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This study aimed to investigate the effect of psychosocial and clinical factors on adherence to topical treatment in psoriasis. (2) Methods: Self-reported measures and weighing the medicines were used to assess adherence. Psychopathological symptoms were measured using the Brief Symptoms Inventory (BSI). Social and clinical factors were assessed by a sociodemographic and clinical questionnaire. Adherence to treatment with topical medication was assessed using a sample of 102 psoriasis patients. (3) Results: The explanatory models of adherence to topical treatment in psoriasis translated into positive associations between adherence and the education level (higher education) (p = 0.03; \u03c6 = 0.23), the single-family household (p = 0.01; \u03c6 = 0.44), active employment status (p = 0.05; \u03c6 = \u22120.19), familiar history of psoriasis (p = 0.04; \u03c6 = \u22120.21), and the presence of obsessive-compulsive symptoms (p = 0.01; d = 0.29). (4) Conclusions: In patients who present the characteristics identified that influence non-adherence, instructions should be reinforced to increase adherence. The experimental mortality (39.6%) reduced the sample size, representing a limitation of the study.<\/jats:p>","DOI":"10.3390\/healthcare12080822","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T11:09:20Z","timestamp":1712920160000},"page":"822","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Influence of Clinical and Psychosocial Factors on the Adherence to Topical Treatment in Psoriasis"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3254-5326","authenticated-orcid":false,"given":"Ana","family":"Teixeira","sequence":"first","affiliation":[{"name":"Associate Laboratory i4HB\u2014Institute for Health and Bioeconomy, University Institute of Health Sciences\u2014CESPU, 4585-116 Gandra, Portugal"},{"name":"UCIBIO\u2014Applied Molecular Biosciences Unit, Translational Toxicology Research Laboratory, University Institute of Health Sciences (1H-TOXRUN, IUCS-CESPU), 4585-116 Gandra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3989-9474","authenticated-orcid":false,"given":"Maribel","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Associate Laboratory i4HB\u2014Institute for Health and Bioeconomy, University Institute of Health Sciences\u2014CESPU, 4585-116 Gandra, Portugal"},{"name":"UCIBIO\u2014Applied Molecular Biosciences Unit, Translational Toxicology Research Laboratory, University Institute of Health Sciences (1H-TOXRUN, IUCS-CESPU), 4585-116 Gandra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3906-0775","authenticated-orcid":false,"given":"Rita","family":"Gaio","sequence":"additional","affiliation":[{"name":"Centro de Matem\u00e1tica da Universidade do Porto, Departamento de Matem\u00e1tica, Faculdade de Ci\u00eancias, Universidade do Porto, 4169-007 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0404-0870","authenticated-orcid":false,"given":"Tiago","family":"Torres","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Dermatologia, Centro Hospitalar do Porto, Hospital de Santo Ant\u00f3nio, 4099-001 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9185-0216","authenticated-orcid":false,"given":"Sofia","family":"Magina","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Dermatologia, Centro Hospitalar de S\u00e3o Jo\u00e3o, Departamento de Farmacologia e Terap\u00eautica, Faculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2198-6740","authenticated-orcid":false,"given":"Maria Alzira Pimenta","family":"Dinis","sequence":"additional","affiliation":[{"name":"Fernando Pessoa Research, Innovation and Development Institute (FP-I3ID), University Fernando Pessoa (UFP), Pra\u00e7a 9 de Abril 349, 4249-004 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9518-8397","authenticated-orcid":false,"given":"Jos\u00e9","family":"Sousa-Lobo","sequence":"additional","affiliation":[{"name":"UCIBIO\u2014Applied Molecular Biosciences Unit, MedTech, Applied Biomolecular Biosciences Unit, Medicines and Healthcare Products, Faculdade de Farm\u00e1cia, Universidade do Porto, 4050-313 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1498-048X","authenticated-orcid":false,"given":"Isabel","family":"Almeida","sequence":"additional","affiliation":[{"name":"UCIBIO\u2014Applied Molecular Biosciences Unit, MedTech, Applied Biomolecular Biosciences Unit, Medicines and Healthcare Products, Faculdade de Farm\u00e1cia, Universidade do Porto, 4050-313 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6361-1066","authenticated-orcid":false,"given":"Miguel","family":"Peixoto","sequence":"additional","affiliation":[{"name":"Instituto Universit\u00e1rio de Ci\u00eancias da Sa\u00fade (IUCS), CESPU\u2014Cooperativa de Ensino Superior Polit\u00e9cnico e Universit\u00e1rio, 4585-116 Gandra, Portugal"},{"name":"Psychosocial Rehabilitation Laboratory, Rehabilitation Investigation Center, School of Health, Polytechnic University of Porto, 4200-465 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2803-8038","authenticated-orcid":false,"given":"Vera","family":"Almeida","sequence":"additional","affiliation":[{"name":"UCIBIO\u2014Applied Molecular Biosciences Unit, MedTech, Applied Biomolecular Biosciences Unit, Medicines and Healthcare Products, Faculdade de Farm\u00e1cia, Universidade do Porto, 4050-313 Porto, Portugal"},{"name":"UNIPRO\u2014Unidade de Investiga\u00e7\u00e3o em Patologia e Reabilita\u00e7\u00e3o Oral, Instituto Universit\u00e1rio de Ci\u00eancias da Sa\u00fade (IUCS), CESPU\u2014Cooperativa de Ensino Superior Polit\u00e9cnico e Universit\u00e1rio, 4585-116 Gandra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"ref_1","first-page":"S14","article-title":"The Skin in Psoriasis: Assessment and Challenges","volume":"33","author":"Oji","year":"2015","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"110714","DOI":"10.1016\/j.jpsychores.2021.110714","article-title":"Influence of Psoriasis Lesions\u2019 Location and Severity on Psychosocial Disability and Psychopathology. Observational Study and Psychometric Validation of the SAPASI Portuguese Version","volume":"154","author":"Teixeira","year":"2022","journal-title":"J. Psychosom. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1080\/09546634.2018.1506077","article-title":"A Cross-Sectional Study in Young Adults with Psoriasis: Potential Determining Factors in Quality of Life, Life Course and Work Productivity","volume":"30","author":"Bronckers","year":"2019","journal-title":"J. Dermatol. Treat."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1111\/jdv.15734","article-title":"Strategies to Reduce Stigma Related to Visible Chronic Skin Diseases: A Systematic Review","volume":"33","author":"Topp","year":"2019","journal-title":"Acad. Dermatol. Venereol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1007\/s00403-022-02420-5","article-title":"The Impact of Complete Clearance and Almost Complete Clearance of Psoriasis on Quality of Life: A Literature Review","volume":"315","author":"Boswell","year":"2022","journal-title":"Arch. Dermatol. Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1080\/13548506.2019.1574352","article-title":"Study on the Psychological Health and Related Risk Factors in 245 Patients with Psoriasis in Inner Mongolia","volume":"24","author":"Zhang","year":"2019","journal-title":"Psychol. Health Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1080\/09546634.2020.1746734","article-title":"Absolute and Relative Psoriasis Area and Severity Index (PASI) Treatment Goals and Their Association with Health-Related Quality of Life","volume":"31","author":"Gerdes","year":"2020","journal-title":"J. Dermatol. Treat."},{"key":"ref_8","first-page":"278","article-title":"Diagnosis and Management of Psoriasis","volume":"63","author":"Kim","year":"2017","journal-title":"Can. Fam. Physician"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1111\/bjd.16776","article-title":"Identifying Demographic, Social and Clinical Predictors of Biologic Therapy Effectiveness in Psoriasis: A Multicentre Longitudinal Cohort Study","volume":"180","author":"Warren","year":"2019","journal-title":"Br. J. Dermatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1080\/09546634.2019.1620502","article-title":"Review of International Psoriasis Guidelines for the Treatment of Psoriasis: Recommendations for Topical Corticosteroid Treatments","volume":"30","author":"Kleyn","year":"2019","journal-title":"J. Dermatol. Treat."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"S36","DOI":"10.12788\/j.sder.2016.006","article-title":"Topical Therapies for Psoriasis: Improving Management Strategies and Patient Adherence","volume":"35","author":"Gold","year":"2016","journal-title":"Sem. Cutan. Med. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1945","DOI":"10.1001\/jama.2020.4006","article-title":"Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review","volume":"323","author":"Armstrong","year":"2020","journal-title":"JAMA"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jaad.2019.08.026","article-title":"Recategorization of Psoriasis Severity: Delphi Consensus from the International Psoriasis Council","volume":"82","author":"Strober","year":"2020","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"559","DOI":"10.5021\/ad.2017.29.5.559","article-title":"Adherence to Topical Therapies for the Treatment of Psoriasis: Surveys of Physicians and Patients","volume":"29","author":"Choi","year":"2017","journal-title":"Ann. Dermatol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/09546634.2018.1479725","article-title":"Treatment Patterns, Adherence, and Persistence among Psoriasis Patients Treated with Biologics in a Real-World Setting, Overall and by Disease Severity","volume":"30","author":"Murage","year":"2019","journal-title":"J. Dermatol. Treat."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1111\/1346-8138.14225","article-title":"Assessment of Medication Adherence and Treatment Satisfaction in Japanese Patients with Psoriasis of Various Severities","volume":"45","author":"Ichiyama","year":"2018","journal-title":"J. Dermatol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1468-3083.2011.04060.x","article-title":"Maximizing Patient Adherence for Optimal Outcomes in Psoriasis","volume":"25","author":"Bewley","year":"2011","journal-title":"Acad. Dermatol. Venereol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.2147\/PPA.S117006","article-title":"Adherence, Satisfaction and Preferences for Treatment in Patients with Psoriasis in the European Union: A Systematic Review of the Literature","volume":"10","author":"Belinchon","year":"2016","journal-title":"Patient Prefer. Adherence"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jdv.12445","article-title":"Non-adherence and Measures to Improve Adherence in the Topical Treatment of Psoriasis","volume":"28","author":"Zschocke","year":"2014","journal-title":"Acad. Dermatol. Venereol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"adv6505","DOI":"10.2340\/actadv.v103.6505","article-title":"Psoriasis\/Psoriatic Arthritis Patients\u2019 Long-Term Treatment Patterns and Adherence to Systemic Treatments Monitoring Recommendations","volume":"103","author":"Krantz","year":"2023","journal-title":"Acta Derm. -Venereol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.jdermsci.2016.02.008","article-title":"Methodologies for Medication Adherence Evaluation: Focus on Psoriasis Topical Treatment","volume":"82","author":"Teixeira","year":"2016","journal-title":"J. Dermatol. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s40257-017-0272-2","article-title":"Development and Validation of a Novel Questionnaire for Adherence with Topical Treatments in Psoriasis (QATOP)","volume":"18","author":"Teixeira","year":"2017","journal-title":"Am. J. Clin. Dermatol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1208\/s12249-018-1246-2","article-title":"Mechanical Properties of Topical Anti-Psoriatic Medicines: Implications for Patient Satisfaction with Treatment","volume":"20","author":"Teixeira","year":"2019","journal-title":"AAPS PharmSciTech"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1080\/09546634.2019.1572865","article-title":"Psoriasis-Associated Itch: Etiology, Assessment, Impact, and Management","volume":"31","author":"Pithadia","year":"2020","journal-title":"J. Dermatol. Treat."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1684\/ejd.2019.3529","article-title":"Prevalence of cutaneous comorbidities in psoriatic patients and their impact on quality of life","volume":"2","author":"Caldarola","year":"2019","journal-title":"Eur. J. Dermatol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.ad.2018.10.007","article-title":"Documento de consenso sobre las necesidades psicol\u00f3gicas de los pacientes con enfermedades inflamatorias cr\u00f3nicas dermatol\u00f3gicas","volume":"110","author":"Ribera","year":"2019","journal-title":"Actas Dermo-Sifiliogr\u00e1ficas"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1080\/09546634.2019.1623371","article-title":"Improving Psoriasis Patients\u2019 Adherence to Topical Drugs: A Systematic Review","volume":"31","author":"Svendsen","year":"2020","journal-title":"J. Dermatol. Treat."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1007\/s12325-019-00901-0","article-title":"Multidisciplinary Management of Psoriatic Arthritis: The Benefits of a Comprehensive Approach","volume":"36","author":"Visalli","year":"2019","journal-title":"Adv. Ther."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/bjd.12039","article-title":"Adherence to Medication in Patients with Psoriasis: A Systematic Literature Review: Adherence to Medication in Patients with Psoriasis","volume":"168","author":"Thorneloe","year":"2013","journal-title":"Br. J. Dermatol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s00403-018-1808-x","article-title":"Treatment Preferences and Treatment Satisfaction among Psoriasis Patients: A Systematic Review","volume":"310","author":"Florek","year":"2018","journal-title":"Arch. Dermatol. Res."},{"key":"ref_31","first-page":"36","article-title":"Psoriasis and Associated Psychiatric Disorders: A Systematic Review on Etiopathogenesis and Clinical Correlation","volume":"9","author":"Ferreira","year":"2016","journal-title":"J. Clin. Aesthetic Dermatol."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Almeida, V., Leite, \u00c2., Constante, D., Correia, R., Almeida, I.F., Teixeira, M., Vidal, D.G., Sousa, H.F.P.E., Dinis, M.A.P., and Teixeira, A. (2020). The Mediator Role of Body Image-Related Cognitive Fusion in the Relationship between Disease Severity Perception, Acceptance and Psoriasis Disability. Behav. Sci., 10.","DOI":"10.3390\/bs10090142"},{"key":"ref_33","unstructured":"Derogatis, L., and Spencer, P. (1992). The Brief Symptom Inventory (BSI) Administration, Scoring and Procedures Manual-II, Clinical Psychometric Research. Inc."},{"key":"ref_34","unstructured":"Sim\u00f5es, M.R., Gon\u00e7alves, M., and Almeida, L.S. (1999). Testes e Provas Psicol\u00f3gicas em Portugal, SHO\/APPORT."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Teixeira, A., Teixeira, M., Almeida, V., Gaio, R., Torres, T., Magina, S., Cunha, C., Sousa Lobo, J.M., and Almeida, I.F. (2021). Does the Vehicle Matter? Real-World Evidence on Adherence to Topical Treatment in Psoriasis. Pharmaceutics, 13.","DOI":"10.3390\/pharmaceutics13101539"},{"key":"ref_36","first-page":"106","article-title":"Effects of Treatment Adherence on Clinical and Economic Outcomes in Patients with Psoriasis","volume":"10","year":"2013","journal-title":"Med. Glas."},{"key":"ref_37","unstructured":"Carlsen, K., Olasz, A., Carlsen, K., and Serup, J. (2016). Adherence in Dermatology, Adis."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11926-017-0706-0","article-title":"Early Recognition and Treatment Heralds Optimal Outcomes: The Benefits of Combined Rheumatology\u2013Dermatology Clinics and Integrative Care of Psoriasis and Psoriatic Arthritis Patients","volume":"20","author":"Soleymani","year":"2018","journal-title":"Curr. Rheumatol. Rep."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1007\/s12325-015-0256-7","article-title":"A Systematic Review of Factors Associated with Non-Adherence to Treatment for Immune-Mediated Inflammatory Diseases","volume":"32","author":"Vangeli","year":"2015","journal-title":"Adv. Ther."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1111\/bjd.17707","article-title":"Sociodemographic Factors Do Not Have a Large Influence on Adherence to Topical Treatment in Patients with Psoriasis","volume":"181","author":"Svendsen","year":"2019","journal-title":"Br. J. Dermatol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/j.1468-3083.2007.02425.x","article-title":"Adherence to Treatment in Patients with Psoriasis Vulgaris: Turkish Experience","volume":"22","author":"Gokdemir","year":"2008","journal-title":"J. Eur. Acad. Dermatol. Venerol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1001\/archderm.140.4.408","article-title":"Objective Assessment of Compliance With Psoriasis Treatment","volume":"140","author":"Zaghloul","year":"2004","journal-title":"Arch. Dermatol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"36","DOI":"10.5314\/wjd.v3.i3.36","article-title":"Gender Medicine and Psoriasis","volume":"3","author":"Colombo","year":"2014","journal-title":"World J. Dermatol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"109","DOI":"10.2147\/PTT.S54070","article-title":"Improving Patient Outcomes in Psoriasis: Strategies to Ensure Treatment Adherence","volume":"5","author":"Puig","year":"2015","journal-title":"Psoriasis Targets Ther."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.clindermatol.2011.11.001","article-title":"Managing the Patient with Psychiatric Issues in Dermatologic Practice","volume":"31","author":"Muskin","year":"2013","journal-title":"Clin. Dermatol."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Avazeh, Y., Rezaei, S., Bastani, P., and Mehralian, G. (2022). Health literacy and medication adherence in psoriasis patients: A survey in Iran. BMC Prim. Care, 23.","DOI":"10.1186\/s12875-022-01719-6"}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/12\/8\/822\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:26:56Z","timestamp":1760106416000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/12\/8\/822"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,12]]},"references-count":46,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,4]]}},"alternative-id":["healthcare12080822"],"URL":"https:\/\/doi.org\/10.3390\/healthcare12080822","relation":{},"ISSN":["2227-9032"],"issn-type":[{"value":"2227-9032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,12]]}}}