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J Am Acad Dermatol. 1998 Aug;39(2 Pt 1):196-201.

What patients with psoriasis believe about their condition.

Author information

1
Section of Dermatology, University of Manchester School of Medicine, Hope Hospital, Salford, United Kingdom.

Abstract

BACKGROUND:

Patients' beliefs about their disease have been shown to be of fundamental importance in adjustment to their condition.

OBJECTIVE:

We investigated patients' beliefs about their psoriasis and examined the relationship between these beliefs and clinical severity, symptom report, and other clinical and demographic variables.

METHODS:

A total of 162 patients with psoriasis (84 male, 78 female) completed the illness perception questionnaire that provides a standardized assessment of beliefs about causes, consequences, chronicity or recurrence, controllability, and symptoms of the condition.

RESULTS:

The most commonly reported agents of causation were stress (60.1%) and genetic factors (55.5%)--the latter group being significantly more likely to have a family history of psoriasis (P=.0001). Forty-six percent of patients believed that their behavior could improve or worsen their psoriasis, whereas 32% believed that treatment would be curative. Desquamation and pruritus were experienced "frequently" or "all the time" by 80% and 76% of patients respectively. Overall clinical severity was not associated with any of the beliefs held by patients or with symptom report.

CONCLUSION:

The beliefs held and symptoms experienced by patients with psoriasis are not governed by overall clinical severity of the disease.

PMID:
9704828
DOI:
10.1016/s0190-9622(98)70074-x
[Indexed for MEDLINE]

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