Psoriasis in childhood: effective strategies to improve treatment adherence

Kara N Shah,1 Sandra Cortina,2,3 Michelle M Ernst,2 Jessica C Kichler2 1Division of Pediatric Dermatology, 2Division of Behavioral Medicine and Clinical Psychology, 3Center for Adherence and Self-Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA Abstract: Psori...

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Autores principales:	Shah KN, Cortina S, Ernst MM, Kichler JC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/c16ae87e671742cb80844b735292313f
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spelling	oai:doaj.org-article:c16ae87e671742cb80844b735292313f2021-12-02T05:31:12ZPsoriasis in childhood: effective strategies to improve treatment adherence2230-326Xhttps://doaj.org/article/c16ae87e671742cb80844b735292313f2015-03-01T00:00:00Zhttp://www.dovepress.com/psoriasis-in-childhood-effective-strategies-to-improve-treatment-adher-peer-reviewed-article-PTThttps://doaj.org/toc/2230-326X Kara N Shah,1 Sandra Cortina,2,3 Michelle M Ernst,2 Jessica C Kichler2 1Division of Pediatric Dermatology, 2Division of Behavioral Medicine and Clinical Psychology, 3Center for Adherence and Self-Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA Abstract: Psoriasis is a relatively common chronic inflammatory skin disease in children for which there is no cure. Most children have mild disease that can be managed with topical therapy as opposed to phototherapy or systemic therapy. Despite the mild presentation of psoriasis in most children, the disease can have a significant impact on quality of life due to the need for ongoing treatment, the frequently visible nature of the cutaneous manifestations, and the social stigma that is associated with psoriasis. Adherence to treatment, in particular topical therapy, is often poor in adults and compromises response to therapy and medical provider management strategies. Multiple factors that may contribute to nonadherence in adults with psoriasis have been identified, including lack of education on the disease and expectations for management, issues related to ease of use and acceptability of topical medications, and anxiety regarding possible medication side effects. There is currently no published data on adherence in the pediatric psoriasis population; however, poor adherence is often suspected when patients fail to respond to appropriate therapy. General strategies used to assess adherence in other pediatric disease populations can be applied to children with psoriasis, and interventions that reflect experience in other chronic dermatologic disorders such as atopic dermatitis may also be helpful for medical providers caring for children with psoriasis. Keywords: adherence, psoriasis, childrenShah KNCortina SErnst MMKichler JCDove Medical PressarticleDermatologyRL1-803ENPsoriasis: Targets and Therapy, Vol 2015, Iss default, Pp 43-54 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dermatology RL1-803
spellingShingle	Dermatology RL1-803 Shah KN Cortina S Ernst MM Kichler JC Psoriasis in childhood: effective strategies to improve treatment adherence
description	Kara N Shah,1 Sandra Cortina,2,3 Michelle M Ernst,2 Jessica C Kichler2 1Division of Pediatric Dermatology, 2Division of Behavioral Medicine and Clinical Psychology, 3Center for Adherence and Self-Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA Abstract: Psoriasis is a relatively common chronic inflammatory skin disease in children for which there is no cure. Most children have mild disease that can be managed with topical therapy as opposed to phototherapy or systemic therapy. Despite the mild presentation of psoriasis in most children, the disease can have a significant impact on quality of life due to the need for ongoing treatment, the frequently visible nature of the cutaneous manifestations, and the social stigma that is associated with psoriasis. Adherence to treatment, in particular topical therapy, is often poor in adults and compromises response to therapy and medical provider management strategies. Multiple factors that may contribute to nonadherence in adults with psoriasis have been identified, including lack of education on the disease and expectations for management, issues related to ease of use and acceptability of topical medications, and anxiety regarding possible medication side effects. There is currently no published data on adherence in the pediatric psoriasis population; however, poor adherence is often suspected when patients fail to respond to appropriate therapy. General strategies used to assess adherence in other pediatric disease populations can be applied to children with psoriasis, and interventions that reflect experience in other chronic dermatologic disorders such as atopic dermatitis may also be helpful for medical providers caring for children with psoriasis. Keywords: adherence, psoriasis, children
format	article
author	Shah KN Cortina S Ernst MM Kichler JC
author_facet	Shah KN Cortina S Ernst MM Kichler JC
author_sort	Shah KN
title	Psoriasis in childhood: effective strategies to improve treatment adherence
title_short	Psoriasis in childhood: effective strategies to improve treatment adherence
title_full	Psoriasis in childhood: effective strategies to improve treatment adherence
title_fullStr	Psoriasis in childhood: effective strategies to improve treatment adherence
title_full_unstemmed	Psoriasis in childhood: effective strategies to improve treatment adherence
title_sort	psoriasis in childhood: effective strategies to improve treatment adherence
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/c16ae87e671742cb80844b735292313f
work_keys_str_mv	AT shahkn psoriasisinchildhoodeffectivestrategiestoimprovetreatmentadherence AT cortinas psoriasisinchildhoodeffectivestrategiestoimprovetreatmentadherence AT ernstmm psoriasisinchildhoodeffectivestrategiestoimprovetreatmentadherence AT kichlerjc psoriasisinchildhoodeffectivestrategiestoimprovetreatmentadherence
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Psoriasis in childhood: effective strategies to improve treatment adherence

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