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Cognition/Psychological Burden and Resilience in Cutaneous T-Cell Lymphoma and Psoriasis Patients: Real-Life Data and Implications for the Treatment.
Damiani, Giovanni; Tacastacas, Joselin D; Wuerz, Timothy; Miller, Lindsay; Fastenau, Philip; Bailey, Christopher; Chawa, Mansi Sethi; Argenas, Amanda; Fiore, Marco; Cooper, Kevin D; Lerner, Alan J.
Afiliación
  • Damiani G; Department of Dermatology, University Hospitals Cleveland Medical Center, And Case Western Reserve University, Cleveland, OH, USA.
  • Tacastacas JD; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
  • Wuerz T; Department of Dermatology, University Hospitals Cleveland Medical Center, And Case Western Reserve University, Cleveland, OH, USA.
  • Miller L; Department of Psychiatry, Henry Ford Hospitals, Detroit, MI, USA.
  • Fastenau P; Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
  • Bailey C; Los Angeles County Department of Mental Health, Redondo Beach, CA, USA.
  • Chawa MS; Department of Psychiatry, Henry Ford Hospitals, Detroit, MI, USA.
  • Argenas A; Department of Psychiatry, Henry Ford Hospitals, Detroit, MI, USA.
  • Fiore M; Department of Psychiatry, Henry Ford Hospitals, Detroit, MI, USA.
  • Cooper KD; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
  • Lerner AJ; Department of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Biomed Res Int ; 2022: 8802469, 2022.
Article en En | MEDLINE | ID: mdl-35937394
Background: Psoriasis and cutaneous T-cell lymphoma (CTCL) expose patients to chronic inflammation as well as physical and psychological disabilities, but the impact of such alterations on cognitive function is unknown. Objective: This study is aimed at determining if CTCL and psoriasis impact cognitive functioning in relation to psychological and health-related quality of life (HR-QOL) status. Methods: A cross-sectional study was performed in an outpatient dermatology clinic of a university teaching hospital. Thirty-nine subjects with CTCL (N = 20) or psoriasis (N = 19) who met eligibility criteria were included. The cognitive domains of memory, attention and processing speed, and executive function were assessed with standard neuropsychological tests. Subjects were assessed for depression, anxiety, and HR-QOL (using the SKINDEX-29 questionnaire). Results: Study participants were CTCL and psoriasis subjects; cognitive impairment was found in the domain of memory in 17.9% subjects with CTCL or psoriasis. Lower scores on executive function tests were predicted by higher (worse HR-QOL) SKINDEX-29 functioning scores (p = 0.01). A higher estimated baseline intellectual functioning predicted lower scores (better HR-QOL) on the symptoms and functioning domains of SKINDEX-29 (p = 0.01 and 0.02, respectively) and a statistical trend (p = 0.07) for the emotion domain. Memory and acute anxiety were adversely impacted by shorter disease duration (p = 0.01 for both). Conclusions: Memory impairment may be associated comorbidity in CTCL and psoriasis. Subjects with stronger cognitive resources appear to cope better with health-related quality of life (HR-QOL) challenges.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psoriasis / Neoplasias Cutáneas / Linfoma Cutáneo de Células T / Cognición Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Biomed Res Int Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psoriasis / Neoplasias Cutáneas / Linfoma Cutáneo de Células T / Cognición Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Biomed Res Int Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos