title: [Psychosocial factors in psoriasis. A pilot study].
abstract: BACKGROUND
  The successful treatment of patients with chronic plaque psoriasis depends not only on the method of therapy but also on psychosocial factors.
  
  
  RESULTS
  A pilot study was performed on 22 patients with chronic plaque psoriasis. The psychosocial stress, psychiatric features and their changes were assessed over a 3-week inpatient rehabilitation stay in a specialty clinic. The severity of the psoriasis, the subjective degree of suffering and the psychometric variables related to psychosomatic symptoms were assessed before and at the end of the treatment. After the hospitalization, the severity of disease and anger were both significantly decreased, along with an increased interest in social interactions.
  
  
  CONCLUSIONS
  In psoriasis patients, one can distinguish between different psychosocial factors, some of which are more likely to change. Stable attributes such as personality style can impact on compliance as well as on coping behaviors, thereby influencing treatment success. Our study shows that even within a rather short inpatient treatment period of 3 weeks not only the disease severity but also negative psychosocial stressors can be improved.
authors: Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen, Grazer Strasse 6, 28359 Bremen.
authors: J A
authors: JA
authors: Bahmer
authors: F
authors: F
authors: Petermann
authors: J
authors: J
authors: Kuhl
mesh_terms: D000223:Adaptation, Psychological; D002908:Chronic Disease; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006760:Hospitalization; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010349:Patient Compliance; D010353:Patient Education as Topic; D010865:Pilot Projects; D011565:Psoriasis / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation / Q000628:therapy*; D011594:Psychometrics; D011613:Psychotherapy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
references: Drugs Today (Barc). 2002 Dec;38(12):847-65
references: 12582473
references: Br J Dermatol. 2001 Dec;145(6):886-90
references: 11899140
references: Clin Exp Dermatol. 2001 Jun;26(4):321-5
references: 11422183
references: Br J Dermatol. 2004 May;150 Suppl 67:1-10
references: 15115440
references: Br J Dermatol. 2002 Mar;146(3):458-65
references: 11952546
references: Arch Dermatol Res. 2006 Dec;298(7):321-8
references: 17021763
references: Dermatology. 2005;210(3):194-9
references: 15785046
references: Dermatologica. 1974;148(1):1-18
references: 4831963
references: Cutis. 1988 Feb;41(2):121-3
references: 3345686
references: BMJ. 1990 Mar 24;300(6727):780-3
references: 1969757
references: Dermatol Clin. 2005 Oct;23(4):681-94
references: 16112445
references: Hautarzt. 2006 Oct;57(10):917-22
references: 16957961
references: Dermatology. 2006;212(4):327-37
references: 16707882
references: Hautarzt. 2006 Oct;57(10):913-6
references: 16977440
references: Br Med J (Clin Res Ed). 1985 Jul 6;291(6487):25
references: 3926048
references: Br J Dermatol. 1994 Apr;130(4):473-7
references: 8186112
references: Br J Dermatol. 2005 Jun;152(6):1275-81
references: 15948993
references: Pediatr Dermatol. 2001 May-Jun;18(3):188-98
references: 11437997
references: J Invest Dermatol. 2002 Feb;118(2):362-5
references: 11841557
references: Health Qual Life Outcomes. 2006 Jun 06;4:35
references: 16756666
references: Arch Dermatol. 2003 Jun;139(6):752-6
references: 12810506
references: Dermatologica. 1978;157(4):238-44
references: 357213
references: Br J Dermatol. 1998 Nov;139(5):846-50
references: 9892952
references: Arch Dermatol. 2006 Jul;142(7):836-42
references: 16847198
references: Int J Dermatol. 2005 May;44(5):355-60
references: 15869531
references: Hautarzt. 2005 Jun;56(6):576-80
references: 15815889
references: Dermatology. 2006;212(2):128-36
references: 16484819
references: Acta Derm Venereol. 2007;87(4):317-24
references: 17598034
references: Ned Tijdschr Geneeskd. 2006 May 13;150(19):1065-70
references: 16733982
references: J Am Acad Dermatol. 1986 Nov;15(5 Pt 1):1007-22
references: 2878015
references: J Invest Dermatol. 1994 Jun;102(6):14S-18S
references: 8006427
references: Br J Clin Psychol. 2004 Mar;43(Pt 1):65-82
references: 15005907