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Influence of clinical and psychosocial factors on the adherence to topical treatment in psoriasis

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Psoriasis is a common chronic inflammatory skin disease with different manifestations, affecting the quality of life at social, emotional, and professional dimensions and requiring long-term treatment. This study aimed to investigate the effect of psychosocial and clinical factors on adherence to topical treatment in psoriasis. Self-reported measures and weighing the medicines were used to assess adherence. Psychopathological symptoms were measured using the Brief Symptoms Inventory (BSI). Social and clinical factors were assessed by a sociodemographic and clinical questionnaire. Adherence to treatment with topical medication was assessed using a sample of 102 psoriasis patients. The explanatory models of adherence to topical treatment in psoriasis translated into positive associations between adherence and the education level (higher education) (p = 0.03; φ = 0.23), the single-family household (p = 0.01; φ = 0.44), active employment status (p = 0.05; φ = −0.19), familiar history of psoriasis (p = 0.04; φ = −0.21), and the presence of obsessive-compulsive symptoms (p = 0.01; d = 0.29). (4) Conclusions: In patients who present the characteristics identified that influence non-adherence, instructions should be reinforced to increase adherence. The experimental mortality (39.6%) reduced the sample size, representing a limitation of the study.

Descrição

Palavras-chave

Brief symptoms inventory instrument (BSI) Clinical and psychosocial factors Psoriasis Medication log (med log) Topical treatment Treatment adherence

Contexto Educativo

Citação

Teixeira, A., Teixeira, M., Gaio, R., Torres, T., Magina, S., Dinis, M. A. P., Sousa-Lobo, J., Almeida, I., Peixoto, M., & Almeida, V. (2024). Influence of clinical and psychosocial factors on the adherence to topical treatment in psoriasis. Healthcare, 12(8), Artigo 8. https://doi.org/10.3390/healthcare12080822

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MDPI

Licença CC

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