title: The negative impact of psoriasis on the workplace.
abstract: BACKGROUND
  The health-related quality of life and economic impact of psoriasis has been documented. However, the negative impact of psoriasis on the workplace is poorly understood.
  
  
  OBJECTIVE
  Through anonymous surveys from 30 subjects of each of three psoriasis severity groups we aim to quantify the workplace impact experienced by psoriasis patients and factors that may contribute to this impact. Data were collected using several previously validated measures including the Work Productivity Assessment Index (WPAI), SF-8, Hospital Anxiety and Depression (HADS) and past medical/psoriasis history.
  
  
  RESULTS
  Psoriasis patients experienced negative impact at work as measured by the WPAI; this impact is directly associated with disease severity. The other instruments confirmed the negative impact of psoriasis though the degree of impact did not always correlate with disease severity or work impact. Owing to the relatively small numbers, the significance of these findings is not certain.
  
  
  CONCLUSIONS
  This preliminary study finds that psoriasis is associated with a reduction in work productivity and social functioning; this may explain the relatively high cost of this disease on both a macro- and microeconomic level. As there was a lack of significant trends in this study, formal inferences are limited and further investigation is warranted.
authors.affiliation: Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Pearce
authors.forename: Saurabh
authors.initials: S
authors.lastname: Singh
authors.forename: Rajesh
authors.initials: R
authors.lastname: Balkrishnan
authors.forename: Amit
authors.initials: A
authors.lastname: Kulkarni
authors.forename: Alan B
authors.initials: AB
authors.lastname: Fleischer
authors.forename: Steven R
authors.initials: SR
authors.lastname: Feldman
mesh_terms: D000328:Adult; D000368:Aged; D004526:Efficiency; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011565:Psoriasis / Q000150:complications / Q000523:psychology*; D012720:Severity of Illness Index; D012919:Social Behavior