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. 2012;7(12):e52935.
doi: 10.1371/journal.pone.0052935. Epub 2012 Dec 28.

Quality of life and work productivity impairment among psoriasis patients: findings from the National Psoriasis Foundation survey data 2003-2011

April W Armstrong  1 , Clayton Schupp, Julie Wu, Bruce Bebo
Affiliations

Quality of life and work productivity impairment among psoriasis patients: findings from the National Psoriasis Foundation survey data 2003-2011

April W Armstrong et al. PLoS One. 2012.

Abstract

Objective: To ascertain impairment in quality of life and work productivity among patients with psoriasis and psoriatic arthritis.

Design: From 2003 through 2011, the National Psoriasis Foundation collected survey data from patients with psoriasis and psoriatic arthritis via email and telephone correspondences.

Setting: Survey data were collected from psoriasis and psoriatic arthritis patients in the general community in the U.S.

Main outcome measures: Quality of life focusing on emotional impact (anger, frustration, helplessness, etc.) and physical impact (pain, pruritus, physical irritation, etc.); employment status.

Patients: The surveys were performed through random sampling of participants from a database of over 75,000 patients.

Results: From 2003 to 2011, 5,604 patients completed the surveys. Psoriasis and psoriatic arthritis affected overall emotional wellbeing in 88% of patients, and they interfered with enjoyment of life in 82%. Most patients reported experiencing anger (89%), frustration (89%), helplessness (87%), embarrassment (87%), and self-consciousness (89%). Many patients also actively concealed physical manifestations of their diseases (83%), and experienced pain (83%) and pruritus (93%) regularly. Of note, 12% of patients were unemployed, and 11% worked part-time. Among unemployed patients, 92% cited psoriasis and/or psoriatic arthritis as the sole reasons for not working. Among working patients, 49% missed work days regularly due to psoriasis. Compared to patients with mild psoriasis, patients with severe psoriasis have 1.8 times greater odds to be unemployed after adjusting for age and gender (Adjusted OR = 1.7, 95% CI 1.4-2.3).

Conclusion: Patients with psoriasis and psoriatic arthritis continue to experience significant impairment of quality of life and work productivity.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Overall Quality of Life among Psoriasis Patients.
Figure 2
Figure 2. Emotional and Physical Impact of Psoriasis: Contributing Components.
Figure 3
Figure 3. Employment Status among Psoriasis Patients.
Figure 4
Figure 4. Reasons for Not Working among Psoriasis Patients.
See this image and copyright information in PMC

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References

    1. Stern RS, Nijsten T, Feldman SR, Margolis DJ, Rolstad T (2004) Psoriasis is common, carries a substantial burden even when not extensive, and is associated with widespread treatment dissatisfaction. The journal of investigative dermatology Symposium proceedings/the Society for Investigative Dermatology, Inc [and] European Society for Dermatological Research 9: 136–139. - PubMed
    1. Gupta MA, Gupta AK, Watteel GN (1998) Perceived deprivation of social touch in psoriasis is associated with greater psychologic morbidity: an index of the stigma experience in dermatologic disorders. Cutis 61: 339–342. - PubMed
    1. Schmid-Ott G, Jaeger B, Kuensebeck HW, Ott R, Lamprecht F (1996) Dimensions of stigmatization in patients with psoriasis in a “Questionnaire on Experience with Skin Complaints”. Dermatology 193: 304–310. - PubMed
    1. Horn EJ, Fox KM, Patel V, Chiou CF, Dann F, et al. (2007) Association of patient-reported psoriasis severity with income and employment. J Am Acad Dermatol 57: 963–971. - PubMed
    1. Pearce DJ, Singh S, Balkrishnan R, Kulkarni A, Fleischer AB, et al. (2006) The negative impact of psoriasis on the workplace. J Dermatolog Treat 17: 24–28. - PubMed

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