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Psychological determinants of quality of life in psoriasis: a preliminary report. Psychologiczne uwarunkowania jakości życia chorych na łuszczycę: doniesienie wstępne.

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Author(s): Anna Bogaczewicz | Tomasz Sobów | Jarosław Bogaczewicz | Anna Sysa-Jędrzejowska | Anna Woźniacka

Journal: Clinical Dermatology
ISSN 1730-7201

Volume: 12;
Issue: 4;
Start page: 205;
Date: 2010;
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Keywords: łuszczyca | osobowość | jakość życia | psoriasis | quality of life | personality |

ABSTRACT
Introduction: Psoriasis is a chronic, recurrent, noncontagious skin disease, characterized by hyperproliferation of keratinocytes, that leads to physical impairment and decreased quality of life. Objective: To answer the question, which of psychological variables influence quality of life in patients with psoriasis. Material and methods: The study comprised 51 patients with psoriasis (27 females, 24 males) who completed Schalock's Quality of Life Questionnaire (QOL) (that enables assessment of overall quality of life, Satisfaction, Competence/Productivity, Empowerment/Independence, Social belonging/Community integration), NEO Five Factor Inventory (NEO-FFI) (that enables assessment of Neuroticism, Extraversion, Openness, Agreeableness, Conscientiousness), Appraisal of the Disease Scale (Threat, Profit, Obstacle/Loss, Challenge, Harm, Value) and Disease-Related Social Support Scale (Informative and Emotional Support). Results: Overall quality of life was negatively correlated with neuroticism (r=-0.59, p=0.003) in patients with psoriasis, and positively correlated with extraversion (r=0.59, p=0.003). Satisfaction correlated negatively with neuroticism (r=-0.53, p=0.01). Competence, Empowerment and Social Belonging were positively correlated with extraversion (r=0.49, p=0.017; r=0.45, p=0.03 i r=0.44, p=0.03 respectively). Empowerment was correlated with Threat and Obstacle/Loss and Meaning (r=-0.56, p=0.01; r=-0.58, p=0.01; r=-0.48, p=0.04 respectively). Overall quality of life was correlated with Emotional Support (r=0.57, p=0.01). Satisfaction correlated with Instrumental, Informative, Emotional and Overall Social Support (r=0.47, p=0.04; r=0.56, p=0.01; r=0.69, p=0.001; r=0.57, p=0.01 respectively). Empowerment was correlated with Informative, Emotional and Overall Social Support (r=0.47, p=0.04; r=0.64, p=0.003; r=0.50, p=0.03 respectively). Conclusions: The obtained results confirm a rational need for qualifying the patients with psoriasis into psychological interventions, aimed to modulate personality, that could enhance motivation, coping with negative emotions and be helpful in patient's adjustment, and improvement of quality of life.
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