Acceptance of illness and need for education to support dermatology self-care in psoriasis patients: a cross-sectional study.

Abstract

IntroductionAcceptance of illness greatly affects the quality of life of psoriatic patients. Assessment of patients’ need for education and support is very important for patients’ counselling and follow-up.AimTo evaluate acceptance of illness and need for education to support dermatology self-care in Arabic patients with psoriasis.Material and methodsA cross-sectional study using a survey was conducted. The survey collected patients’ demographics, disease characteristics, Acceptance of Illness Scale (AIS) and Person-Centered Dermatology Self-Care Index (PeDeSI). Outcome measures were presented in total and in relation to age, gender, disease duration, disease severity, quality of life and level of education. The correlation between AIS and PeDeSI was examined using Spearman’s rank correlation test.ResultsIn total, 209 psoriatic patients from 12 Arabic countries participated in the survey with mean ± SD age of 35.8 ±10.0 years. The median (IQR) AIS score was 28 (19–35). The median (IQR) of the PeDeSI score was 15 (11–22). Both AIS and PeDeSI did not differ in relation to age, gender, disease duration, and level of education. However, patients with a higher impairment in quality of life reported lower levels of illness acceptance (p = 0.001) and a higher need for education and support (p = 0.004). AIS and PeDeSI were moderately correlated (rho = 0.33, p < 0.001).ConclusionsArabic psoriatic patients showed moderate acceptance of illness and required some education to support dermatology self-care. Greater clinical attention with focus on patient education and counselling should be given to Arabic patients with psoriasis especially those with more impaired quality of life.