Psoriatic itch from the patients' perspective: a cross-sectional study.

IF 1.4 4区医学 Q3 ALLERGY

Postepy Dermatologii I Alergologii Pub Date : 2025-02-01 Epub Date: 2024-10-03 DOI:10.5114/ada.2024.143787

Magdalena M Kotewicz, Piotr K Krajewski, Andrzej K Jaworek, Jacek C Szepietowski

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Abstract

Introduction: Psoriasis is a chronic inflammatory skin disease that affects mental health and is often associated with itch.

Aim: To investigate the influence of itch on the symptoms of anxiety, depression, quality of life, and stigmatization in psoriasis patients.

Material and methods: The studied group included 106 adults with psoriasis (34% females; mean age: 42.1 ±13.0 years). Disease severity was evaluated using the Psoriasis Area and Severity Index (PASI). The itch intensity was assessed by a numerical rating scale (NRS) and 4-Item Itch Questionnaire (4-IIQ). Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) questionnaires were utilized to estimate the severity of depression and anxiety, respectively, and so was the Hospital Anxiety and Depression Scale (HADS). Quality of life (QoL) was evaluated using the Dermatology Life Quality Index (DLQI), while stigmatization was studied by the 6-Item Stigmatization Scale (6-ISS).

Results: Psoriasis patients with itch scored significantly higher (p = 0.037) in HADS total score and DLQI (p < 0.001) than those without itch. Itch NRS correlated significantly with the HADS total score (p = 0.027), GAD-7 (p = 0.008), PHQ-9 (p = 0.008), and DLQI (p = 0.001).

Conclusions: Itch significantly impacts the quality of life and well-being of patients with psoriasis.

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从患者角度看银屑病瘙痒：一项横断面研究。

简介：牛皮癣是一种慢性炎症性皮肤病，影响心理健康，常伴有瘙痒。目的：探讨瘙痒对银屑病患者焦虑、抑郁、生活质量和污名化的影响。材料与方法：研究对象为106例成人牛皮癣患者(女性34%；平均年龄：42.1±13.0岁)。使用银屑病面积和严重程度指数（PASI）评估疾病严重程度。采用数值评定量表（NRS）和4项瘙痒问卷（4-IIQ）评估瘙痒强度。患者健康问卷-9 （PHQ-9）和广泛性焦虑障碍问卷-7 （GAD-7）分别用于评估抑郁和焦虑的严重程度，医院焦虑抑郁量表（HADS）也是如此。生活质量（QoL）采用皮肤生活质量指数（DLQI）评估，污名化采用6项污名化量表（6-ISS）研究。结果：有瘙痒的银屑病患者的HADS总分和DLQI评分明显高于无瘙痒的银屑病患者（p = 0.037）（p < 0.001）。瘙痒NRS与HADS总分（p = 0.027）、GAD-7 （p = 0.008）、PHQ-9 （p = 0.008）、DLQI （p = 0.001）显著相关。结论：瘙痒显著影响银屑病患者的生活质量和幸福感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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