Dermatol. praxi. 2011;5(4):206-210
Quality of life in patients is becoming one of the aims of dermatological treatment and at the same time serves as a criterion of a treatment’s
efficiency. Quality of life is a multi-layer, dynamic – and most importantly – a subjective concept, including both general quality
of life (QoL) and health related quality of life (HRQoL). HRQoL indicates how a disease and its treatment influence the level of satisfaction
in various areas of a patient’s life. Since deteriorating HRQoL can retrospectively aggravate the patient’s mental state and his/her
skin disorders, interdisciplinary cooperation between a dermatologist and a clinical psychologist or psychiatrist is often desirable. The
creation of specific personality or psychopathological structures by individual dermatoses has not been proved and thus no specific
level or type of the quality of life has been detected. The level of HRQoL does not in all probability depend on the type of skin disease,
but rather on its seriousness, forms of treatment, psychological and social consequences, ego defensiveness mechanisms and on the
patient’s frustration tolerance. To determine the level of HRQoL in individual skin diseases, standardized special questionnaires can be
used. They are essential in research, but in clinical practice their results should be verified by a clinical interview, which may in itself be
sufficient in many cases.
Published: December 15, 2011 Show citation