The impact of skin disorders on patients’ quality of life in Malaysia
Article Sidebar
Main Article Content
Abstract
Background: Skin diseases is a common worldwide problem. It affected every aspect of patients’ quality of life (QOL) mainly physically, socially and psychologically.
Objectives: to assess the impact of skin disorders on patients’ quality of life and to identify factors associated with it.
Methodology: This cross-sectional study was conducted in outpatient dermatology clinic of a tertiary hospital in Malaysia. A random sample of 145 patients with acne, psoriasis and atopic dermatitis (AD) were interviewed using DLQI questionnaire during their scheduled follow-up appointments at dermatology clinic.
Main outcome measure: Self-reported patients’ QOL due to their skin diseases.
Results and discussion: Out of three skin diseases psoriasis patients had the highest prevalence (39.3%) followed by AD (34.5%) and acne (26.2%). Patients’ QOL was highly influenced by their skin conditions especially on working/schooling domain. Furthermore, several factors were identified, namely age, working environment, concurrent skin diseases, usage of supplement for skin diseases and type of food as aggravating factors—that may influence patients’ QOL. QOL among females and younger adults was found to be more significantly influenced as compared to males and elderly. With respect to working environment, those who had both indoor and outdoor working environment showed the highest impact of their skin conditions on their QOL. Single patients were more influenced by their skin conditions when compared to those who are married, however it was not significant.
Conclusion: Our findings revealed skin disease had negatively impacted individual QOL with different level of aspects. Among the three diseases, AD patients had the worst impact on QOL. Significant predictors of QOL did not relate solely to skin diseases but also other factors such as type of food and working environment.
Article Details
Copyright (c) 2019 Kassab YW, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, et al. The Global Burden of Skin Disease in 2010 : An Analysis of the Prevalence and Impact of Skin Conditions. J Invest Dermatol. 2010; 134: 1527–1534. Ref.: https://goo.gl/rmHWQM
Choi J, Koo JY. Quality of life issues in psoriasis. J Am Acad Dermatol 2003; 49: 57–61. Ref.: https://goo.gl/MsnZsi
Pärna E, Aluoja A, Kingo K. Quality of life and emotional state in chronic skin disease. Acta Derm Venereol. 2015; 95: 312-316. Ref.: https://goo.gl/QjGLgq
Hong J, Koo B, Koo J. The psychosocial and occupational impact of chronic skin disease. Dermatol Ther. 2008; 21: 54–59. Ref.: https://goo.gl/RnRUzJ
Parks L, Balkrishnan R, Hamel-Gariépy L, Feldman SR. The Importance of Skin Disease as Assessed by “Willingness-To-Pay”. J Cutan Med Surg. 2003; 7: 369–371. Ref.: https://goo.gl/yPDEis
Abolfotouh MA, Al-Khowailed MS, Suliman WE, Al-Turaif DA, Al-Bluwi E, et al. Quality of life in patients with skin diseases in central Saudi Arabia. Int J Gen Med. 2012; 5: 633–642. Ref.: https://goo.gl/zn1rc6
Wahl AK, Mørk C, Lillehol BM, Myrdal AM, Helland S, et al. Changes in Quality of Life in Persons with Eczema and Psoriasis After Treatment in Departments of Dermatology. 2006; 86:198–201. Ref.: https://goo.gl/71XYsm
Dunn LK, O'Neill JL, Feldman SR. Acne in Adolescence: Quality of life, self-esteem, mood and psychological disorders. Dermatol Online J. 2011; 17: 1. Ref.: https://goo.gl/dRgtg1
Ghajarzadeh M, Ghiasi M, Kheirkhah S. Associations between Skin Diseases and Quality of Life: A Comparison of Psoriasis, Vitiligo, and Alopecia Areata. Acta Med Iran. 2012; 50: 511-515 Ref.: https://goo.gl/PW9wPj
Sanclemente G, Burgos C, Nova J, Hernández F, González C, Reyes MI, et al. The impact of skin diseases on quality of life: A multicenter study. Actas Dermosifiliogr [Internet]. 2017; 108: 244–252. Ref.: https://goo.gl/Eb2Gwo
Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994; 19: 210–216. Ref.: https://goo.gl/fffcPq
Tejada Cdos S, Mendoza-Sassi RA, Almeida HL Jr, Figueiredo PN, Tejada VF. Impact on the quality of life of dermatological patients in southern Brazil. 2011; 86: 1113–1121. Ref.: https://goo.gl/zZ2vjy
Rani J. A study on awareness of skin infection among adults in Petaling district. Malaysia. 2016; Ref.: https://goo.gl/u5Pg9B
Al-Hoqail IA. Impairment of Quality of Life among Adults with Skin Disease in King Fahad Medical City. Saudi Arabia. J Family Community Med. 2009; 16: 105-109. Ref.: https://goo.gl/NcvAQB
Abdel-Hafez K, Mahran AM, Hofny ER, Mohammed KA, Darweesh AM, et al. The impact of acne vulgaris on the quality of life and psychologic status in patients from upper Egypt. Int J Dermatol. 2009; 48: 280–285. Ref.: https://goo.gl/nFTSnk
Hanisah A, Omar K, Shah SA. Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia. J Prim Health Care. 2009; 1: 20–25. Ref.: https://goo.gl/SSNmn7
Augustin M1, Radtke MA. Quality of life in psoriasis patients. Expert Rev Pharmacoecon Outcomes Res. 2014; 14: 559–568. Ref.: https://goo.gl/htoxXd
Gulliver WP, MacDonald D, Gladney N, Alaghehbandan R, Rahman P, Baker KA. Long-Term Prognosis and Comorbidities Associated with Psoriasis in the Newfoundland and Labrador Founder Population. J Cutan Med Surg 2011; 15: 37–47. Ref.: https://goo.gl/zJZTbA
Yap FB Bin. Cardiff acne disability index in Sarawak, Malaysia. Ann Dermatol. 2012; 24: 158–161. Ref.: https://goo.gl/ywk8H9
Williams HC, Dellavalle RP, Garner S. Acne vulgaris. Lancet. 2012; 379(9813): 361–372. Ref.: https://goo.gl/g5W1jF
Ghodsi SZ, Orawa H, Zouboulis CC. Prevalence, Severity and Severity Risk Factors of Acne in High School Pupils : A Community-Based Study. J Invest Dermatol. 2009; 129: 2136–2141. Ref.: https://goo.gl/Dhqib4
Ismail N, Manaf Z, Azizan N. High glycemic load diet, milk and ice cream consumption are related to acne vulgaris in Malaysian young adults: a case control study. BMC Dermatol. 2012; 12: 13. Ref.: https://goo.gl/JQMDLZ
Carlsten C, Dimich-Ward H, Ferguson A, Watson W, Rousseau R, et al. Atopic dermatitis in a high-risk cohort: Natural history, associated allergic outcomes, and risk factors. Ann Allergy, Asthma Immunol. 2013; 110: 24–28. Ref.: https://goo.gl/idfbmx
Gupta MA, Gupta AK. Evaluation of cutaneous body image dissatisfaction in the dermatology patient. Clin Dermatol. 2013; 31: 72–79. Ref.: https://goo.gl/gt47an
Kokandi A. Evaluation of acne quality of life and clinical severity in acne female adults. Dermatol Res Pract. 2010; 2010: 410809. Ref.: https://goo.gl/aLiidA
Gupta A, Sharma YK, Dash KN, Chaudhari ND, Jethani S. Quality of life in acne vulgaris: Relationship to clinical severity and demographic data. Indian J Dermatology Venereol Leprol. 2016; 82: 292–297. Ref.: https://goo.gl/z74AZS
Schmitt JM, Ford DE. Role of Depression in Quality of Life for Patients with Psoriasis. Dermatology. 2007; 2015;17–27. Ref.: https://goo.gl/WFGByq
Holm JG, Agner T, Clausen M, Thomsen SF. Quality of life and disease severity in patients with atopic dermatitis. J Eur Acad Dermatology Venereol. 2016; 30: 1760-1767. Ref.: https://goo.gl/zEFvjX