RESUMO
OBJECTIVE: To identify the prevalence and factors associated with depression and anxiety in patients with psoriasis. BACKGROUND: Psoriasis is a chronic, non-contagious, autoimmune inflammatory skin disease associated with psychological comorbidities. DESIGN: A cross-sectional study conducted between March 2017-December 2018 in a dermatology infirmary and outpatient clinic of a public hospital in the inner State of São Paulo (Brazil). METHODS: We used questionnaires with sociodemographic data and clinical history, the HADS (Hospital Anxiety and Depression Scale), DLQI-BRA (Dermatology Life Quality Index) and PASI (Psoriasis Area Severity Index). The correlations between variables were explored using multivariate techniques. STROBE checklist was applied as the reporting guideline for this study (File S1). RESULTS: A total of 281 participants were included, of which the majority were female 146 (52%), with a mean age of 52.1 years (SD: 13.8), elementary school 154 (55%), married/cohabiting 209 (74%) and with low income 201 (72%). The median (p25-p75) time with the disease was 14 years (7-23). Regarding the quality of life, 31% of respondents reported being little affected by the disease. The prevalence of depression was 19% and that of anxiety was 36%. The multivariate analysis showed that the variables that influenced the anxiety and depression scores were as follows: DLQI-BRA, income, female sex, illness length and age. For the multiple correspondence analysis, the highest levels of anxiety and depression referred to women, middle age, lower income and low PASI. CONCLUSION: The prevalence of anxiety and depression symptoms was low. Female sex, income, age, illness length and quality of life were associated with anxiety and depression scores in patients with psoriasis. RELEVANCE TO CLINICAL PRACTICE: Due to the scarcity of studies in the field of nursing with psoriasis patients, we believe these findings contribute to the reorganisation of the care provided, allowing nurses to timely identify mood disorders such as anxiety and depression and adopt the necessary measures to a service and/or specialised referral.
Assuntos
Depressão , Psoríase , Qualidade de Vida , Ansiedade/epidemiologia , Brasil/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Depressão/etiologia , Depressão/enfermagem , Feminino , Humanos , Pessoa de Meia-Idade , Prevalência , Psoríase/complicações , Psoríase/epidemiologia , Psoríase/enfermagem , Índice de Gravidade de Doença , Inquéritos e QuestionáriosRESUMO
The Psoriasis, chronic disease with uncertain cause, affects 1 to 3% of world population, produces great psychological impact and changes in quality of life, a challenging reality. The objective is to analyze the scientific production of nursing on Psoriasis in 1997/2008, examining the approaches and contributions to care. Bibliographic study based on virtual database Medline using the terms "Psoriasis" and "Nursing". Of the 21 articles selected, 19% focus on the pathophysiology and differential diagnosis, 48% treatment, 28% psychological aspects and 42% in nursing care. The rescue of the scientific knowledge increases the challenge of maximizing the scientific production about this subject, bringing significant contributions to advances to a more holistic intervention and higher quality with this clientele.
Assuntos
Bibliometria , Pesquisa em Enfermagem , Psoríase/enfermagem , Editoração/estatística & dados numéricosRESUMO
A Psoríase, doença crônica de causa ainda incerta, atinge 1 a 3 por cento da população mundial e gera grande impacto psicológico e modificações na qualidade de vida, constituindo desafiadora realidade. Objetivou-se analisar a produção científica de enfermagem sobre Psoríase, entre 1997/2008, examinando-se abordagens e contribuições para o cuidado. Estudo bibliográfico em base virtual de dados Medline, utilizando-se os termos "Psoríase" e "Enfermagem". Dos 21 artigos selecionados, 19 por cento enfocam a fisiopatologia e diagnóstico diferencial, 48 por cento tratamento, 28 por cento aspectos psicológicos e 42 por cento cuidados de enfermagem. O resgate desse saber científico reforça o desafio de maximização da produção acerca da temática, trazendo contribuições para avanços mais expressivos que visem uma intervenção mais holística e de maior qualidade junto a essa clientela.
The Psoriasis, chronic disease with uncertain cause, affects 1 to 3 percent of world population, produces great psychological impact and changes in quality of life, a challenging reality. The objective is to analyze the scientific production of nursing on Psoriasis in 1997/2008, examining the approaches and contributions to care. Bibliographic study based on virtual database Medline using the terms "Psoriasis" and "Nursing". Of the 21 articles selected, 19 percent focus on the pathophysiology and differential diagnosis, 48 percent treatment, 28 percent psychological aspects and 42 percent in nursing care. The rescue of the scientific knowledge increases the challenge of maximizing the scientific production about this subject, bringing significant contributions to advances to a more holistic intervention and higher quality with this clientele.
La Psoriasis, enfermedad crónica de causa incierta aflige 1 a 3 por ciento de la población mundial, produce varios efectos psicológicos y los cambios en la calidad de vida, una realidad desafiante. El objetivo es analizar la producción científica de la enfermería en la Psoriasis en 1997/2008, los enfoques y las contribuciones a la atención. Estudio bibliográfico por base de datos virtual Medline con los termos "Psoriasis" e "Enfermería". De los 21 artículos seleccionados, 19 por ciento se centran en la fisiopatología y el diagnóstico diferencial, 48 por ciento tratamiento, 28 por ciento psicológica y 42 por ciento atención de enfermería. El rescate del conocimiento científico aumenta el desafío de maximizar esta producción científica, ofreciendo importantes contribuciones a los avances del conocimiento para una intervención más global y de mayor calidad con esta clientela.
Assuntos
Bibliometria , Pesquisa em Enfermagem , Psoríase/enfermagem , Editoração/estatística & dados numéricosRESUMO
The psoriasis, chronic disease with uncertain cause, affects 1 to 3% of world population, produces great psychological impact and changes in quality of life, a challenging reality. The objective is to analyze the scientific production of nursing on psoriasis, examining the approaches and contributions to care. It's a bibliographic study carried on virtual database Medline using the terms psoriasis and nursing. Of the 21 articles selected, in 1997/2008, 19% focus on the pathophysiology and differential diagnosis, 48% treatment, 28% psychological aspects and 42% in nursing care. The rescue of the scientific knowledge increases the challenge of maximizing the scientific production about this subject, bringing significant contributions to advances to a more holistic intervention and higher quality with this clientele.
Assuntos
Bibliometria , Pesquisa em Enfermagem , Psoríase/enfermagem , Editoração/estatística & dados numéricos , HumanosRESUMO
A psoríase, doença crônica de causa ainda incerta, atinge 1 a 3 por cento da população mundial e gera grande impacto psicológico e modificações na qualidade de vida, constituindo desafiadora realidade. Objetiva-se analisar a produção científica de enfermagem sobre psoríase, examinando-se abordagens e contribuições para o cuidado. Estudo bibliográfico em base virtual de dados Medline, utilizando-se os termos psoríase e enfermagem. Dos 21 artigos selecionados, entre 1997/2008, 19 por cento enfocam a fisiopatologia e diagnóstico diferencial, 48 por cento tratamento, 28 por cento aspectos psicológicos e 42 por cento cuidados de enfermagem. O resgate desse saber científico reforça o desafio de maximização da produção acerca da temática, trazendo contribuições para avanços mais expressivos que visem uma intervenção mais holística e de maior qualidade junto a essa clientela.
The psoriasis, chronic disease with uncertain cause, affects 1 to 3 percent of world population, produces great psychological impact and changes in quality of life, a challenging reality. The objective is to analyze the scientific production of nursing on psoriasis, examining the approaches and contributions to care. It's a bibliographic study carried on virtual database Medline using the terms psoriasis and nursing. Of the 21 articles selected, in 1997/2008, 19 percent focus on the pathophysiology and differential diagnosis, 48 percent treatment, 28 percent psychological aspects and 42 percent in nursing care. The rescue of the scientific knowledge increases the challenge of maximizing the scientific production about this subject, bringing significant contributions to advances to a more holistic intervention and higher quality with this clientele.
La psoriasis, enfermedad crónica de causa incierta aflige 1 a 3 por ciento de la población mundial, produce varios efectos psicológicos y los cambios en la calidad de vida, una realidad desafiante. El objetivo es analizar la producción científica de la enfermería en la psoriasis los enfoques y las contribuciones a la atención. Estudio bibliográfico por base de datos virtual Medline con los termos psoriasis e enfermería. De los 21 artículos seleccionados en 1997/2008, el 19 por ciento se centran en la fisiopatología y el diagnóstico diferencial, 48 por ciento tratamiento, 28 por ciento psicológica y 42 por ciento atención de enfermería. El rescate del conocimiento científico aumenta el desafío de maximizar esta producción científica, ofreciendo importantes contribuciones a los avances del conocimiento para una intervención más global y de mayor calidad con esta clientela.