Original scientific paper
Comparative Study of Quality of Life and Psychological Aspects in Patients with Psoriasis and Hidradenitis Suppurativa
Anargyros Kouris
; Department of Dermatology and Venereology, “Andreas Sygros” Skin Hospital, Athens, Greece
Eftychia Platsidaki
; Department of Dermatology and Venereology, “Andreas Sygros” Skin Hospital, Athens, Greece
Vasiliki Efstathiou
; Department of Psychiatry, “Attikon” University Hospital, Athens, Greece
Revekka Tsatovidou
; Department of Dermatology and Venereology, National and Kapodistrian University of Athens Medical School, Attikon General University Hospital, Athens, Greece
Christos Christodoulou
; Department of Psychiatry, “Attikon” University Hospital, Athens, Greece
George Kontochristopoulos
; Department of Dermatology and Venereology, “Andreas Sygros” Skin Hospital, Athens, Greece; 2Department of Psychiatry, “Attikon” University Hospital, Athens, Greece
Abstract
Psoriasis and hidradenitis suppurativa are two common dermatological
diseases that affect physical, social, and psychological aspects of the patients’ lives.
The aim of this study was to compare quality of life, depression, anxiety, self-esteem,
and loneliness in patients with psoriasis and hidradenitis suppurativa. One hundred
and eight patients with psoriasis, 113 patients with hidradenitis suppurativa and
116 healthy controls were included in the study. The quality of life, depression, anxiety,
and loneliness of the patients as well as their self-esteem were assessed using
the Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale
(HADS), the UCLA loneliness Scale (UCLA-Version 3) and the Rosenberg’s Self-esteem
Scale (RSES), respectively. Patients with psoriasis (12.77±4.43) reported a higher
mean impairment in DLQI than patients with hidradenitis suppurativa (11.10±6.53,
P=0.028), in the univariate comparisons. Patients with psoriasis presented statistically
significantly higher levels of anxiety and depression than both patients with
hidradenitis suppurativa and healthy controls, while patients with hidradenitis suppurativa
also had higher anxiety and depression compared with healthy controls.
Patients with psoriasis (46.31±6.36) reported statistically significantly higher loneliness
than both patients with hidradenitis suppurativa (43.18±7.40) and controls
(40.42±4.41), while the patients with hidradenitis suppurativa also presented higher
loneliness in comparison with controls. Lower levels of self-esteem were found in
patients with psoriasis (15.08±3.11) compared with both patients with hidradenitis
suppurativa (18.89±1.69) and controls (20.25±2.60), while patients with hidradenitis
suppurativa also had lower self-esteem than controls. Significant levels of depression,
anxiety, and impaired quality of life were strongly associated with disease severity.
When patients with mild disease were compared, those with psoriasis presented
with both higher levers of loneliness and lower scores for quality of life. Although
both psoriasis and hidradenitis suppurativa are associated with impaired quality of
life and psychological aspects, significantly worse scores were recorded in patients
with psoriasis.
Keywords
Hrčak ID:
274684
URI
Publication date:
15.12.2021.
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