1.Evaluation of Knowledge, Disease Severity and Quality of Life of Patients with Psoriasis
Siew Pei Gan ; Athirah Binti Ahmad Latif ; Huey Miin Cheah ; Rajalingam Ramalingam
Malaysian Journal of Dermatology 2022;48(Jun 2022):38-47
Background:
Psoriasis vulgaris is a chronic immune-mediated inflammatory multi-system disease characterised by
keratinocyte hyperproliferation. Data regarding patients’ disease severity, knowledge and quality of
life (QOL) is important to optimize treatment strategies for psoriasis. This study aims to evaluate and
investigate the relationship between disease severity, knowledge and QOL of patients with psoriasis.
Methods:
A cross-sectional multicentre study utilizing a socio-demographic data collection form, Psoriasis
Knowledge Assessment Questionnaire (PKAQ), Dermatology Life Quality Index (DLQI) and Psoriasis
Area and Severity Index (PASI was conducted. Correlations between PKAQ, DLQI and PASI were
analysed using Spearman’s test.
Results:
A total of 114 subjects participated in this study. Majority of them had mild psoriasis (n=73, 64%)
based on PASI. The mean score of PKAQ was fourteen out of a total possible score of twenty-five,
whereas the DLQI had a non-parametric distribution with a median (interquartile range) of 7 (10).
Most subjects (32.5%) stated that psoriasis had a ‘moderate effect’ on their QOL, while only 3.5% said
that it had an ‘extremely large effect’ on their QOL. There was a statistically significant correlation
between PASI and DLQI (rs
= 0.264, p = 0.004), with higher PASI scores corresponding to higher
DLQI scores. No statistically significant correlation was found between DLQI and PKAQ (rs
= -0.048,
p= 0.612), and between PASI and PKAQ (rs
= 0.058, p= 0.542).
Conclusion
Impairment of QOL was positively associated with severity of psoriasis. However, there was no
significant relationship between knowledge and quality of life, as well as between knowledge and
psoriasis severity.
Psoriasis--diagnosis
;
Patient Acuity
;
Quality of Life--psychology
;
Patient Health Questionnaire