Perception of the threat, mental health burden, and healthcare-seeking behavior change among psoriasis patients during the COVID-19 pandemic
This study aimed to investigate the perceived threat, mental health outcomes, behavior changes, and associated predictors among psoriasis patients during the COVID-19 pandemic. The COVID-19 has been known to increase the health risks of patients with psoriasis owing to patients' immune dysregul...
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| Veröffentlicht in: | PloS one 2021-12, Vol.16 (12), p.e0259852-e0259852 |
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| description | This study aimed to investigate the perceived threat, mental health outcomes, behavior changes, and associated predictors among psoriasis patients during the COVID-19 pandemic. The COVID-19 has been known to increase the health risks of patients with psoriasis owing to patients' immune dysregulation, comorbidities, and immunosuppressive drug use. A total of 423 psoriasis patients not infected with COVID-19 was recruited from the Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Chang Gung Memorial Hospital, and China Medical University Hospital from May 2020 to July 2020. A self-administered questionnaire was used to evaluate the perceived threat, mental health, and psychological impact on psoriasis patients using the Perceived COVID-19-Related Risk Scale score for Psoriasis (PCRSP), depression, anxiety, insomnia, and stress-associated symptoms (DAISS) scales, and Impact of Event Scale-Revised (IES-R), respectively. Over 94% of 423 patients with psoriasis perceived threat to be ≥ 1 due to COVID-19; 18% of the patients experienced psychological symptoms more frequently ≥ 1, and 22% perceived psychological impact during the pandemic to be ≥ 1. Multivariable linear regression showed that the higher psoriasis severity and comorbidities were significantly associated with higher PCRSP, DAISS, and IES-R scores. The requirement for a prolonged prescription and canceling or deferring clinic visits for psoriasis treatment among patients are the two most common healthcare-seeking behavior changes during the COVID-19 pandemic. Psoriasis patients who perceived a higher COVID-19 threat were more likely to require a prolonged prescription and have their clinic visits canceled or deferred. Surveillance of the psychological consequences in psoriasis patients due to COVID-19 must be implemented to avoid psychological consequences and inappropriate treatment delays or withdrawal. |
| doi_str_mv | 10.1371/journal.pone.0259852 |
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The COVID-19 has been known to increase the health risks of patients with psoriasis owing to patients' immune dysregulation, comorbidities, and immunosuppressive drug use. A total of 423 psoriasis patients not infected with COVID-19 was recruited from the Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Chang Gung Memorial Hospital, and China Medical University Hospital from May 2020 to July 2020. A self-administered questionnaire was used to evaluate the perceived threat, mental health, and psychological impact on psoriasis patients using the Perceived COVID-19-Related Risk Scale score for Psoriasis (PCRSP), depression, anxiety, insomnia, and stress-associated symptoms (DAISS) scales, and Impact of Event Scale-Revised (IES-R), respectively. Over 94% of 423 patients with psoriasis perceived threat to be ≥ 1 due to COVID-19; 18% of the patients experienced psychological symptoms more frequently ≥ 1, and 22% perceived psychological impact during the pandemic to be ≥ 1. Multivariable linear regression showed that the higher psoriasis severity and comorbidities were significantly associated with higher PCRSP, DAISS, and IES-R scores. The requirement for a prolonged prescription and canceling or deferring clinic visits for psoriasis treatment among patients are the two most common healthcare-seeking behavior changes during the COVID-19 pandemic. Psoriasis patients who perceived a higher COVID-19 threat were more likely to require a prolonged prescription and have their clinic visits canceled or deferred. Surveillance of the psychological consequences in psoriasis patients due to COVID-19 must be implemented to avoid psychological consequences and inappropriate treatment delays or withdrawal.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0259852</identifier><identifier>PMID: 34882690</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Behavior ; Biological products ; Biology and Life Sciences ; Care and treatment ; Chronic illnesses ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - virology ; Dermatology ; Disease ; Epidemics ; Female ; Health Behavior ; Health care ; Health risks ; Health services ; Hospitals ; Humans ; Immunosuppressive agents ; Infections ; Insomnia ; Male ; Medical research ; Medicine and Health Sciences ; Mental disorders ; Mental Health ; Middle Aged ; Mortality ; Pandemics ; Patients ; Perceptions ; Psoriasis ; Psoriasis - psychology ; Psoriatic arthritis ; Psychological aspects ; Psychology ; Public health ; Questionnaires ; Risk perception ; SARS-CoV-2 - isolation & purification ; Self Report ; Sleep disorders ; Social Sciences ; Software ; Statistical analysis ; Surveys and Questionnaires ; Taiwan ; Tumor necrosis factor-TNF ; Validity ; Viral infections ; Withdrawal</subject><ispartof>PloS one, 2021-12, Vol.16 (12), p.e0259852-e0259852</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Chiu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Chiu et al 2021 Chiu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-61797ec71298c608f805c83be51215ee31184b285c89eb199429b8b3b87ef37d3</citedby><cites>FETCH-LOGICAL-c692t-61797ec71298c608f805c83be51215ee31184b285c89eb199429b8b3b87ef37d3</cites><orcidid>0000-0003-0574-1839 ; 0000-0002-0493-9707</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8659332/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8659332/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34882690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kardeş, Sinan</contributor><creatorcontrib>Chiu, Hsien-Yi</creatorcontrib><creatorcontrib>Chang Liao, Nien-Feng</creatorcontrib><creatorcontrib>Lin, Jr, Yu</creatorcontrib><creatorcontrib>Huang, Yu-Huei</creatorcontrib><title>Perception of the threat, mental health burden, and healthcare-seeking behavior change among psoriasis patients during the COVID-19 pandemic</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This study aimed to investigate the perceived threat, mental health outcomes, behavior changes, and associated predictors among psoriasis patients during the COVID-19 pandemic. The COVID-19 has been known to increase the health risks of patients with psoriasis owing to patients' immune dysregulation, comorbidities, and immunosuppressive drug use. A total of 423 psoriasis patients not infected with COVID-19 was recruited from the Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Chang Gung Memorial Hospital, and China Medical University Hospital from May 2020 to July 2020. A self-administered questionnaire was used to evaluate the perceived threat, mental health, and psychological impact on psoriasis patients using the Perceived COVID-19-Related Risk Scale score for Psoriasis (PCRSP), depression, anxiety, insomnia, and stress-associated symptoms (DAISS) scales, and Impact of Event Scale-Revised (IES-R), respectively. Over 94% of 423 patients with psoriasis perceived threat to be ≥ 1 due to COVID-19; 18% of the patients experienced psychological symptoms more frequently ≥ 1, and 22% perceived psychological impact during the pandemic to be ≥ 1. Multivariable linear regression showed that the higher psoriasis severity and comorbidities were significantly associated with higher PCRSP, DAISS, and IES-R scores. The requirement for a prolonged prescription and canceling or deferring clinic visits for psoriasis treatment among patients are the two most common healthcare-seeking behavior changes during the COVID-19 pandemic. Psoriasis patients who perceived a higher COVID-19 threat were more likely to require a prolonged prescription and have their clinic visits canceled or deferred. 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epidemiology</topic><topic>COVID-19 - virology</topic><topic>Dermatology</topic><topic>Disease</topic><topic>Epidemics</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health care</topic><topic>Health risks</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Immunosuppressive agents</topic><topic>Infections</topic><topic>Insomnia</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Psoriasis</topic><topic>Psoriasis - psychology</topic><topic>Psoriatic arthritis</topic><topic>Psychological aspects</topic><topic>Psychology</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Risk perception</topic><topic>SARS-CoV-2 - isolation & purification</topic><topic>Self Report</topic><topic>Sleep disorders</topic><topic>Social Sciences</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan</topic><topic>Tumor necrosis factor-TNF</topic><topic>Validity</topic><topic>Viral infections</topic><topic>Withdrawal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Hsien-Yi</creatorcontrib><creatorcontrib>Chang Liao, Nien-Feng</creatorcontrib><creatorcontrib>Lin, Jr, Yu</creatorcontrib><creatorcontrib>Huang, Yu-Huei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Hsien-Yi</au><au>Chang Liao, Nien-Feng</au><au>Lin, Jr, Yu</au><au>Huang, Yu-Huei</au><au>Kardeş, Sinan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perception of the threat, mental health burden, and healthcare-seeking behavior change among psoriasis patients during the COVID-19 pandemic</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-12-09</date><risdate>2021</risdate><volume>16</volume><issue>12</issue><spage>e0259852</spage><epage>e0259852</epage><pages>e0259852-e0259852</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study aimed to investigate the perceived threat, mental health outcomes, behavior changes, and associated predictors among psoriasis patients during the COVID-19 pandemic. The COVID-19 has been known to increase the health risks of patients with psoriasis owing to patients' immune dysregulation, comorbidities, and immunosuppressive drug use. A total of 423 psoriasis patients not infected with COVID-19 was recruited from the Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Chang Gung Memorial Hospital, and China Medical University Hospital from May 2020 to July 2020. A self-administered questionnaire was used to evaluate the perceived threat, mental health, and psychological impact on psoriasis patients using the Perceived COVID-19-Related Risk Scale score for Psoriasis (PCRSP), depression, anxiety, insomnia, and stress-associated symptoms (DAISS) scales, and Impact of Event Scale-Revised (IES-R), respectively. Over 94% of 423 patients with psoriasis perceived threat to be ≥ 1 due to COVID-19; 18% of the patients experienced psychological symptoms more frequently ≥ 1, and 22% perceived psychological impact during the pandemic to be ≥ 1. Multivariable linear regression showed that the higher psoriasis severity and comorbidities were significantly associated with higher PCRSP, DAISS, and IES-R scores. The requirement for a prolonged prescription and canceling or deferring clinic visits for psoriasis treatment among patients are the two most common healthcare-seeking behavior changes during the COVID-19 pandemic. Psoriasis patients who perceived a higher COVID-19 threat were more likely to require a prolonged prescription and have their clinic visits canceled or deferred. Surveillance of the psychological consequences in psoriasis patients due to COVID-19 must be implemented to avoid psychological consequences and inappropriate treatment delays or withdrawal.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34882690</pmid><doi>10.1371/journal.pone.0259852</doi><tpages>e0259852</tpages><orcidid>https://orcid.org/0000-0003-0574-1839</orcidid><orcidid>https://orcid.org/0000-0002-0493-9707</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Behavior Biological products Biology and Life Sciences Care and treatment Chronic illnesses Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - virology Dermatology Disease Epidemics Female Health Behavior Health care Health risks Health services Hospitals Humans Immunosuppressive agents Infections Insomnia Male Medical research Medicine and Health Sciences Mental disorders Mental Health Middle Aged Mortality Pandemics Patients Perceptions Psoriasis Psoriasis - psychology Psoriatic arthritis Psychological aspects Psychology Public health Questionnaires Risk perception SARS-CoV-2 - isolation & purification Self Report Sleep disorders Social Sciences Software Statistical analysis Surveys and Questionnaires Taiwan Tumor necrosis factor-TNF Validity Viral infections Withdrawal |
| title | Perception of the threat, mental health burden, and healthcare-seeking behavior change among psoriasis patients during the COVID-19 pandemic |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T18%3A09%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perception%20of%20the%20threat,%20mental%20health%20burden,%20and%20healthcare-seeking%20behavior%20change%20among%20psoriasis%20patients%20during%20the%20COVID-19%20pandemic&rft.jtitle=PloS%20one&rft.au=Chiu,%20Hsien-Yi&rft.date=2021-12-09&rft.volume=16&rft.issue=12&rft.spage=e0259852&rft.epage=e0259852&rft.pages=e0259852-e0259852&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0259852&rft_dat=%3Cgale_plos_%3EA686069964%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2608443242&rft_id=info:pmid/34882690&rft_galeid=A686069964&rft_doaj_id=oai_doaj_org_article_02e635585fe0427ea9bdf03d45d033ab&rfr_iscdi=true |