Factors associated with the perception of body image in patients with psoriatic disease

IF 1.5 Q4 RHEUMATOLOGY

Reumatologia Clinica Pub Date : 2026-06-01 Epub Date: 2026-05-22 DOI:10.1016/j.reuma.2026.502155

Kevin R. García-Fong , Iris P. García-Herrera , Silvia Méndez-Flores , Irazú Contreras-Yáñez , Guillermo A. Guaracha-Basañez

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Abstract

Background

Patients with psoriatic disease (PsD), including psoriasis (Pso) and psoriatic arthritis (PsA), often experience challenges related to body image due to the visible nature of their lesions and their impact on quality of life.

Objective

To describe body image perception (BIP) and explore the factors associated with it in patients with PsD.

Methods

A cross-sectional study involving 91 patients with PsD was conducted. Clinical evaluations included disease activity scores, patient-reported outcomes, and validated questionnaires assessing body image, quality of life, fatigue, anxiety, and depression. Multivariate analyses were performed to determine associations.

Results

Higher disease activity, as measured by PASI and DAPSA, was associated with poorer BIP. Multivariate analyses identified functional impairment, fatigue, and psychological factors as key determinants of BIP.

Conclusions

In this Mexican PsD cohort, poorer BIP was independently associated with functional impairment, fatigue, anxiety/depression, and nail involvement, underscoring the need for multidisciplinary strategies that address both physical and psychological domains.

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银屑病患者身体形象感知的相关因素

银屑病（PsD）患者，包括牛皮癣（Pso）和银屑病关节炎（PsA），由于其病变的可见性及其对生活质量的影响，经常经历与身体形象相关的挑战。目的描述PsD患者的身体形象感知（body image perception， BIP）并探讨其相关因素。方法对91例PsD患者进行横断面研究。临床评估包括疾病活动评分、患者报告的结果，以及评估身体形象、生活质量、疲劳、焦虑和抑郁的有效问卷。进行多变量分析以确定相关性。结果PASI和DAPSA测量的疾病活动性越高，与较差的BIP相关。多变量分析发现功能损害、疲劳和心理因素是影响BIP的关键因素。结论：在墨西哥PsD队列中，较差的BIP与功能障碍、疲劳、焦虑/抑郁和指甲受累独立相关，强调需要多学科策略来解决生理和心理领域的问题。

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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来源期刊

Reumatologia Clinica RHEUMATOLOGY-

CiteScore

2.40

自引率

6.70%

发文量

105

审稿时长

54 days

期刊介绍： Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.