Login to MyKarger

New to MyKarger? Click here to sign up.

Login with Facebook

Forgot Password? Reset your password

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login (Shibboleth)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Journal Mobile Options
Table of Contents
Vol. 5, No. 4, 2004
Issue release date: December 2004
Section title: Original Article · Originalarbeit
Dermatol Psychosom 2004;5:178-183
(DOI:10.1159/000083095)

Illness Severity and Coping in Psoriasis Patients: A 1-Year Follow-up

Schmid-Ott G.a · Hofste N.a · Niederauer H.-H.b · Lamprecht F.a · Künsebeck H.-W.a
aDepartment of Psychosomatic Medicine, Hannover Medical School, bDepartment of Dermatology, Bad Bentheim Hospital, Germany

Do you have an account?

Login Information





Contact Information










I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information










I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

For eJournal Archive and eJournal Backfiles information please contact service@karger.com

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Original Article · Originalarbeit

Published online: December 28, 2004
Issue release date: December 2004

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 1422-9196 (Print)
eISSN: 1424-0564 (Online)

For additional information: http://www.karger.com/DPS

Abstract

Objective: The aim of this longitudinal study is to compare different dimensions of coping in psoriasis patients dependent on the development of the severity of this chronic skin disease. For this purpose we examined the patients’ coping and their skin state in a 1-year follow-up. Methods: We assessed the severity of psoriasis with the Psoriasis Area and Severity Index (PASI) and the Self-Administered PASI (SPASI), and coping with the ‘Trier Coping with Illness Scales’ in 262 inpatients. The severity of psoriasis estimated with the (S)PASI was defined as ‘mild’ ([S]PASI 0.0 - 5.0), ‘moderate’ ([S]PASI > 5.0 - 12.0), or ‘severe’ ([S]PASI > 12.0). We divided the sample into five patient groups based on the somatic course of the (S)PASI in the 1-year follow-up: ‘improved’, ‘equally mild’, ‘equally moderate’, ‘equally severe’, and ‘worse’. Results: Psoriasis patients of the ‘improved’ and ‘equally mild’ groups showed a significant increase on the scale ‘Search for Social Integration’ (p = 0.041 and p = 0.005) and a significant decrease in the dimensions ‘Threat Minimization’ (p = 0.040 and p = 0.022) and ‘Search for Information and Exchange of Experiences’ (p = 0.003 each) in the follow-up. However, significantly higher values in the dimensions ‘Rumination’ (p = 0.029) and ‘Search for Support in Religion’ (p = 0.001) in the follow- up were revealed for the patients of the ‘worse’ group. Conclusion: The analysis firstly shows a clear empirically-based challenge in which areas patients with ‘equally severe’ or ‘worse’ psoriasis should be supported, i.e. the fields ‘Search for Social Integration’, ‘Threat Minimization’, and ‘Search for Information and Exchange of Experiences’. In addition, results suggest that special psychological or psychotherapeutic efforts are necessary to help this group to develop an alternative behavior to the depression-associated ‘rumination’.


Article / Publication Details

First-Page Preview
Abstract of Original Article · Originalarbeit

Published online: December 28, 2004
Issue release date: December 2004

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 1422-9196 (Print)
eISSN: 1424-0564 (Online)

For additional information: http://www.karger.com/DPS


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.