Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study

Abstract Background The ultimate goal of medical care is to eradicate disease and restore normality to a person’s life. Quality of life (QOL) is a concern as dermatologists and researchers strive to find better drug treatments. However, there have been few reports on the factors associated with QOL...

Full description

Bibliographic Details
Main Authors: Xiu-jie Zhang, Jing-rong Lin, Min-xing Ou, Hong-wei Yan, Sheng-nan Liu, Lu Dai, Fu-qing Gong
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16758-6
_version_ 1827707842457501696
author Xiu-jie Zhang
Jing-rong Lin
Min-xing Ou
Hong-wei Yan
Sheng-nan Liu
Lu Dai
Fu-qing Gong
author_facet Xiu-jie Zhang
Jing-rong Lin
Min-xing Ou
Hong-wei Yan
Sheng-nan Liu
Lu Dai
Fu-qing Gong
author_sort Xiu-jie Zhang
collection DOAJ
description Abstract Background The ultimate goal of medical care is to eradicate disease and restore normality to a person’s life. Quality of life (QOL) is a concern as dermatologists and researchers strive to find better drug treatments. However, there have been few reports on the factors associated with QOL among Chinese people with psoriasis. Methods A total of 185 people with psoriasis were surveyed to assess their sociodemographic status, disease-related information, psychosocial status, and QOL. The questionnaires included a sociodemographic questionnaire, the Athens Insomnia Scale, the Hospital Anxiety and Depression Scale, the Perceived Social Support Scale, the Psychosocial Adaptation Questionnaire of Chronic Skin Disease and the Dermatology Life Quality Index. Multiple stepwise regression and path analysis were used to study the factors associated with QOL among Chinese people with psoriasis and to analyse the relationship between them. Results The results showed that the presence of anxiety/depression, lesion area, sleep disorders, psychosocial adaptation, and sex could jointly predict 62.1% of the variance in QOL among Chinese people with psoriasis. According to previous theories and the literature, a path model was established for five variables. Four internal variables could be effectively explained. The values of the explanatory variables were 62.1% (F(1056) = 61.020, p = 0.000) for QOL, 71.8% (F(2433) = 117.370, p = 0.000) for anxiety/depression, 44.0% (F(660) = 36.935, p = 0.000) for sleep disorders, and 66.9% (F(6886) = 93.556, p = 0.000) for psychosocial adaptation. The path analysis confirmed that 9 paths were consistent with the predicted path, and 3 paths were not confirmed. Conclusion To improve QOL among Chinese people with psoriasis, attention should be given to the presence of anxiety/depression, lesion area, sleep disorders, psychosocial adaptation and sex differences. Therefore, health care programs for psoriasis should include physical, psychological and social aspects.
first_indexed 2024-03-10T16:54:23Z
format Article
id doaj.art-d142d783d4604160bcc85c4eb9cd4de7
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-03-10T16:54:23Z
publishDate 2023-09-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-d142d783d4604160bcc85c4eb9cd4de72023-11-20T11:11:53ZengBMCBMC Public Health1471-24582023-09-012311710.1186/s12889-023-16758-6Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional studyXiu-jie Zhang0Jing-rong Lin1Min-xing Ou2Hong-wei Yan3Sheng-nan Liu4Lu Dai5Fu-qing Gong6School of Public Health, China Medical UniversityDepartment of Dermatology, First Affiliated Hospital of Dalian Medical UniversityDepartment of Dermatology, First Affiliated Hospital of Dalian Medical UniversityDepartment of Dermatology, First Affiliated Hospital of China Medical UniversityDepartment of Dermatology, Dalian Dermatology HospitalDepartment of Dermatology, Shenyang Dermatology HospitalSchool of Public Health, China Medical UniversityAbstract Background The ultimate goal of medical care is to eradicate disease and restore normality to a person’s life. Quality of life (QOL) is a concern as dermatologists and researchers strive to find better drug treatments. However, there have been few reports on the factors associated with QOL among Chinese people with psoriasis. Methods A total of 185 people with psoriasis were surveyed to assess their sociodemographic status, disease-related information, psychosocial status, and QOL. The questionnaires included a sociodemographic questionnaire, the Athens Insomnia Scale, the Hospital Anxiety and Depression Scale, the Perceived Social Support Scale, the Psychosocial Adaptation Questionnaire of Chronic Skin Disease and the Dermatology Life Quality Index. Multiple stepwise regression and path analysis were used to study the factors associated with QOL among Chinese people with psoriasis and to analyse the relationship between them. Results The results showed that the presence of anxiety/depression, lesion area, sleep disorders, psychosocial adaptation, and sex could jointly predict 62.1% of the variance in QOL among Chinese people with psoriasis. According to previous theories and the literature, a path model was established for five variables. Four internal variables could be effectively explained. The values of the explanatory variables were 62.1% (F(1056) = 61.020, p = 0.000) for QOL, 71.8% (F(2433) = 117.370, p = 0.000) for anxiety/depression, 44.0% (F(660) = 36.935, p = 0.000) for sleep disorders, and 66.9% (F(6886) = 93.556, p = 0.000) for psychosocial adaptation. The path analysis confirmed that 9 paths were consistent with the predicted path, and 3 paths were not confirmed. Conclusion To improve QOL among Chinese people with psoriasis, attention should be given to the presence of anxiety/depression, lesion area, sleep disorders, psychosocial adaptation and sex differences. Therefore, health care programs for psoriasis should include physical, psychological and social aspects.https://doi.org/10.1186/s12889-023-16758-6PsoriasisQuality of lifeAnxiety/depressionSleep disorders
spellingShingle Xiu-jie Zhang
Jing-rong Lin
Min-xing Ou
Hong-wei Yan
Sheng-nan Liu
Lu Dai
Fu-qing Gong
Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
BMC Public Health
Psoriasis
Quality of life
Anxiety/depression
Sleep disorders
title Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
title_full Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
title_fullStr Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
title_full_unstemmed Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
title_short Factors associated with quality of life in Chinese people with psoriasis: a cross-sectional study
title_sort factors associated with quality of life in chinese people with psoriasis a cross sectional study
topic Psoriasis
Quality of life
Anxiety/depression
Sleep disorders
url https://doi.org/10.1186/s12889-023-16758-6
work_keys_str_mv AT xiujiezhang factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy
AT jingronglin factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy
AT minxingou factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy
AT hongweiyan factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy
AT shengnanliu factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy
AT ludai factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy
AT fuqinggong factorsassociatedwithqualityoflifeinchinesepeoplewithpsoriasisacrosssectionalstudy