| The Impact of Chronic Skin Disease on Daily Life (ISDL): a generic and dermatology-specific health instrument. | |
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MedLine Citation:
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PMID: 17999699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In dermatological research and clinical practice, there is a need for comprehensive self-report instruments that assess a broad spectrum of health implications of chronic skin diseases, including generic and skin-specific aspects of disease-related quality of life. The advantages of dermatology-specific, multidimensional instruments over generic instruments or single-dimensional quality-of-life measures are in the detailed and specific information they provide about health areas that are affected by the skin condition and that may change through therapeutic intervention. OBJECTIVES: The development of a multidimensional health status inventory for chronic skin diseases (Impact of Chronic Skin Disease on Daily Life, ISDL) is described. The dermatology-specific part of the inventory assesses dimensions of physical functioning, more specifically skin status, physical symptoms of itch, pain and fatigue and scratching responses as well as disease-related stressors like stigmatization. The generic part gauges dimensions of psychological functioning, disease-related impact, illness cognitions and social support by means of existing scales validated for other chronic diseases. METHODS: Reliability and validity of the questionnaire were studied in various samples of patients with psoriasis and atopic dermatitis. RESULTS: The ISDL showed high reliability and test-retest reliability in both patient groups. Convergent validity was indicated by moderate to strong correlations with other validated questionnaires. The scales proved sensitive to change both for dermatological ultraviolet B radiation therapy and cognitive behavioural treatment for itching. CONCLUSION: With its convincing results for reliability and validity the present evaluation supports the usefulness and applicability of the instrument for different chronic skin diseases. |
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Authors:
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A W M Evers; P Duller; P C M van de Kerkhof; P G M van der Valk; E M G J de Jong; M J P Gerritsen; E Otero; E W M Verhoeven; C M Verhaak; F W Kraaimaat |
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Publication Detail:
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Type: Journal Article; Validation Studies Date: 2007-11-10 |
Journal Detail:
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Title: The British journal of dermatology Volume: 158 ISSN: 0007-0963 ISO Abbreviation: Br. J. Dermatol. Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2007-12-14 Completed Date: 2008-04-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0004041 Medline TA: Br J Dermatol Country: England |
Other Details:
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Languages: eng Pagination: 101-8 Citation Subset: IM |
Affiliation:
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Departments of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. a.evers@mps.umcn.nl |
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adolescent Adult Aged Aged, 80 and over Chronic Disease Fatigue / etiology Female Health Status Indicators* Humans Male Middle Aged Pain / etiology Pruritus / etiology Quality of Life* Reproducibility of Results Skin Diseases / complications, psychology, rehabilitation* |
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