IMPACT OF PSYCHOLOGICAL TREATMENT (INFORMATIONAL CARE AND SUPPORTIVE COUNSELLING) ON PATIENT OUTCOMES IN PSORIASIS: A RANDOMIZED CONTROLLED TRIAL
Main Article Content
Keywords
Psoriasis, Informational care, Supportive Counselling, Quality of Life, Treatment Adherence, PASI, DLQI
Abstract
Psoriasis is a chronic, immune-mediated dermatologic condition, globally affecting 0.6% to 4.8%. Up to 40% of psychiatric patients are non-compliant due to stigma and distress.
Objective: This study was carried out to determine the effect of informational care and supportive counselling on treatment outcomes in psoriatic patients in relation to disease severity, quality of life, and drug adherence.
Methods: A parallel-group randomized controlled trial was conducted with a 1:1 allocation ratio. A total of 104 psoriasis patients aged 18–65 was randomly selected from Sohail Trust Hospital and Medicare Hospital using a computer-generated random number table. Allocation concealment was maintained using sealed opaque envelopes. The intervention group received structured educational sessions and personalized supportive counselling. The control group received standard dermatologic care. PASI, DLQI, and a medication adherence questionnaire were used to assess outcomes. Statistical analysis included independent and paired t-tests and repeated measures ANOVA.
Results: Significant improvements were observed in the intervention group: PASI scores decreased from 18.31 to 9.6, DLQI from 12.48 to 6.90, and medication adherence scores from 5.85 to 4.60. No adverse events were reported.
Conclusion: Informational care and supportive counselling significantly improved clinical outcomes, quality of life, and treatment adherence in psoriasis patients. These findings support incorporating psychosocial support into routine dermatologic management.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Aneel Kumar
Associate professor Department of Psychiatry, Medicine and Allied, Jinnah Medical and Dental College / Sohail Trust Hospital and Medicare Hospital, Karachi Pakistan.
Farina
Senior registrar Dermatology, Medicine and Allied, Jinnah Medical and Dental College / Sohail Trust Hospital and Medicare Hospital, Karachi Pakistan
Suhaira Hafeez Syed
Medical Student, Jinnah Medical and Dental College Karachi Pakistan.
Bushra Mustafa
Medical Student, Jinnah Medical and Dental College Karachi Pakistan.
Nabiya Tanvir
Medical Student, Jinnah Medical and Dental College Karachi Pakistan.
Mahin Saif
Medical Student, Jinnah Medical and Dental College Karachi Pakistan.
