title: Psychopathological Variables and Sleep Quality in Psoriatic Patients.
abstract: Psoriasis is an inflammatory disease frequently associated with psychiatric disturbances and sleep disorders. The aim of the study was to assess the prevalence of depression, interaction anxiety, audience anxiety, and sleep quality in psoriatic patients. One hundred and two psoriatic patients were enrolled and underwent the following questionnaires: Zung Self-Rating Depression Scale (SDS), Interaction Anxiousness Scale (IAS), Audience Anxiousness Scale (AAS), Pittsburgh Sleep Quality Index (PSQI). The severity of skin lesions was assessed by Psoriasis Area Severity Index (PASI). The presence of a link between clinical variables and with demographic data has been investigated. Psoriasis was linked to depression, interaction and audience anxiety, as well as to poor sleep quality; 37.5% of patients were depressed, 46.1% scored above 37 at the IAS, 47.1% scored above 33 at the AAS. Thirty-nine subjects (38.2%) presented a PSQI ≥ 5. An association between interaction anxiety and lower limbs psoriasis-related erythema as well as between PSQI and head psoriasis-related erythema was found, particularly among male patients. Hence, psoriatic patients should be assessed from a holistic point of view, in order to identify associated disorders that could benefit from targeted treatments.
authors.affiliation: Psychiatry Unit, Department of Medical and Surgical Sciences and Advanced Technologies, University Hospital Policlinico-Vittorio Emanuele, Santa Sofia Street 78, Catania, 95100 Sicily, Italy. lucmaria@tiscali.it.
authors.forename: Maria
authors.initials: M
authors.lastname: Luca
authors.affiliation: Department of Medical and Surgical Sciences and Advanced Technologies, University Hospital Policlinico-Vittorio Emanuele, Santa Sofia Street 78, Catania, 95100 Sicily, Italy. antolucaster@gmail.com.
authors.forename: Antonina
authors.initials: A
authors.lastname: Luca
authors.affiliation: Dermatology Clinic, University of Catania, University Hospital Policlinico-Vittorio Emanuele, Santa Sofia Street 78, Catania, 95100 Sicily, Italy. marialetizia.musumeci@virgilio.it.
authors.forename: Maria Letizia
authors.initials: ML
authors.lastname: Musumeci
authors.affiliation: Dermatology Clinic, University of Catania, University Hospital Policlinico-Vittorio Emanuele, Santa Sofia Street 78, Catania, 95100 Sicily, Italy. federica.fiorentini88@gmail.com.
authors.forename: Federica
authors.initials: F
authors.lastname: Fiorentini
authors.affiliation: Dermatology Clinic, University of Catania, University Hospital Policlinico-Vittorio Emanuele, Santa Sofia Street 78, Catania, 95100 Sicily, Italy. gimicali1@hotmail.it.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Micali
authors.affiliation: Psychiatry Unit, Department of Medical and Surgical Sciences and Advanced Technologies, University Hospital Policlinico-Vittorio Emanuele, Santa Sofia Street 78, Catania, 95100 Sicily, Italy. c.calandra@unict.it.
authors.forename: Carmela
authors.initials: C
authors.lastname: Calandra
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011565:Psoriasis / Q000150:complications* / Q000473:pathology / Q000523:psychology; D011599:Psychopathology / Q000706:statistics & numerical data*; D011788:Quality of Life; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*
keywords: anxiety; depression; psoriasis; sleep quality