Association of Touch Avoidance with Disease Severity and Quality of Life in Psoriasis Patients

Author:

Armstrong April W.1,Cather Jennifer C.2,Paul Carle F.3,Edson-Heredia Emily4,Zhu Baojin4,Hollister Kristin4,Koo John5,Levin Ethan5,Bleakman Alison Potts4

Affiliation:

1. Keck School of Medicine at USC, University of Southern California, Los Angeles, California

2. Modern Dermatology, Dallas, Texas

3. Dermatology, Paul Sabatier University, Toulouse, France

4. Eli Lilly and Company, Indianapolis, Indiana

5. University of California San Francisco School of Medicine, San Francisco, California

Abstract

Background and Objective Previous large studies have highlighted the impact of psoriasis on health-related quality of life (HRQoL) but not on interpersonal touch. This survey assessed the prevalence of touch avoidance among psoriasis patients, and its relationship to clinical characteristics and HRQoL. Methods Using an online, cross-sectional study with a standardized questionnaire, psoriasis patients reported their level of touch avoidance. The relationships between touch avoidance, patient-reported outcome measures, and patient demographics were analyzed using linear models for continuous outcomes and logistic models for categorical outcomes. Results Touch avoidance was reported by 48.2% of participants. Higher levels of touch avoidance were associated with worse HRQoL, depression, and itch outcomes (p<.001 for all). The strongest indicators of touch avoidance were HRQoL score (p<.001) and depression score (p<.001). Conclusion Nearly half of psoriasis patients report avoidance of touch. Those who had worse disease severity, HRQoL, and depression reported higher levels of touch avoidance.

Publisher

SAGE Publications

Subject

Dermatology,Rheumatology

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