Association of psoriasis severity degree with self-esteem, depression and dermatology life quality index

Nurina Dhani Rahmayanti, Afif Nurul Hidayati, Evy Ervianti, Nalini Muhdi


Background Psoriasis is a chronic inflammatory skin disease that affects physical health as well as self-esteem, depression, and quality of life.


Objective We aimed to evaluate the association of psoriasis severity with self-esteem, depression, and dermatology life of quality index (DLQI) on outpatient and inpatient unit at Department of Dermatology and Venereology, Dr. Soetomo General Hospital, Surabaya, Indonesia.


Materials and Methods This study included 37 patients that fulfilled the inclusion and denied exclusion criteria. Sociodemographic characteristics of the patients were assessed, the Psoriasis Area Severity Index (PASI) were scored to determine psoriasis severity, as well as self-esteem (Rosenberg Self-Esteem Scale), depression (Hamilton Rating Scale for Depression), and Dermatology Life Quality Index.


Results Our study showed there were no subjects with high self esteem, 73% subjects had standard self esteem, 27% subjects had low self esteem, and there was a significant negative association between psoriasis severity with self-esteem (p=0,035, r=-0,215). Eighty nine point one percent of patients got depression (35.1% mild depression; 27% moderate depression; 16.2% severe depression, and 10.8% very severe depression. Positive association between psoriasis severity with depression degree, however, was not statistically significant (p=0,107, r=0,124). Ninety seven point two percent patients got impaired DLQI.  Positive association between psoriasis severity with DLQI, however, was not statistically significant (p=0,315, r=0,256).


Conclusion Psoriasis is associated with low self-esteem, depression, and decrease in DLQI, although not statistically significant association between psoriasis severity (PASI) with depression and DLQI. Therefore, comprehensive treatment with psychiatrist for psoriasis patients is recommended. All patients with psoriasis without regards to its severity have to be screened for self-esteem, depression, and QOL. It is necessary to assess patients with low psoriasis severity to psychiatrist.



Psoriasis Vulgaris, PASI Score, Self Esteem, Depression, DLQI, Dermatology Life Quality Index

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