Document Detail

The Impact of Chronic Skin Disease on Daily Life (ISDL): a generic and dermatology-specific health instrument.
MedLine Citation:
PMID:  17999699     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Journal Article; Validation Studies     Date:  2007-11-10
Journal Detail:
Title:  The British journal of dermatology     Volume:  158     ISSN:  0007-0963     ISO Abbreviation:  Br. J. Dermatol.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-14     Completed Date:  2008-04-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0004041     Medline TA:  Br J Dermatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  101-8     Citation Subset:  IM    
Departments of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
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MeSH Terms
Activities of Daily Living
Aged, 80 and over
Chronic Disease
Fatigue / etiology
Health Status Indicators*
Middle Aged
Pain / etiology
Pruritus / etiology
Quality of Life*
Reproducibility of Results
Skin Diseases / complications,  psychology,  rehabilitation*

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