Effective self management is critical in decreasing the physical burden of psoriasis and mitigating its multiple physical, psychological, and social comorbidities, which include obesity, cardiovascular disease, alcohol dependence, depression, anxiety, and social anxiety. Psoriasis is a challenging and frustrating disease for both patients and physicians. Therefore, it is important to meet patient expectations with practical approaches, as well as to address unrealistic expectations. Psoriasis can be stigmatising and may affect all aspects of life including relationships, employment, social life and leisure activities. There is a need for high-quality studies to assess the effect of psychological intervention in patients with psoriasis both to inform guidance and facilitate the provision of effective psychological support services. The lack of correlation between psychological impact and physical severity in some patients may be due to the cumulative impact of living with psoriasis 2, maintenance of distress by established maladaptive schemas and coping responses 32, or by psoriasis affecting high impact’ sites 37. Furthermore, as a chronic disease, psoriasis affects the QoL of both patients and their close relatives in a cumulative way 6. In this chapter, the impact of the different aspects of psoriasis on QoL will be reviewed. Other skin symptoms of psoriasis can significantly affect physical functioning, perception of disease, and QoL. When psoriasis involves the palms and soles, which occurs in approximately 40 of patients, the pain and discomfort result in significantly greater physical disability than is experienced by patients without palmoplantar involvement 30.
Quality of life improves if these psychological aspects are also properly dealt with. 24,27,57 Demographic characteristics and lifestyle have a definite bearing on the manner in which the disease behaves and its treatment and prognosis.64 Therefore, we undertook this study to investigate results of the Psoriasis Area Severity Index (PASI), Dermatology Life Quality Index (DLQI), and 12-item General Health Questionnaire (GHQ-12) in various groups of psoriasis patients, with reference to sociodemographic, lifestyle, and clinical characteristics. Loss of sleep is due to physical symptoms and discomfort but affects quality of life to a great extent. A system of active integrated management of psoriasis and comorbidities, both medical and psychiatric, should be developed and evaluated. Adverse events encompass both physical and psychological harms. The key question regarding a particular adverse event is whether it meets the three criteria described in section I and therefore represents an unanticipated problem. Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, and behavioral factors on bodily processes and quality of life in humans and animals. Some physical diseases are believed to have a mental component derived from the stresses and strains of everyday living. Therefore, mental stress could still play some role.
The term sexually transmitted diseases (STDs) is used to refer to a variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity. As part of the clinical interview, health-care providers should routinely and regularly obtain sexual histories from their patients and address management of risk reduction as indicated in this report. Therefore, behavioral and psychosocial services are an integral part of health care for HIV-infected persons. The clinical diagnosis of genital herpes is both nonsensitive and nonspecific. Most psoriasis patients are treated with topicals. Psoriasis is associated with a variety of psychological difficulties, including poor self-esteem, sexual dysfunction, anxiety, depression, and suicidal ideation. Follow-up data (physical examination, vital signs and laboratory tests, disease activity, observed AEs, and concomitant used drugs) were collected in every follow up visit.