https://doi.org/10.4081/ripppo.2021.486
The indirect effect of a focus group for psoriatic patients on their caregivers
Submitted: August 1, 2020
Accepted: December 29, 2020
Published: March 30, 2021
Accepted: December 29, 2020
Abstract Views: 12551
PDF: 429
HTML: 21
HTML: 21
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Psoriasis is a chronic skin disease involving not only epidermic damages but also psychological distress for patients and their family caregivers. Little is known about the effects of a psychological support for psoriatic patients on their caregivers’ well-being. The goal of the present study was to investigate the indirect effects of the participation in a dynamic focus group reserved for psoriatic patients on their caregivers in terms of quality of life. The study involved 52 psoriatic patients and 41 family caregivers. Patients’ wellbeing was assessed using the dermatology quality of life index, hospital anxiety and depression scale. The impact of the disease on caregivers was assessed using the family dermatology life quality index (FDLQI). Data were analyzed with linear mixed models. The caregivers of psoriatic patients involved in the psychodynamic focus group reported levels of FDLQI that decreased over time, therefore showing an improvement in their quality of life in relation to the pathology of their relatives; the caregivers of patients who did not participate in the psychodynamic focus group, instead, had levels of FDLQI that were stable over time. The results provide preliminary evidence that the group setting of the Psychodynamic Focus Group may alleviate the negative impact of psychosomatic disease on the caregivers.
Anzieu, D. (1993). L’Io-pelle familiare e gruppale. Interazioni, 7, 9-17.
Ak, M., Haciomeroglu, B., Turan, Y., Lapsekili, N., Doruk, A., Bozkurt, A., & Akar, A. (2012). Temperament and character properties of male psoriasis patients. Journal of Health Psychology, 17(5), 774-781.
DOI: https://doi.org/10.1177/1359105311423863
Baranzoni, N., Scalone, L., Mantovani, LG., De Portu, S., Monzini, MS., & Giannetti, A. (2007). Validazione della versione Italiana dell’Indice Dermatologico della Qualità di Vita. Giornale Italiano di Dermatologia e Venereologia, 142(3), 209-214.
Basra, M. K., Fenech, R., Gatt, R. M., Salek, M. S., & Finlay, A. Y. (2008). The dermatology life quality index: a comprehensive review of validation data and clinical results. British Journal of Dermatology, 159(5), 997-1035. https://doi.org/10.1111/j.1365-2133.2008.08832.x
DOI: https://doi.org/10.1111/j.1365-2133.2008.08832.x
Basra, M. K., & Finlay, A.Y. (2007). The family impact of skin diseases: the greater patient concept. British Journal of Dermatology, 156(5), 929-937.
DOI: https://doi.org/10.1111/j.1365-2133.2007.07794.x
Bundy, C., Pinder, B., Bucci, S., Reeves, D., Griffiths, CE., & Tarrier, N. (2013). A novel, web-based, psychological intervention for people with psoriasis: the electronic Targeted Intervention for Psoriasis (eTIPs) study. British Journal of Dermatology, 169, 329-336.
DOI: https://doi.org/10.1111/bjd.12350
Chamoun, A., Goudetsidis, L., Poot, F., Bourdeaud’hui, F., & Titeca, G. (2015). Psoriasis and depression. Revue Medicale de Bruxelles, 36(1), 23-28.
Connor, CJ., Liu, V., & Fiedorowicz, JG. (2015). Exploring the physiological link between psoriasis and mood disorders. Dermatology Research Practice, 15, 1-12.
DOI: https://doi.org/10.1155/2015/409637
Costantini, M., Musso, M., Viterbori, P. , Bonci, F., Del Mastro, L., Garrone, O., Venturini, M. & Morasso, G. (1999). Detecting psychological distress in cancer patients: validity of the Italian version of the hospital anxiety and depression scale. Support Care Cancer, 7(3), 121-127.
DOI: https://doi.org/10.1007/s005200050241
Del-Pino-Casado, R., Frías-Osuna, A., Palomino-Moral, P. A., Ruzafa-Martínez, M., & Ramos-Morcillo, A. J. (2018). Social support and subjective burden in caregivers of adults and older adults: a meta-analysis. PLoS One, 13(1): e0189874.
Eghlileb, A. M., Davies, E. E., & Finlay, A. Y. (2007). Psoriasis has a major secondary impact on the lives of family members and partners. British Journal of Dermatology, 156(6), 1245-1250.
DOI: https://doi.org/10.1111/j.1365-2133.2007.07881.x
Fabbrini, G., Abbruzzese, G., Barone, P., Antonini, A., Tinazzi, M., Castegnaro, G., Rizzoli, S., Morisky, D. E., Lessi, P.,& Ceravolo, R. (2013). Adherence to anti-Parkinson drug therapy in the ‘‘REASON’’ sample of Italian patients with Parkinson’s disease: the linguistic validation of the Italian version of the ‘Morisky Medical Adherence scale-8 items’; On behalf of the REASON study group. Neurology Science, 34, 2015-2022.
DOI: https://doi.org/10.1007/s10072-013-1438-1
Feldman, S. R., Fleischer, A. B., Reboussin, D. M., Rapp, S. R., Exum, M. L., Clark, A. R., & Nurre, L. (1996). The self-administered psoriasis area and severity index is valid and reliable. Journal of Investigation in Dermatology, 106, 83-86.
DOI: https://doi.org/10.1111/1523-1747.ep12329912
Finlay, A.Y., & Khan, G.K. (1994). Dermatology life quality index (DLQI)--a simple practical measure for routine clinical use. Clinical and Experimental Dermatology 19 (3), 210-216.
DOI: https://doi.org/10.1111/j.1365-2230.1994.tb01167.x
Fortune, D., Richards, H. L., Main, C. J., & Griffiths, C. E. (2000). Pathological worrying, illness perceptions and disease severity in patients with psoriasis. British Journal of Health Psychology, 5(1), 71-82.
DOI: https://doi.org/10.1348/135910700168775
Goldberg, A. R., & Rickler, S. R. (2011). The role of family caregiver for people with chronic illness. Medicine and Health (Rhode Island), 94(2), 41-42.
Grapsa, E., Pantelias, K., Ntenta, E., Pipili, C., Kiousi, E., Samartzi, M., Karagiannis, S., & Heras. P. (2014). Caregivers’ experience in patients with chronic diseases. Social Work in Health Care, 53(7), 670-678.
DOI: https://doi.org/10.1080/00981389.2014.925998
Haley, J., & Hoffman, L. (1967). Techniques of family therapy. New York, NY: Basic Books.
Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., Cropley, T. G., Hosmer, D., & Bernhard, J. D. (1998). Influence of a mindfulness meditation based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemotherapy (PUVA). Psychosomatic Medicine, 60, 625-632.
DOI: https://doi.org/10.1097/00006842-199809000-00020
Kreft, S., Kreft, M., Resman, A., Marko, P., & Kreft, K. Z. (2006). Computer-aided measurement of psoriatic lesion area in a multicenter clinical trial--comparison to physician’s estimations. Journal of Dermatological Sciences, 44, 21-27.
DOI: https://doi.org/10.1016/j.jdermsci.2006.05.006
Kross, E. K. (2015). The importance of caregivers outcomes after critical illness. Critial Care Medicine, 43 (5), 1149-1150.
DOI: https://doi.org/10.1097/CCM.0000000000000910
Lin V. W. (2012). Tough-skinned kids: identifying psychosocial effects of psoriasis and helping pediatric patients and families cope. Journal of Pediatric Nursing, 27(5), 563-572.
DOI: https://doi.org/10.1016/j.pedn.2011.10.003
Mackenzie, K. R. (1995). Effective use of group therapy in managed care. Washington, DC: American Psychiatric Press.
Manolache, L., Petrescu- Seceleanu, D. & Benea, A. (2010). Life events involvement in psoriasis onset/recurrence. International Journal of Dermatology, 49, 636-641.
DOI: https://doi.org/10.1111/j.1365-4632.2009.04367.x
Martín-Brufau, R., Romero-Brufau, S., Martín-Gorgojo, A., Brufau Redondo, C., Corbalan, J., & Ulnik, J. (2015). Psoriasis lesions are associated with specific types of emotions. Emotional profile in psoriasis. European Journal of Dermatology, 25, 329-34.
DOI: https://doi.org/10.1684/ejd.2015.2577
Michalek I. M., Loring, B., & John, S. M. (2017). A systematic review of worldwide epidemiology of psoriasis. Journal of the European Academy of Dermatology and Venereology, 31 (2), 205-212.
DOI: https://doi.org/10.1111/jdv.13854
Molina-Leyva, A., Caparros-delMoral, I., Ruiz-Carrascosa, J. C., Naranjo-Sintes, R., & Jimenez-Moleon, J. J. (2015). Elevated prevalence of Type D (distressed) personality in moderate to severe psoriasis is associated with mood status and quality of life impairment: a comparative pilot study. Journal of the European Academy of Dermatology and Venereology, 29, 1710-1717.
DOI: https://doi.org/10.1111/jdv.12960
Morisky, D. E., Green, L. W., & Levine, D. M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care, 67-74.
DOI: https://doi.org/10.1097/00005650-198601000-00007
Nestle, F. O., Kaplan, D. H., & Barker, J. (2009). Psoriasis. New England Journal of Medicine, 36, 1496-1509.
DOI: https://doi.org/10.1056/NEJMra0804595
Petraškienė, R., Valiukevičienė, S., & Macijauskienė, J. (2016). Associations of the quality of life and psychoemotional state with sociodemographic factors in patients with psoriasis. Medicina (Kaunas), 52(4), 238-243.
DOI: https://doi.org/10.1016/j.medici.2016.07.001
Remröd, C., Sjöström, K., & Svensson, Å. (2015). Subjective stress reactivity in psoriasis- a cross sectional study of associated psychological traits. Dermatology, 15(2), 6.
Richards, H. L., Chong, S. L. P., Mason, D. L., & Griffiths, C. E. (2002). The impact of psoriasis on healthy partners of patients with psoriasis. British Journal of Psoriasis, 147(62), 40 (Abstr).
Salman, A., Yucelten, A. D., Sarac, E., Saricam, M. H., & Perdahli-Fis, N. (2018). Impact of psoriasis in the quality of life of children, adolescents and their families: a cross-sectional study. Brasilian Dermatology, 93(6), 819-823.
DOI: https://doi.org/10.1590/abd1806-4841.20186981
Sampogna, F., Tabolli, S., Di Pietro, C., Castiglia, D., Zambruno, G., Abeni, D. (2013). The evaluation of family impact of recessive dystrophic epidermolysis bullosa using the italian version of the family dermatology life quality index. Journal of the European Academy of Dermatology and Venerology, 27(9), 1, 151-155.
DOI: https://doi.org/10.1111/j.1468-3083.2012.04682.x
Schwartz, J., Evers, A. W. M., Bundy, C., Kimball, A. B. (2016). Getting under the skin: report from the International Psoriasis Council Workshop on the role of stress in psoriasis. Frontiers in Psychology, 7, 87.
DOI: https://doi.org/10.3389/fpsyg.2016.00087
Sobell, J. M., Foley, P., Toth, D., Mrowietz, U., Girolomoni, G., Goncalves, J., Day, R. M., Chen R., & Yosipovitch, G. (2016), Effects of apremilast on pruritus and skin discomfort/pain correlate with improvements in quality of life in patients with moderate to severe plaque psoriasis. Acta Dermato-Venereologica, 96(4), 514-520.
DOI: https://doi.org/10.2340/00015555-2360
Tadros, A., Vergou, T., Stratigos, A. J., Tzavara, C., Hletsos, M., Katsambas, A., & Antoniou, C. (2011). Psoriasis: is it the tip of the iceberg for the quality of life of patients and their families?. Journal of the European Academy of Dermatology and Venereology, 25 (11), 1282-1287.
DOI: https://doi.org/10.1111/j.1468-3083.2010.03965.x
Yalom, I., & Leszcz, M. (2005). The Theory and Practice of Group Psychotherapy (5th ed.). New York, NY: Basic Books.
Zeng, J., Luo, S., Huang, Y., & Lu Q. (2017). Critical role of environmental factors in the pathogenesis of psoriasis. Journal of Dermatology, 44(8), 863-872.
DOI: https://doi.org/10.1111/1346-8138.13806
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
DOI: https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
How to Cite
Demma, A., Suitner, C. ., Ferruzza, E. ., Nicolini, C., & Donini, M. (2021). The indirect effect of a focus group for psoriatic patients on their caregivers. Research in Psychotherapy: Psychopathology, Process and Outcome, 24(1). https://doi.org/10.4081/ripppo.2021.486
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Gabriel Gònzalez, Vanetza E. Quezada, A brief cognitive-behavioral intervention for stress, anxiety and depressive symptoms in dental students , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 19 No. 1 (2016): Special issue on Qualitative and Quantitative Research in Child and Adolescent Psychotherapy: part 2
- Rolf Sandell, Rating the outcomes of psychotherapy or psychoanalysis using the Change After Psychotherapy (CHAP) scales. Manual and commentary , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 18 No. 2 (2015): Special issue on Qualitative and Quantitative Research in Child and Adolescent Psychotherapy: part 1
- Vera Regina Rohnelt Ramires, Cibele Carvalho, Fernanda Munhoz Driemeier Schmidt, Guilherme Pacheco Fiorini, Geoff Goodman, Interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s disorder: a single-case study , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 18 No. 2 (2015): Special issue on Qualitative and Quantitative Research in Child and Adolescent Psychotherapy: part 1
- Mariagrazia Di Giuseppe, Tracy A. Prout, Lauren Ammar, Thomas Kui, Ciro Conversano, Assessing children’s defense mechanisms with the Defense Mechanisms Rating Scales Q-sort for Children , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 24 No. 3 (2021)
- Viktoria Heine, Fritz Schultze, Michael Koehler, Joerg Frommer, From Life-Threatening Experiences to Ideas of Rescue: Coping with “Trajectories of Suffering†in Adult Acute Leukaemia Survivors , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 15 No. 2 (2012)
- Alexander Kriss, Howard Steele, Miriam Steele, Measuring Attachment and Reflective Functioning in Early Adolescence:An Introduction to the Friends and Family Interview , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 15 No. 2 (2012)
- Mario Fulcheri, Danilo Carrozzino, The clinical consequence of positive mental health in psychotherapy , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 20 No. 2 (2017)
- Helena Carvalho, Gil Nata, Paula Mena Matos, How secure is the secure base? Romantic attachment, emotion regulation, and psychotherapists’ role as secure base figures , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 27 No. 1 (2024)
- Sara Salzano, Isa Zappullo, Vincenzo Paolo Senese, Massimiliano Conson, Carmela Finelli, Mario Mikulincer, Phillip R. Shaver, Validation and psychometric properties of the Italian version of the Power Behavioural System Scale , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 26 No. 1 (2023)
- Irene Messina, Vincenzo Calvo, Alessandro Grecucci, Attachment orientations and emotion regulation: new insights from the study of interpersonal emotion regulation strategies , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 26 No. 3 (2023)
<< < 10 11 12 13 14 15 16 17 18 19 > >>
You may also start an advanced similarity search for this article.
