A cross-sectional study with 228 patients with psoriasis was carried out. Data was collected through a sociodemographic and clinical questionnaire, SAPASI-PT, the Psoriasis Disability Index (PDI) and the Brief Symptoms Inventory (BSI). The cultural and linguistic adaptation of SAPASI to a Portuguese version and the cross validation with PASI was carried out. Multiple associations between psychosocial disability, psychopathology and severity, discomfort and location of lesions were investigated through logistic regression models.
A good adjustment model for SAPASI-PT is found. Also, associations between psychosocial disability, psychopathology and the psoriasis severity and discomfort are found. The existence of lesions is positively associated with the severity of the disease. Patients with lesions in hands or genitals are those reporting a greater discomfort. The presence of lesions in hands is positively associated with PDI, i.e., with leisure and with treatment, marginally. Additionally, patients scoring higher in the personal dimension are found to have a significantly greater percentage of lesions in the genitals.
The psoriasis severity and location of lesions are important determinants of patients´ quality of life. Lesions on face, hands and genitals are associated with a higher impact on psychosocial wellbeing of patients. Psychological counselling should be considered within psoriasis treatment context in patients with the described disease manifestations.
对228名银屑病患者进行了横断面研究。数据是通过社会人口统计学和临床问卷收集的,SAPASI-PT,银屑病残疾指数(PDI)和简要症状量表(BSI)。进行了SAPASI对葡萄牙语版本的文化和语言适应,并与PASI进行了交叉验证。心理社会残疾之间的多重关联,精神病理学和严重性,通过logistic回归模型研究病变的不适和位置。
找到了SAPASI-PT的良好调整模型。此外,心理社会残疾之间的关联,精神病理学和牛皮癣的严重程度和不适被发现。病变的存在与疾病的严重程度呈正相关。手部或生殖器有病变的患者是那些报告有更大不适的患者。手部病变的存在与PDI呈正相关,即,休闲和治疗,边际上。此外,发现个人维度得分较高的患者生殖器病变比例明显较高.
银屑病的严重程度和病变部位是患者生活质量的重要决定因素。脸上有病变,手和生殖器对患者的心理健康有更高的影响。对于具有所述疾病表现的患者,应在牛皮癣治疗背景下考虑心理咨询。