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Well-Being in Psoriasis: Weighting its Components Using Best-worst Scaling Methodology
Esteban Daudén1, Isabel Belinchón2, Elena Colominas-González3
1Department of Dermatology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria de La Princesa (IIS-IP), Diego de León, 62, 28006, Madrid, Spain. estebandauden@gmail.com.
Dermatology and Therapy
|July 18, 2025
Summary
Patients and healthcare professionals differ on key well-being factors for psoriasis. Pain and stress are paramount for patients, while mood disorders and pain are crucial for HCPs, impacting psoriasis care strategies.
Area of Science:
- Dermatology
- Psychology
- Health Services Research
Background:
- The Inpsight Project (2021) defined well-being in psoriasis patients holistically.
- Well-being encompasses emotional balance, health, disease control, social relations, and care satisfaction.
- The relative importance of these well-being components requires further elucidation.
Purpose of the Study:
- To determine the relative weight of well-being components for psoriasis patients in Spain.
- To compare patient and healthcare professional (HCP) perspectives on well-being priorities.
Main Methods:
- Observational, descriptive, cross-sectional study in Spain.
- Best-Worst Scaling (BWS) methodology employed.
- Two questionnaires for patients (33 items) and HCPs (18 items) assessing 20 well-being components.
Main Results:
- Patients prioritized pain (100.00), stress (98.74), treatment satisfaction (92.21), itching (72.05), and functional lesions (69.09).
- HCPs prioritized mood disorders (100.00), pain (69.39), functional lesions (49.34), self-esteem (49.24), and stigmatization (45.22).
Conclusions:
- Significant discrepancies exist between patient and HCP perceptions of well-being components in psoriasis.
- Understanding these differing perspectives is vital for optimizing psoriasis patient care.
- Further research should explore the cumulative impact of psoriasis on patient well-being.
