associated with their flares. Psychologic morbidity was positively associated with length of disease flare. Significant levels of social embarrassment, life disruption, and social withdrawal were found as well.


CONCLUSIONS
Psoriasis does appear to cause significant psychosocial morbidity. Greater awareness by physicians and more comprehensive treatment addressing these psychosocial components may avert, or at least minimize, some of these negative sequelae.
Fried
R G
RG
Department of Dermatology, SUNY-Health Science Center at Brooklyn 11203, USA.
Friedman
S
S
Paradis
C
C
Hatch
M
M
Lynfield
Y
Y
Duncanson
C
C
Shalita
A
A
D000786:Anger; D001007:Anxiety; D003863:Depression; D018450:Disease Progression; D006801:Humans; D008016:Life Change Events; D009017:Morbidity; D011565:Psoriasis / Q000453:epidemiology / Q000503:physiopathology* / Q000523:psychology*; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires