title: Social coping strategies associated with quality of life decrements among psoriasis patients.
abstract: BACKGROUND
  Individuals with psoriasis often report significant psychological distress, physical disability, social strain and reduced quality of life. Little is known about how they cope with the illness.
  
  
  OBJECTIVE
  The primary aim of this study is to determine whether patients' efforts to cope with psoriasis are associated with better or worse health-related quality of life (HRQL).
  
  
  METHODS
  Focus groups identified seven commonly used coping strategies that were subsequently measured, along with HRQL and other variables, in a survey of 318 individuals with psoriasis.
  
  
  RESULTS
  Results revealed: (i) that psoriasis is associated with decrements in all quality of life domains that were assessed, and (ii) that commonly used coping strategies such as telling others about psoriasis, covering the lesions and avoiding people were associated with greater decrements in HRQL after controlling for covariates; however, telling others that psoriasis is not contagious was associated with smaller HRQL decreases.
  
  
  CONCLUSIONS
  How patients cope with the social aspects of psoriasis is associated with their quality of life.
authors.affiliation: Department of Psychiatry, Wake Forest University, Medical Center Boulevard, Winston-Salem, NC 27157, USA. srapp@wfubmc.edu
authors.forename: S R
authors.initials: SR
authors.lastname: Rapp
authors.forename: C A
authors.initials: CA
authors.lastname: Cottrell
authors.forename: M R
authors.initials: MR
authors.lastname: Leary
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D011565:Psoriasis / Q000523:psychology* / Q000534:rehabilitation; D011788:Quality of Life; D012044:Regression Analysis; D012720:Severity of Illness Index