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Assessing Psychosocial Burden in Psoriasis Patients Using the PRISM-RII Tool: A Comprehensive Evaluation.

Elif Afacan Yıldırım¹, Muhterem Polat², Yusuf Ezel Yıldırım³

¹Demiroglu Bilim University Faculty of Medicine, Department of Dermatology, Istanbul, Turkey.

Dermatology Practical & Conceptual

|March 21, 2025

Summary

The Pictorial Representation of Illness and Self Measure Revised II (PRISM-RII) tool effectively assesses the psychosocial burden and internalized stigma in psoriasis patients. This highlights the importance of integrating psychological assessments into routine psoriasis care.

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Area of Science:

Psychodermatology
Medical Psychology
Clinical Dermatology

Background:

Psoriasis is a chronic inflammatory disease impacting quality of life through visible lesions and stigma.
Psychological comorbidities are common in psoriasis patients, necessitating comprehensive assessment.

Purpose of the Study:

To evaluate the Pictorial Representation of Illness and Self Measure Revised II (PRISM-RII) tool's utility.
To assess the psychosocial burden and internalized stigma in psoriasis patients using PRISM-RII.

Main Methods:

A cross-sectional study involved 190 psoriasis patients.
Utilized PRISM-RII, Psoriasis Internalized Stigma Scale (PISS), HADS, DLQI, and PASI for data collection.

Main Results:

PRISM-RII parameters significantly correlated with quality of life, stigma, anxiety, and depression.
Increased disease severity (PASI) was linked to higher perceived illness burden (negative correlation with Self-Illness Separation).
Higher Illness Perception Measures (IPM) correlated with greater anxiety, depression, internalized stigma, and lower treatment satisfaction.

Conclusions:

PRISM-RII effectively measures the psychosocial burden and internalized stigmatization in psoriasis.
Routine use of PRISM-RII can improve patient-centered care by addressing psychological dimensions.
Emphasizes the need to manage both physical and psychological aspects of psoriasis.