An Investigation of Mental Health and Its Association with Demographic and Clinical Variables in Psoriasis Patients Referred to the Rheumatology Clinic of Golestan Hospital in Ahvaz

Masomeh Nazarinasab, S. Negahban, Elham Rajaei, Shima Ahmadi
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Abstract

Background: Psoriasis is a relatively common inflammatory skin disease characterized by red, scaly plaques in different parts of the body. Although the etiology of the disease is not fully understood, psychological stress is mentioned as a potential factor in developing the disease. Objectives: In this study, in response to the lack of sufficient information obtained from assessing the influence of psoriasis on mental health, an attempt has been made to evaluate the prevalence of mental health problems in a sample of patients with psoriasis. Methods: This study was conducted following an applied, descriptive-correlational study design. A total of 104 patients with psoriasis were selected using the census sampling method. Data were collected using the standardized Symptom Checklist-90 (SCL-90) questionnaire. This self-administering questionnaire contains 90 items. The reliability and validity of the questionnaire were confirmed. Results: The mean score of mental health was 177.51 ± 69.35, which indicates moderate psychiatric disorders. The positive symptom distress index (PSDI) was 0.22 ± 0.08. There was a significant association between all dimensions of mental health and the total score of mental health with gender (P 0.05), but there was a significant association between other dimensions of mental health and income level (P < 0.05). Conclusions: Although in the present study, psychiatric disorders in patients with psoriasis were moderate, psychological counseling and psychiatric consultation are key to reduce the consequences of the disease and its progression.
阿瓦士戈列斯坦医院风湿病门诊银屑病患者心理健康状况及其与人口学和临床变量的关系
背景:银屑病是一种较为常见的炎症性皮肤病,其特征是在身体不同部位出现红色鳞状斑块。虽然该疾病的病因尚不完全清楚,但心理压力被认为是发展该疾病的潜在因素。目的:在本研究中,针对缺乏从评估牛皮癣对心理健康的影响中获得的足够信息,尝试评估牛皮癣患者样本中心理健康问题的患病率。方法:本研究采用应用描述性相关研究设计。采用普查抽样方法,对104例银屑病患者进行调查。采用标准化的SCL-90问卷收集数据。这份自我管理问卷包含90个项目。对问卷的信度和效度进行了验证。结果:心理健康均分(177.51±69.35)为中度精神障碍。阳性症状苦恼指数(PSDI)为0.22±0.08。心理健康各维度与心理健康总分与性别存在显著相关(P < 0.05),其他维度与收入水平存在显著相关(P < 0.05)。结论:虽然在本研究中,银屑病患者的精神障碍是中度的,但心理咨询和精神咨询是减少疾病后果及其进展的关键。
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