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Psoriasis can cause psychological and social burdens for patients, their families, and their caregivers.1 This burden can be especially felt by spouses, who are often the primary caregiver and may face unique challenges in supporting the patient.1
Here, we summarize a qualitative study by Wu et al.1 published in the Journal of Multidisciplinary Healthcare on the burden faced by and coping strategies of spouses of individuals with psoriasis.
A total of 15 participants were recruited from the Department of Dermatology at Shanghai Skin Disease Hospital between November 2022 and March 2023.
Patients were eligible for inclusion if they were married to an individual with psoriasis and lived with them.
Data were collected through patient interviews, which collected sociodemographic information, and data on coping strategies (Figure 1).
Figure 1. How data was collected*
FDLQI, Family Dermatology Life Quality Index; HADS, Hospital Anxiety and Depression Scale.
*Data from Wu, et al.1
Participants had an average age of 50.2 years, and the majority were female (66.67%).
The mean Family Dermatology Life Quality Index (FDLQI) was 18.4. 60% and 66.67% of patients scored higher than 7 on the anxiety and depression subscales of the Hospital Anxiety and Depression Scale (HADS) respectively.
The study identified 3 main themes:
overwhelming disease burden;
lack of support system; and
coping strategies.
Participants were interviewed and gave comments on disease burden (Figure 2) and their coping strategies.
Coping strategies included active or passive acceptance of the situation, avoiding disease-related problems, proactively acquiring disease knowledge, actively confronting the disease, and altering behavioral habits.
Figure 1. Participant opinions on disease burden*
*Adapted from Wu, et al.1
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