Patients with psoriasis and their compliance with medication

H. L. Richards, D. G. Fortune, T. M. O'Sullivan, C. J. Main, C. E M Griffiths

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    Background: Poor compliance with treatment advice in chronic conditions, such as psoriasis, represents a major challenge to health care professionals. Previous research suggests that the rate of noncompliance in chronic conditions may be as high as 40%. Objective: This study was designed to examine self-reported compliance in patients with psoriasis. Methods: We undertook an anonymous postal survey sent to consecutive patients with psoriasis attending a tertiary psoriasis specialty clinic. Results: Thirty- nine percent of participants reported that they did not comply with the treatment regimen recommended. The noncompliant group had a higher self-rated severity of psoriasis (t = -2.16, P = .03), were younger (t = 3.28, P = .001), and had a younger age at onset (t = 2.35, P = .02) than those who were compliant. The noncompliant group reported that psoriasis had a greater impact on daily life (t = -2.23, P = .028), but general well-being was not significantly different from those who complied (t = .47, P = not significant). Conclusion: Patients who reported intentional noncompliance with treatment advice were more likely to believe that both psoriasis and its treatment interfered with their quality of life but not overall well-being. The impact of treatment on daily life highlights the importance of joint decision making in planning treatment.
    Original languageEnglish
    Pages (from-to)581-583
    Number of pages2
    JournalJournal of the American Academy of Dermatology
    Issue number4
    Publication statusPublished - 1999


    • Adolescent
    • Adult
    • Aged
    • Aged, 80 and over
    • Female
    • Humans
    • Male
    • Middle Aged
    • Patient Compliance
    • therapy: Psoriasis
    • Questionnaires
    • Research Support, Non-U.S. Gov't


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