Anais Brasileiros de Dermatologia
On-line version ISSN 1806-4841
SILVA, Juliana Dors Tigre da; MULLER, Marisa Campio and BONAMIGO, Renan Rangel. Coping strategies and stress levels in patients with psoriasis. An. Bras. Dermatol. [online]. 2006, vol.81, n.2, pp. 143-149. ISSN 1806-4841. http://dx.doi.org/10.1590/S0365-05962006000200005.
ABSTRACT BACKGROUND: Psychosocial aspects are the current focus of research on chronic dermatoses. These aspects may contribute to exacerbation of psoriasis in 40 to 80% of cases, thus having great impact on patients quality of life. OBJECTIVES: This study aims to assess coping strategies and to identify stress levels of patients with psoriasis. METHODS: This is a cross-sectional study of a sample of 115 patients, which included 61 patients with psoriasis and 54 patients with other chronic dermatoses as controls. Instruments: The Ways of Coping Questionnaire and the Lipp Stress Symptoms Inventory for Adults. RESULTS: The coping strategies of self-control (p=0.027) and escape-avoidance (p=0.014) were the most used by patients with psoriasis and both groups present high stress levels (p=0.838). CONCLUSION: Patients with psoriasis use specific coping strategies to deal with their skin disorder when compared to other patients with chronic skin disorders; they also present stress levels as high as the control group. The integration of results enables understanding the special state of mind experienced by psoriasis patients to deal with the condition, thus showing the urgent need to develop broader intervention strategies, which also involve the social and psychic dimensions.
Keywords : Adaptation; Psychological; Quality of life; Skin; Stress; Psoriasis.