DOI: http://dx.doi.org/10.18203/2349-3933.ijam20170118

Psoriasis and neurodermatitis: comparing psychopathology, quality of life and coping mechanisms

Vivekkumar Ashok Nagarale, Suyog Vijay Jaiswal, Archana Prabhu, Deoraj Sinha, Chitra S. Nayak

Abstract


Background: Both psoriasis and neurodermatitis patients report psychological distress and impaired quality of life, but how they cope with it is area of interest. The objective of this study was to study and compare psychopathology, quality of life and coping mechanism in psoriasis and neurodermatitis patients.

Methods: 30 cases each of psoriasis and neurodermatitis were assessed at dermatology out-patient department of a tertiary care hospital by using Symptom check list -90-Revised (SCL-90-R), dermatological life quality index (DLQI) and Brief cope scale (BCS).

Results: All Patients with neurodermatitis perceived it as a problem and in psoriasis it was 90%.The quality of life (QOL) was affected in both more in neurodermatitis as compared with psoriasis. Neurodermatitis showed significant psychopathology on SCL-90-Rin parameters of interpersonal sensitivity and Psychoticism. Depression, Anxiety, Somatisation, Obsessive-compulsiveness were seen in both groups. Self-blame, religion, positive-reframing were used commonly as coping mechanisms in neurodermatitis while in psoriasis there was acceptance, active coping, planning, and self-distraction, use of emotional and instrumental support, positive-reframing.

Conclusions: Quality of life is significantly lower in neurodermatitis. Psychopathologies were significantly high in neurodermatitis. Maladaptive coping styles were used in both groups.


Keywords


Coping mechanism, Quality of life, Neurodermatitis, Psoriasis, Psychopathology

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References


Gupta AK. Psychocutaneous disorders. Kaplan and Sadock’s Comprehensive Textbook of Psychiatry, 9th edition. Ed. Benjamin J Sadock, Virginia A Sadock, Pedro Ruiz. Wolters Kluwer (India) Pvt. Ltd., New Delhi; 2009:2423.

Seyhan M, Aki T, Karincaoglu Y, Ozcan H. Psychiatric morbidity in dermatology patients: Frequency and results of consultations. Indian J Dermatol. 2006;51:18-22.

da Silva JDT, Muller MC, Bonamigo RR. Coping strategies and stress levels in patients with psoriasis. An Bras Dermatol. 2006;81(2):143-9.

Arnold L. Dermatology, Levenson JL, The American Psychiatric Publishing Textbook of Psychosomatic Medicine. 1st ed. Washington, DC: American Psychiatric Publishing; 2005:629-646.

Arnold L, Levenson JL. Essentials of psychosomatic medicine. 1st ed. Washington, DC: American Psychiatric Publishing; 2007:237-260.

Kimball AB, Jacobson C, Weiss S, Vreeland MG, Wu Y. The psychosocial burden of psoriasis. Am J Clin Dermatol. 2005;6(6):383-92.

Chuh A, Wong W, Zawar V. Australian Family Physician. 2006;35(9):723.

Pereira MG, Brito L, Smith T. Dyadic adjustment, family coping, body image, quality of life and psychological morbidity in patients with psoriasis and their partners. Int J Behav Med. 2012;19(3):260-9.

Konuk N, Koca R, Atik L, Muhtar S, Atasoy N, BostanciBPsychopathology, depression and dissociative experiences in patients with lichen simplex chronicus. Gen Hosp Psychiatry. 2007;29(3):232-5.

Schmitz N, Hartkamp J, Kiuse GH, Franke G, Tress W. The symptom check-list-90-R (SCL-90-R): a German validation study, Quality of Life Research. 2000;9:185-93.

Derogatis LR, Savitz KL. The SCL-90-R and the brief symptom inventory (BSI) in primary care In: M.E. Maruish, ed. Handbook of psychological assessment in primary care settings. 2000;236:297-334.

Finlay AY, Khan GK. Dermatology life quality index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19:210-6.

Lewis VL, Finlay AY. Ten year’s experience of the dermatology life quality index (DLQI). J Investig Dermatol Symp Proc. 2004;9(2):169-80.

Carver CS. You want to measure coping but your protocol’s too long: consider the brief COPE. Int J Behav Med. 1997;4:92-100.

Zalewska A, Miniszewska J, Chodkiewicz J, Narbutt J, Acceptance of chronic illness in psoriasis vulgaris patients, JEADV. 2007;21:235-42.

Levenson JL. Psychiatric issues in dermatology, Part 1: Atopic Dermatitis and Psoriasis Updates In Psychosomatic Medicine And Consultation-Liaison Psychiatry. 2008;15(7):35-8.

Rakhesh SV, D’Souza M, Sahai A. Quality of life in psoriasis: A study from south India,Indian J DermatolVenereolLeprol 2008; 74:600-6.

18.Gupta MA, Gupta AK, Schork NJ, Depression modulates pruritus perception: a study of pruritus in psoriasis, atopic dermatitis, andchronic idiopathic urticarial. Psychosom Med. 1994;56:36-40.

Gupta MA, Gupta AK, Quality of life of psoriasis patients, JEADV. 2000;14:241-2.

Rapp SR, Cottrell CA, Leary MR. Social coping strategies associated with quality of life decrements among psoriasis patients, British J Dermatol. 2001;145:610-6.

Basavaraj KH, Navya A, Rashmi R. Stress and quality of life in psoriasis: an update. Internat J Dermatol. 2011;50:783-92.

Fortune DG, Richards HL, Kirby B, Mcelhone K, Main CJ, Griffiths CEM. Successful treatment of psoriasis improves psoriasis-specific but not more general aspects of patients’ well-being. British J Dermatol. 2004;151:1219-26.

Devrimci-Ozguven H. The depression, anxiety, life satisfaction and affective expression levels in psoriasis patients. J Europ Acad Dermatol Venereol. 2000;14(4):267-71.

Bouguéon K, Misery L. Service de psychiatrie. Ann Dermatol Venereol. 2008;135 Suppl 4:S254-8.

Patil A, Sharma S, Dhavale HS. Coping with psoriasis: need for consultation-liaison. Indian J Dermatol. 2002;47(3):143-6.

Sampogna F, Tabolli S, Abeni D. Living with psoriasis: prevalence of shame, anger, worry, and problems in daily activities and social life. Acta Derm Venereol. 2012;92:299-303.

Hill L, Kennedy P. The role of coping strategies in mediating subjective disability in people who have psoriasis, Psychology. Health and Medicine. 2002;7(3):261-9.

Fortune DG, Richards HL, Main CJ, Griffiths CEM. Patients’ strategies for coping with psoriasis, Clinical and Experimental Dermatology. 2002;27:177-84.

Leibovici V, Canetti L, Yahalomi S, Cooper-Kazaz R, Bonne O, Bachar AE. Well-being, psychopathology and coping strategies in psoriasis compared with atopic dermatitis: a controlled study. JEADV. 2010;24:897-903.

Fortune DG, Richards HL, Main CJ, Griffiths CEM. Psychological stress, distress and disability in patients with psoriasis. Consensus and variation in the contribution of illness perceptions, coping and alexithymia, Br J Clin Psychol. 2002;41(Pt 2):157-74.

Finzi A, Colombo D, Caputo A, Andreassi L, Chimenti S, Vena G, et al. Psychological distress and coping strategies in patients with psoriasis: the PSYCHAE Study. JEADV. 2007;21:1161-9.

Gupta MA, Gupta AK, Haberman HF. Psoriasis and psychiatry: an update. Gen Hosp Psychiatry. 1987;9:157-66.

DeRidder D, Schreurs K. Developing interventions for chronically ill patients - Is coping a helpful concept? Clin Psychol Rev. 2001;21:205-40.