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International Journal of Behavioral Medicine

Erschienen in:

01.09.2012

Dyadic Adjustment, Family Coping, Body Image, Quality of Life and Psychological Morbidity in Patients with Psoriasis and Their Partners

verfasst von: M. Graça Pereira, Laura Brito, Tom Smith

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 3/2012

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Abstract

Background

Psoriasis is an incurable and chronic disease that includes unpredictable periods of remission and relapse requiring long-term therapy.

Purpose

This paper focuses on the relationship among family coping, psychological morbidity, body image, dyadic adjustment and quality of life in psoriatic patients and their partners.

Method

One hundred and one patients with psoriasis and 78 partners comprised the sample. They were regular users of the Dermatology Service of a Central Northern hospital in Portugal and a private dermatology clinic. Patients with psoriasis were assessed on anxiety, depression, body image, quality of life, dyadic adjustment and family coping. Partners were assessed on the same measures except body image and quality of life.

Results

A positive relationship among dyadic adjustment, psychological morbidity and family coping in patients and their partners was found. Also, patients with lower levels of quality of life had partners with higher levels of depressive and anxious symptoms. Better dyadic adjustment predicted family coping in the psoriatic patient. High levels of dyadic adjustment in patients and low partners’ trait anxiety predicted better dyadic adjustment in partners.

Conclusion

The results highlight the importance of incorporating family variables in psychological interventions in psoriasis’ care, particularly family coping and dyadic adjustment as well as the need for psychological intervention to focus both on patients and partners.

Saraceno R, Griffiths CEM. A European perspective on the challenges of managing psoriasis. J Am Acad Dermatol. 2006;54:S81–4.PubMedCrossRef

Cabral MF, Baptista A, Cabrita J, Caetano M, Cardoso R, Cirne de Castro JL, et al. Avaliação Epidemiológica da psoríase moderada a grave em Portugal e Espanha. Psoríase Newsletter 2005; 2.

Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet. 2007;370:263–71.PubMedCrossRef

Lowes MA, Kikuchi T, Fuentes-Duculan J, Cardinale I, Zaba LC, Haider AS, et al. Psoriasis vulgaris lesions contain discrete populations of Th1 and Th17 T cells. J Invest Dermatol. 2008;128:1207–11.PubMedCrossRef

Zachariae R, Zachariae H, Blomqvist K, Davidsson S, Molin L, Mork C, et al. Quality of life in 6497 Nordic patients with psoriasis. Br J Dermatol. 2002;146(6):1006–16.PubMedCrossRef

Richards HL, Fortune DG, Griffiths CE, Main CJ. The contribution of perceptions of stigmatisation to disability in patients with psoriasis. J Psychosom Res. 2001;50(1):11–5.PubMedCrossRef

Gupta MA, Gupta AK, Schork NJ, Ellis CN. Depression modulates pruritus perception: a study of pruritus in psoriasis, atopic dermatitis and chronic idiopathic urticaria. Psychosom Med. 1994;56(1):36–40.PubMed

Fortune DG, Richards HL, Main CJ, Griffiths CEM. Pathological worrying, illness perceptions and disease severity in patients with psoriasis. Br J Health Psychol. 2000;5:71–82.CrossRef

Gupta MA, Schork NJ, Gupta AK, Ellis CN. Alcohol intake and treatment responsiveness of psoriasis: a prospective study. J Am Acad Dermatol. 1993;28(5 Pt 1):730–2.PubMedCrossRef

10.

Ginsburg IH, Link BG. Feelings of stigmatization in patients with psoriasis. J Am Acad Dermatol. 1989;20:53–63.PubMedCrossRef

11.

Sampogna F, Picardi A, Melchi C, Pasquini P, Abeni D. Prevalence of psychiatric morbidity in patients with psoriasis. Dermatol Psychosom. 2003;4:103–22.CrossRef

12.

Kossakowska NM, Ciescinska C, Jaszewska CJ, Placek WJ. Control of negative emotions and its implication for illness perception among psoriasis and vitiligo patients. JEADV. 2010;24(4):429–33.PubMed

13.

Gupta MA, Gupta AK, Watteel GN. Early onset (<40 years age) psoriasis is comorbid with greater psychopathology than late onset psoriasis: a study of 137 patients. Acta Derm Venereol (Stockh). 1996;76:464–6.

14.

Rapp SR, Feldman SR, Exum ML, Fleischer AB, Reboussin DM. Psoriasis causes as much disability as other major medical diseases. J Am Acad Dermatol. 1999;41:401–7.PubMedCrossRef

15.

Fouéré S, Adjadj L, Pawin H. How patients experience psoriasis: results from a European survey. JEADV. 2005;19(3):2–6.PubMed

16.

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

17.

Mukhtar R, Choi J, Koo JY. Quality of life issues in psoriasis. Dermatol Clin. 2004;22:389–95.PubMedCrossRef

18.

Meyer N, Paul C, Feneron D, Bardoulat I, Thiriet C, Camara C, et al. Psoriasis: an epidemiological evaluation of disease burden in 590 patients. JEADV. 2010;24:1075–82.PubMed

19.

Finlay AY. Psoriasis from the patient`s point of view. Arch Dermatol. 2001;137:352–3.PubMed

20.

Krueger GG, Feldman SR, Camisa C, Duvic M, Elder JT, Gottlieb AB, et al. Two considerations for patients with psoriasis and their clinicians: What defines mild, moderate, and severe psoriasis? What constitutes a clinically significant improvement when treating psoriasis? J Am Acad Dermatol. 2000;43(2 pt 1):281–5.PubMedCrossRef

21.

Schmid-Ott G, Burchard R, Niederauer HH, Lamprecht F, Künsebeck HW. Stigmatization experience and the quality of life patients with psoriasis and atopic dermatitis. Hautarzt. 2003;54:852–7.PubMedCrossRef

22.

Cash TF, Grant J. Cognitive-behavioral treatment of body-image disturbances. In: Van Hasselt V, Hersen M, editors. Sourcebook of psychological treatment manuals for adult disorders. New York: Plenum Press; 1996. p. 567–614.

23.

Walker C, Papadopoulos L. Psychodermatology: The psychological impact of skin disorders. Cambridge: Cambridge University Press; 2005.

24.

Frangos JE, Kimball AB. Divorce/marriage ratio in patients with psoriasis compared to patients with other chronic medical conditions. J Invest Dermatol. 2008;128 Suppl 1:S87.

25.

Koo J. Population based epidemiologic study of psoriasis with emphasis on quality of life assessment. Psychodermatology. 1996;14(3):485–96.

26.

Schwartz L, Slater MS. The impact of chronic pain on the spouse: clinical and research implications. Holistic Nurs Pract. 1991;6:9–16.

27.

Richards HL, Chong SLP, Mason DL, Griffiths CEM. The impact of psoriasis on healthy partners patients with psoriasis. Br J Dermatol. 2002;147(62):40.

28.

Gupta MA, Gupta AK. Psoriasis and sex: a study of moderately to severely affected patients. Int J Dermatol. 1997;36:359–62.

29.

Sampogna F, Gisondi P, Tabolli S, Abeni D. Impairment of sexual life in patients with psoriasis. Dermatology. 2007;214:144–50.PubMed

30.

Rolland JS. Toward a psychosocial typology of chronic and life threatening illness. Fam Syst Med. 1984;2(3):245–62.CrossRef

31.

Jerant AF, Von Friederichs-Fitzwater MM, Moore M. Patients’ perceived barriers to active self-management of chronic conditions. Patient Educ Couns. 2005;57:300–7.PubMedCrossRef

32.

Kellet S. Shame-focused acne: a biopsychosocial conceptualisation and treatment rationale. In: Gilbert P, Miles J, editors. Body shame: conceptualisation, research and treatment. East Sussex: Brunner-Routledge; 2002. p. 135–54.

33.

Bradley C. Translation of questionnaires for use in different languages and cultures. In: Bradley C, editor. Handbook of psychology and diabetes. A guide to psychological measurement in diabetes research and practice. London: Harwood Academic; 1996.

34.

Finlay AY, Kelly SE. Psoriasis—an index of disability. Scott Med J. 1985;30:266.

35.

Finlay AY, Kelly SE. Psoriasis—an index of disability. Clin Exp Dermatol. 1987;198(12):8–11.CrossRef

36.

Finlay AY, Khan GK, Luscombe DK, Salek MS. Validation of sickness impact profile and psoriasis disability index in psoriasis. Br J Dermatol. 1990;123:751–6.PubMedCrossRef

37.

Kent G, Al-Abadie M. The Psoriasis Disability Index—further analyses. Clin Exp Dermatol. 1993;18:414–6.PubMedCrossRef

38.

Pereira MG, Brito L. Psoriasis Disability Index—research version. Braga: University of Minho; 2008.

39.

Spanier GB. Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976;38:15–28.CrossRef

40.

Spanier GB. Improve, refine, recast, expand, clarify—don’t abandon. J Marriage Fam. 1985;47:1073–4.CrossRef

41.

Busby DM, Christensen C, Crabe DR, Larson JH. A revision of the dyadic adjustment scale for use with distresse and non distressed couples: construct hierarchy and multidimensional scales. J Marital Fam. 1995;21(3):289–308.CrossRef

42.

Pereira MG. Escala Revista de Ajustamento Diádico (RDAS). Research version. Braga: University of Minho; 2003.

43.

Hopwood P, Fletcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. Eur J Cancer. 2001;37:189–97.PubMedCrossRef

44.

Cotrim H, Pereira MG. Imagem Corporal, Morbilidade Psicológica e Qualidade de Vida em Doentes com Cancro Colorectal: Estudos das Características Psicométricas do Body Image Scale. In: Machado C, Almeida L, Guisande M, Gonçalves M, Ramalho V, editors. Livro de Actas da XIII Conferência Internacional Avaliação Psicológica: Formas e Contextos. Braga: University of Minho; 2008. p. 2008.

45.

Spielberger CD, Gorush R, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press; 1983.

46.

McIntyre L, McIntyre S. State Trait Anxiety Inventory (STAI). Research version. Braga: University of Minho; 1995.

47.

Beck A, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio: Psychological Corporation; 1996.

48.

Beck AT, Steen RA, Gabrin MG. Psychometric properties of the Beck. Depression Inventory: twenty-five years of evaluation. Clin Psych Rev. 1988;8:77–100.CrossRef

49.

McIntyre M, Araújo-Soares V. Inventário da depressão de Beck: Estudo de validade numa amostra de doente com dor crónica. In: Avaliação Psicológica: Formas e Contextos. Braga: Universidade do Minho; 1999. p. 245–55.

50.

Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand. 1983;67(6):361–70.PubMedCrossRef

51.

Brito L, Pereira MG. Morbilidade Psicológica e Imagem Corporal em Doentes com Psoriasis Estudo das Características Psicométricas do HADS. In: Machado C, Almeida L, Guisande M, Gonçalves M, Ramalho V, editors. Livro de Actas da XIII Conferência Internacional Avaliação Psicológica: Formas e Contextos. Braga: University of Minho; 2008.

52.

McCubbin HI, Larsen AS, Olson DH. F-COPES: Family crisis oriented personal evaluation scales. In: McCubbin HI, Thompson HI, editors. Family assessment inventories for research and practice. 2nd ed. Madison: University of Wisconsin-Madison; 1991. p. 203–16.

53.

Mendes F, Relvas AP, Lourenco, MC, et al. Family relationships and primary prevention of drug use on early adolescence. Valencia: IREFREA, European Commission; 1999.

54.

Scharloo M, Kaptein AA, Weinman J, Bergman W, Vermeer BJ, Rooijmans HGM. Patient´s illness perceptions and coping as predictors of functional status in psoriasis: a 1 year follow-up. Br J Dermatol. 2000;142:899–907.PubMedCrossRef

55.

Devrimci-Ozguven H, Kundakci TN, Kumbasar H, Boyvat A. The depression, anxiety, life satisfaction and affective expression levels in psoriasis patients. JEADV. 2000;14:267–71.PubMed

56.

Youn JI, Park BS, Kim SD, Suh DH. Characterization of early and late onset psoriasis in the Korean population. J Dermatol. 1999;26:647–52.PubMed

57.

Northouse LL, Mood D, Templin T, Mellon S, George T. Couples’ patterns of adjustment to colon cancer. Soc Sci Med. 2000;50(2):271–84.PubMedCrossRef

58.

Basra MKA, Finlay AY. The family impact of skin diseases: the Greater Patient concept. Br J Dermatol. 2007;156(5):929–37.PubMedCrossRef

59.

Eghlileb AM, Davies EEG, Finlay AY. Psoriasis has a major secondary impact on the lives of family members and partners. Br J Dermatol. 2007;156(6):1245–50.PubMedCrossRef

60.

Pistrang N, Barker C, Rutter C. Social support as conversation: analysing breast cancer patient`s interactions with their partners. Soc Sci Med. 1997;45(5):773–82.PubMedCrossRef

61.

D’Ardenne P. The couple sharing long-term illness. Sex Relationsh Ther. 2004;19(3):291–308.CrossRef

62.

Rosenstrauch P. The effects of relationship-focused coping on inflammatory bowel disease. Dissertation International: Section B: The Sciences and Engineering 2005; vol. 66.

63.

Coyne JC, Smith DAF. Couples coping with myocardial infarction: in a contextual perspective on wive’s distress. J Pers Soc Psychol. 1991;61:404–12.PubMedCrossRef

64.

Duarte S. Pereira MG. (in preparation). Predictors and moderators of quality of life in patients with systemic lupus erythematosus.

65.

Tagkalakis P, Demiri E. A fear avoidance model in facial burn body image disturbance. Ann Burn Fire Dis. 2009;22:203–7.

66.

Gordon PA, Perrone KM. When spouses become caregivers: counseling implications for younger couples. J Rehab. 2004;70(2):27–32.

67.

Lyons RF, Sullivan MJL, Ritvo PG, Coyne JC. Relationships in chronic illness and disability. Thousand Oaks: Sage; 1995.

68.

Rodrigue JR, Park TL. General and illness-specific adjustment to cancer: relationship to dyadic status and dyadic quality. J Psychosom Res. 1996;40(1):29–36.PubMedCrossRef

69.

Segrin C, Badger T, Dorros SM, Meek P, Lopez AM. Independent anxiety and psychological distress in women with breast cancer and their partners. Psycho-Oncology. 2007;16:634–43.PubMedCrossRef

70.

Basto L. Variáveis Psicossociais na Psoríase: Um Estudo com Doentes e seus Parceiros (master thesis). Braga: University of Minho; 2008.

71.

Cutrona CE. Social support as a determinant of marital quality: the interplay of negative and supportive behaviors. In: Pierce GR, Sarason BR, Sarason IG, editors. Handbook of social support and the family. New York: Plenum; 1996. p. 173–94.

Titel: Dyadic Adjustment, Family Coping, Body Image, Quality of Life and Psychological Morbidity in Patients with Psoriasis and Their Partners
verfasst von: M. Graça Pereira
Laura Brito
Tom Smith
Publikationsdatum: 01.09.2012
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 3/2012
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-011-9174-5

Springer Medizin

Abstract

Background

Purpose

Method

Results

Conclusion

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