Stress level of people with psoriasis at a public hospital

Leovigildo, Érida Silva; David, Rose Ana Rios; Mendes, Andreia Santos

doi:10.1590/abd1806-4841.20164947

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Investigation • An. Bras. Dermatol. 91 (4) • Jul-Aug 2016 • https://doi.org/10.1590/abd1806-4841.20164947 copy

Stress level of people with psoriasis at a public hospital^* * Study conducted at Dermatology Clinic of Complexo Hospitalar Professor Edgard Santos, of the Universidade Federal da Bahia (Hupes-Ufba) - Salvador (BA), Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract:

Background:

Psoriasis is a chronic dermatosis of unknown etiology with a tendency to relapse after treatment. The disease is frequently linked to psychological stress due to the embarrassment caused by the lesions.

Objective:

To analyze the stress level presented by psoriasis patients followed at the Dermatology Service of a public hospital in Salvador, Bahia state, Brazil.

Methods:

A cross-sectional study of a consecutive convenience sample composed of 60 participants. We used Lipp's Stress Symptoms Inventory for Adults to assess stress levels. The questionnaire identifies and classifies physical and psychological symptoms according to three stages of stress: alarming, resistance, and exhaustion. We also collected socio-demographic and clinical data that could be associated with psoriasis.

Results:

85% of the participants presented stress. Lipp's questionnaire results revealed that 48% were in the resistance stage and 37% in the exhaustion stage. Women presented higher levels of stress. Of the total 28 women, 64% were in exhaustion stage, 29% in the resistance stage, and only 7% presented no stress symptoms. Of the total 32 men, 44% were in resistance stage, 34% in exhaustion stage, and 22% presented no stress symptoms. Regarding physical and psychological symptoms, psychological symptomatology was prevalent (55%).

Conclusions:

Based on the number of patients in exhaustion stage, we can conclude that stress levels of the participants were high regardless the type of psoriasis and treatment duration.

Keywords:
Adult health; Psoriasis; Stress, psychological

SOCIODEMOGRAPHIC DATA
Initials:_____________		Date of birth:____/____/____	Gender: [1] female [2] male
City of birth:		City of residence:
Educational level: [1] Illiterate [2] Incomplete primary school [3] Complete primary school [4] Incomplete secondary school [5] Complete secondary school [6] Incomplete higher education [7] Complete higher education [8] Not informed
Skin color: ___________________		Occupation: ___________________	Profession: ___________________
Marital status: [1] married [2] single [3] divorced [4] widower/widow [5] stable union
Family income:		[1] ≤ 1 miminum wage [2] > 1 to ≤ 2 miminum wages [3] > 2 miminum wages
DATA RELATED TO PSORIASIS
Time of diagnosis:
First appointment: [ ] yes [ ] no		Subsequent appointment: [ ] yes [ ] no	Age of onset of psoriasis:___________
Time of treatment: ___________________		Exacerbation: ___________________	Psoriatic arthritis: [ ] yes [ ] no
Global medical evaluation (PGA):		Number of hospitalizations: ___________________
Place of hospitalization: ___________________
LIFESTYLE
Smoker: [1] yes [2] no	Time in years: _______	Ex-smoker: [1] yes [2] no	Time from stopping smoking in years: ________
Type of smoke:	[1] cigarette [2] pipe [3] straw cigarette [4] cigar [5] other: __________
Alcohol consumption? [1] yes [2] no
Amount and duration:

Variables	Participants
	N	%
Gender
Female	28	46.67
Male	32	53.33
Place of birth
Capital	24	40
Interior	36	60
City of residence
Capital	35	58.33
Interior	25	41.67
Total	60	100

Variables			Participants
			N	%
Age
	21	29	7	11.67
	30	39	8	13.33
	40	49	15	25
	50	59	20	33.33
	60	69	7	11.67
	70	72	3	5
Total			60	100

Variable	Participants
	N	%
Educational level
Illiterate	3	5
Incomplete primary education	13	21.67
Complete primary education	12	20
Incomplete secondary education	2	3.33
Complete primary education	24	40
Incomplete higher education	5	8.33
Complete higher education	1	1.67
Skin color
Brown	36	60
Black	13	21.67
White	11	18.33
Marital status
Married	33	55
Single	15	25
Divorced	3	5
Widower/ widow	1	1.67
Stable union	8	13.33
Family income
≤ 1 minimum wage	18	30
> 1 to ≤ 2 minimum wages	23	38.33
> 2 minimum wages	19	31.67
Total	60	100

Variables	Participants
	N	%
Smoker
Yes		2
3.33
Time in years
>10 years	1	1.67
>20 years	1	1.67
No		58
96.66
Ex-smoker
Yes	16	26.67
Time from stopping
1 -10 years	5	8.33
>20 years	11	18.33
No	44	73.34
Alcohol comsumption
Yes	13	21.67
No	47	78.33
Total	60	100

Variable	Participants
	N	%
Time of diagnosis
3 months 10 years	32	53.33
11 years 20 years	19	31.66
21 years 30 years	7	11.67
31 years 40 years	1	1.67
41 years 50 years	1	1.67
Time of treatment at the clinic
1 month 2 years	23	38.33
3 years 5 years	10	16.66
6 years 8 years	5	8.33
> 9 years	14	23.33
First appointment	5	8.33
Not informed	3	5
Hospitalizations due to worsening of psoriasis
1 hospitalization		5
8.33
2 hospitalizations	2	3.33
3 hospitalizations	1	1.67
No hospitalization	52	86.67
Psoriatic arthritis
Primary	7	11.67
Secondary	4	6.67
Absence	49	81.66
Total	60	100

Sociedade Brasileira de Dermatologia Av. Rio Branco, 39 18. and., 20090-003 Rio de Janeiro RJ, Tel./Fax: +55 21 2253-6747 - Rio de Janeiro - RJ - Brazil
E-mail: revista@sbd.org.br

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[1] Mailing address: Érida Silva Leovigildo, Rua Optaciano da Silva Oliveira, nº 139, bl. 9, ap. 1, Brotas, 40276-070 Salvador, BA. Email: eridasl@hotmail.com

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Stress level of people with psoriasis at a public hospital* * Study conducted at Dermatology Clinic of Complexo Hospitalar Professor Edgard Santos, of the Universidade Federal da Bahia (Hupes-Ufba) - Salvador (BA), Brazil.

Abstract:

Background:

Objective:

Methods:

Results:

Conclusions:

Stress level of people with psoriasis at a public hospital^* * Study conducted at Dermatology Clinic of Complexo Hospitalar Professor Edgard Santos, of the Universidade Federal da Bahia (Hupes-Ufba) - Salvador (BA), Brazil.