Life satisfaction and health related quality of life – the same or a different construct? A survey in psoriasis patients

Joanna Miniszewska; Jan Chodkiewicz; Alicja Ograczyk-Piotrowska; Anna  Zalewska

doi:10.5114/hpr.2020.95909

Authors

Joanna Miniszewska University of Lodz
Jan Chodkiewicz University of Lodz
Alicja Ograczyk-Piotrowska Medical University of Lodz
Anna Zalewska Medical University of Lodz

DOI:

https://doi.org/10.5114/hpr.2020.95909

Keywords:

psoriasis, psychodermatology, life satisfaction, health-related quality of life

Abstract

Background
Numerous literature data evaluating quality of life in dermatological patients demonstrate this parameter to be considerably decreased. Psoriasis is among most studied dermatological disorders, demonstrating decreased quality of life in all examined dimensions. However, there are inconsistent data on disease influence, health related quality of life (HRQoL) and life satisfaction in psoriatic patients. The aims of the study were the following: a) to determine the level of general life satisfaction and HRQoL in psoriasis patients; b) to differentiate factors combined with life satisfaction and HRQoL assessment and determine whether the same variables are connected with life satisfaction and HRQoL. The general life satisfaction and HRQoL are response variables. Age and sex of the patients, educational status, disease severity, expressed as Psoriasis Area and Severity Index (PASI), marital status, pruritus severity, disease duration, and family history of psoriasis (explanatory variables) were taken into consideration too.

Participants and procedure
The study comprised 97 psoriasis inpatients. The Life Satisfaction Questionnaire (FLZ) and Dermatology Life Quality Index (DLQI) were used.

Results
Psoriatic patients demonstrated decreased life satisfaction and HRQoL in all domains. Psoriasis patients who had partners evaluated life satisfaction in Health, Financial situation, Myself, Accommodation and Sex domains as much better than singles. Total life satisfaction and HRQoL decreased with age. The study has shown that life satisfaction is different from HRQoL.

Conclusions
The observation that total life satisfaction is not strongly determined only by medical/somatic factors could be regarded as a valuable insight for further research to determine why the majority of dermatological patients are not fully compliant.

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References

Argyle, M. (1987). Psychology of happiness. London: Routledge. Basińska, M. A., & Drozdowska, M. (2012). Type A behavior in individuals with psoriasis as a deter minant of acceptance of the illness. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 29, 432–439. https://doi.org/10.5114/ pdia.2012.32390.

Basińska, M., & Kasprzak, A. (2012). The relationship between strategies of coping with stress and acceptance of illness among patients with psoriasis. Dermatology Review/Przegląd Dermatologiczny, 99, 692–700.

Basińska, M., & Woźniewicz, A. (2012). Emotional in telligence in psoriasis patients as a determinant of acceptance of illness. Dermatology Review/Przegląd Dermatologiczny, 99, 202–209.

Bonomi, A. E., Patrick, D. L., Bushnell, D. M., & Martin, M. (2000). Validation of the United States’ version of the World Health Organization Quality of Life (WHOQOL) instrument. Journal of Clinical Epidemiology, 53, 1–12. https://doi.org/10.1016/ S0895-4356(99)00123-7.

Campbell, A. (1981). The sense of well-being in America: Recent patterns and trends. New York: McGraw-Hill. Chodkiewicz, J. (2009). Adaptacja polska Kwestiona riusza Zadowolenia z Życia (FLZ) [Polish adaptation of the Life Satisfaction Questionnaire (FLZ)]. Studia Psychologiczne, 47, 5–21.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357. https://doi.org/10.1037/00332909.98.2.310.

Dalgard, F., Svensson, A., Holm, J., & Sundby, J. (2004). Self-reported skin morbidity among adults: associations with quality of life and general health in a Norwegian survey. Journal of Investigative Dermatology, 9, 120–125. https://doi.org/10.1046/j.10870024.2003.09111.x.

de Korte, J., Mombers, F. M., Bos, J. D., & Sprangers, M. A. (2004). Quality of life in patients with psoriasis: a systematic literature review. Journal of Investigative Dermatology, 9, 140–147. https://doi. org/10.1046/j.1087-0024.2003.09110.x.

Diener, E., & Lucas, R. E. (1999). Personality and subjective well-being. In: D. Kahneman, E. Diener, & N. Schwarz (Eds.), Well-being: The foundations of hedonic psychology (pp. 213–229). New York: Russell Sage Foundation.

Fahrenberg, J., Myrtek, M., Schumacher, J., & Brähler, E. (2000). Fragebogen zur Lebenszufriedenheit [The Life Satisfaction Questionnaire]. Göttingen: HogrefeVerlag für Psychologie. Finlay, A. Y., & Khan, G. K. (1994). Dermatology Life Quality Index (DLQI): a simple practical mea sure for routine clinical use. Clinical and Experimental Dermatology, 19, 210–216. https://doi.org/10.1111/j.1365-2230.1994.tb01167.x.

Fortune, D. G., Main, C. J., O’Sullivan, T. M., Griffiths, C. E. M. (1997). Quality of life in patients with psoriasis: The contribution of clinical variables and psoriasis-specific stress. British Journal of Dermatology, 137, 755–760. https://doi.org/10.1046/ j.1365-2133.1997.19472062.x.

Fredriksson, T., & Pettersson, U. (1978). Severe psoriasis – oral therapy with a new retinoid. Dermatologica, 157, 238–244. https://doi.org/10.1159/000250839.

Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576. https://doi.org/10.1146/annurev.psych.58.110405.085530.

Haduch, I., Hawro, T., Miniszewska, J., Chodkiewicz, J., Sysa-Jędrzejowska, A., & Zalewska, A. (2008). Social support and general mental health status in psoriatic patients. Clinical Dermatology, 10, 9–13.

Innamorati, M., Quinto, R. M., Imperatori, C., Lora, V., Graceffa, D., Fabbricatore, M., Lester, D., Contardi, A., & Bonifati, C. (2016). Health-related quality of life and its association with alexithymia and difficulties in emotion regulation in patients with psoriasis. Comprehensive Psychiatry, 70, 200–208. https://doi.org/10.1016/j.comppsych.2016.08.001.

Krueger, G., Koo, J., Lebwohl, M., Menter, A., Stern, R. S., & Rolstad, T. (2001). The impact of psoriasis on quality of life: Results of a 1998 National Psoriasis Foundation patient-membership survey. Archives of Dermatology, 137, 280–284.

Laudet, A., Becker, J. B., & White, W. L. (2009). Don’t wanna go through that madness no more: Quality of life satisfaction as predictor of sustained remission from illicit drug misuse. Substance Use & Misuse, 44, 227–252. https://doi.org/10.1080/108260808 02714462.

Ljosaa, T. M., Mork, C., Stubhaug, A., Moum, T., & Wahl, A. K. (2012). Skin pain and skin discomfort is associated with quality of life in patients with psoriasis. Journal of the European Academy of Dermatology and Venereology, 26, 29–35. https:// doi.org/10.1111/j.1468-3083.2011.04000.x.

McCrae, R. R., & Costa, P. T. (1991). Adding liebe und arbeit: The full five-factor model and well-being. Personality and Social Psychology Bulletin, 17, 227– 232. https://doi.org/10.1177/014616729101700217.

McKenna, K., & Stern, R. S. (1997). The impact of psoriasis on the quality of life of patients from the 16-center PUVA follow up cohort. Journal of the American Academy of Dermatology, 36, 388–394. https://doi.org/10.1016/s0190-9622(97)80214-9.

Paika, V., Almyroudi, A., Tomenson, B., Creed, F., Kampletsas, E., Siafaka,V., Gkika, S., Mavreas, V., Pavlidis, N., & Hyphantis, T. (2010). Personality variables are associated with colorectal cancer patients’ quality of life independent of psychological distress and disease severity. Psycho-Oncology, 19, 273–282. https://doi.org/10.1002/pon.1563.

Papadopoulos, L., & Walker, C. (2003). Personality, coping and sex as psychosocial aspects of psoriatic arthropathy. Dermatology and Psychosomatics, 4, 27–32. https://doi.org/10.1159/000070532.

Petraškienė, R., Valiukevičienė, S., & Macijauskienė, J. (2016). Associations of the quality of life and psychoemotional state with sociodemographic factors in patients with psoriasis. Medicina, 52, 238– 243. https://doi.org/10.1016/j.medici.2016.07.001.

Raddadi, A. A., Jfri, A., Samarghandi, S., Matury, N., Habibullah, T., Alfarshoti, M., & Mahdi, A. (2016). Correlation between severity index (PASI) and quality of life index (DLQI) based on the type of treatment. Journal of Dermatology & Dermatologic Surgery, 20, 15–18. https://doi.org/10.1016/j.jdds. 2015.05.002.

Rahman, S., Shahbaz, A., Nadeem, M., & Kazmi, A. H. (2018). Quality of life assessment in patients of psoriasis. Journal of Pakistan Association of Dermatologists, 28, 186–192.

Reich, A., Heisig, M., Quan Phan, N., Taneda, K., Takamori, K., Takeuchi, S., Furue, M., Blome, C., Augustin, M., Ständer, S., & Szepietowski, J. (2012). Visual Analogue Scale: Evaluation of the instrument for the assessment of pruritus. Acta Dermato-Venereologica, 92, 497–501. https://doi.org/10.2340/00015555-1265.

Reimus, J., Vingerhoets, J., Soons, P., & Korstanje, M. (2007). Suffering in psoriasis patients: Its relation with illness severity and subjective well-being. International Journal of Dermatology, 46, 1042–1045. https://doi.org/10.1111/j.1365-4632.2007.03191.x.

Røysamb, E., & Strype, J. (2002). Optimism and pessimism: Underlying structure and dimensionality. Journal of Social and Clinical Psychology, 21, 1–19. https://doi.org/10.1521/jscp.21.1.1.22403.

Sacco, W. P. (2006). Diabetes and depression: The role of social support and medical symptoms. Journal of Behavioral Medicine, 29, 523–531. https://doi.org/ 10.1007/s10865-006-9072-5.

Saeed, T., Niazi, G. S., & Almas, S. (2011). Type-D personality: a predictor of quality of life and coronary heart disease. Eastern Mediterranean Health Journal, 17, 46–50.

Sarkar, R., Chugh, S., & Bansal, S. (2016). General measures and quality of life issues in psoriasis. Indian Dermatology Online Journal, 7, 481–488. https://doi. org/10.4103/2229-5178.193908.

Shipper, H. (1990). Quality of life: Principles of the clinical paradigm. Journal of Psychosocial Oncology, 8, 171–185. https://doi.org/10.1300/J077v08n02_09.

Skevington, S. M., Lotfy, M., & O’Connell, K. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13, 299–310. https://doi.org/10.1023/ B:QURE.0000018486.91360.00.

Steuden, S., & Janowski, K. (2001). Zastosowanie kwestionariusza Skindex do pomiaru jakości życia u pacjentów z łuszczycą [Application of the Skindex questionnaire to measure quality of life in pa tients with psoriasis]. Przegląd Dermatologiczny, 88, 41–48.

Szabo, S. on behalf of the WHOQOL Group (1996). The World Health Organization Quality of Life (WHOQOL) assessment instrument. In B. Spilker (Ed.), Quality of life and pharmacoeconomics in clinical trials (2nd ed., pp. 355–362). Philadelphia, NY: Lippincott-Raven Publishers.

Szepietowski, J., Salomon, J., Finley, A. Y., Klepacki, A., Chodynicka, B., Marionneau, N., Charles, T., & Myon E. (2004). Dermatology Life Quality Index (DLQI): Polish version. Clinical Dermatology, 6, 63–70.

Uttjek, M., Dufaker, M., Nygren, L., & Stenberg, B. (2004). Determinants of quality of life in a psoriasis population in Northern Sweden. Acta Dermato-Venereologica, 84, 37–43. https://doi.org/10.1080/00015550310015833.

Zachariae, R., Zachariae, H., Blomqvist, K., Davids son, S., Molin, L., Mork, C., & Sigurgeirsson, B. (2004). Self-reported stress reactivity and psoriasis-related stress of Nordic psoriasis sufferers. Journal of the European Academy of Dermatology and Venereology, 18, 27–36. https://doi.org/10.1111/ j.1468-3083.2004.00721.x.

Zalewska, A., Miniszewska, J., Chodkiewicz, J., & Narbutt, J. (2007). Acceptance of chronic illness in psori asis vulgaris patients. Journal of the European Academy of Dermatology and Venereology, 21, 235–242. https://doi.org/10.1111/j.1468-3083.2006.01912.x