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Psychosocial Impact and Quality of Life among Adult Egyptian Patients with Psoriatic Arthritis

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Last updated: 24 Dec 2024

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Abstract

Background: psoriatic arthritis (PsA) is a chronic, inflammatory, progressive joint disease. It has much psychosocial impact and affects quality of life (QOL) of the patients. Aim of the study: to determine the psychosocial impact of PsA on the patients and to define QOL of them. Patients and Methods: the study was conducted on 50 PsA patients, 68 psoriasis (Ps) patients, and 100 controls. A case-control, clinic-based study design was used in this research. An interviewing form and Middle Sex Hospital Questionnaire were used to survey the characteristics of the patients and controls. Severity of PsA was determined clinically. Also, the medical outcomes study 36-item short form (SF-36) was used to assess impact of the disease on the patient's QOL. Results: most (92.0%) of PsA patients had psychiatric symptoms. The disease had interfered with most of patients' personal feelings and relationships, daily activities, school/work, and leisure/sport. Majority (88.0%) of the patients had stigma feeling. Also, 40.0% and 60.0% of PsA patients had severe and mild forms, respectively. The differences between two forms of PsA regarding interference with school/work and presence of suicidal ideation were significant. The difference regarding presence of familial psychological stress was significant. The highly affected SF-36 domain scores were general health and physical limitation. The eight mean domain scores were significantly lower among PsA patients than controls. The mean domain scores of physical functioning, physical limitation, social functioning, emotional limitation, and mental health were significantly lower among patients with severe PsA than those with mild PsA. The eight mean domain scores were significantly lower among PsA patients than those with only Ps. Conclusions: the physical and psychosocial aspects of PsA may interact and influence one another. So, PsA has a great effect on the patients' QOL; disrupting physical and psychosocial aspects, and interfering with daily activities, school/work, and leisure/sport. QOL scores were significantly lower among PsA than only Ps patients.    

DOI

10.12816/0034659

Keywords

Psoriatic arthritis, adults, Impacts, Psychosocial, familial, Medical care, QOL

Authors

First Name

Essam A.

Last Name

El-Moselhy

MiddleName

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Affiliation

Departments of Community Medicine,Faculty of Nursing, Zagazig University, Egypt

Email

dr.elmoselhy@azhar.edu.eg

City

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Orcid

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First Name

Sabah A.

Last Name

Hagrass

MiddleName

-

Affiliation

Community Health Nursing,Faculty of Nursing, Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Abd-Elnaser S.

Last Name

Mohammed

MiddleName

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Affiliation

Departments of Community Medicine,Faculty of Medicine, Al-Azhar University, Egypt

Email

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City

-

Orcid

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First Name

Throwt M.

Last Name

Abd-Alrhman

MiddleName

-

Affiliation

Orthopedics ,Faculty of Medicine, Al-Azhar University, Egypt

Email

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City

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Orcid

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First Name

Aly A.

Last Name

Alnabawy

MiddleName

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Affiliation

Psychiatry,Faculty of Medicine, Al-Azhar University, Egypt

Email

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City

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Orcid

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First Name

Ahmed

Last Name

Mosalam

MiddleName

-

Affiliation

Physical Medicine, Rheumatology & Rehabilitation,Faculty of Medicine, Al-Azhar University, Egypt

Email

-

City

-

Orcid

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Volume

66

Article Issue

1

Related Issue

2854

Issue Date

2017-01-01

Receive Date

2018-09-24

Publish Date

2017-01-01

Page Start

237

Page End

247

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_14539.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=14539

Order

32

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Psychosocial Impact and Quality of Life among Adult Egyptian Patients with Psoriatic Arthritis

Details

Type

Article

Created At

22 Jan 2023