title: Health-related quality of life in psoriasis: important role of personal resources.
abstract: Many patients with psoriasis demonstrate psychological disturbances, including decreased health-related quality of life (HRQoL). The aim of this study was to evaluate selected personal resources and HRQoL in 168 in-patients with psoriasis vulgaris. The following questionnaires were used: Skindex-29, General Health Questionnaire, Coping with Skin Disease Scale, Acceptance of Illness Scale, Life Orientation Test, Multidimensional Health Locus of Control Scale and General Self-Efficacy Scale. It was demonstrated that younger patients experienced fewer problems in psychosocial functioning, and that they showed a correlation between worse HRQoL and both external powerful others and external chance domains in locus of health control. Subjective self-evaluation of health correlated with HRQoL irrespective of patient's age. Coping with stress strategies hopelessness/helplessness and distraction/catastrophization correlated with worse overall HRQoL, whereas fighting spirit strategy correlated with better overall HRQoL. Hopelessness/helplessness coping strategy, somatic symptoms, disease acceptance, psoriasis severity and patient's age explained 61% of overall HRQoL variance. Psychomedical interventions designed for psoriatic patients should take into account the above variables.
authors: Institute of Psychology, University of Lodz, 251 Pomorska Str., Lodz, Poland.
authors: Joanna
authors: J
authors: Miniszewska
authors: Zygfryd
authors: Z
authors: Juczyński
authors: Alicja
authors: A
authors: Ograczyk
authors: Anna
authors: A
authors: Zalewska
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D017281:Cost of Illness; D004644:Emotions; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011565:Psoriasis / Q000175:diagnosis / Q000523:psychology*; D011788:Quality of Life; D012307:Risk Factors; D020377:Self Efficacy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult