Patients with psoriasis and their compliance with medication.

Abstract:

BACKGROUND:Poor compliance with treatment advice in chronic conditions, such as psoriasis, represents a major challenge to health care professionals. Previous research suggests that the rate of noncompliance in chronic conditions may be as high as 40%. OBJECTIVE:This study was designed to examine self-reported compliance in patients with psoriasis. METHODS:We undertook an anonymous postal survey sent to consecutive patients with psoriasis attending a tertiary psoriasis specialty clinic. RESULTS:Thirty-nine percent of participants reported that they did not comply with the treatment regimen recommended. The noncompliant group had a higher self-rated severity of psoriasis (t = -2.16, P =. 03), were younger (t = 3.28, P =.001), and had a younger age at onset (t = 2.35, P =.02) than those who were compliant. The noncompliant group reported that psoriasis had a greater impact on daily life (t = -2.23, P =.028), but general well-being was not significantly different from those who complied (t =.47, P = not significant). CONCLUSION:Patients who reported intentional noncompliance with treatment advice were more likely to believe that both psoriasis and its treatment interfered with their quality of life but not overall well-being. The impact of treatment on daily life highlights the importance of joint decision making in planning treatment.

journal_name

J Am Acad Dermatol

authors

Richards HL,Fortune DG,O'Sullivan TM,Main CJ,Griffiths CE

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

581-3

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(99)80057-7

journal_volume

41

pub_type

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