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Dissertation

Living well with illness: Examining the effectiveness of a chronic disease self-management program for individuals with psoriasis

26 June 2012

Abstract

Previous studies have evidenced favorable outcomes for participation in self-management programs for individuals diagnosed with chronic disease. The purpose of the current study was to add to a newly growing body of knowledge concerning the effectiveness of a chronic disease self-management program (CDSMP) to improve quality of life and psychological functioning in a population of individuals living with psoriasis. Specifically, this research sought to replicate findings from previous CDSMP research in regards to changes in quality of life, depression, anxiety, stress, and perceived stigmatization as they relate to participation in a CDSMP. In addition, this study extended CDSMP research to identify the aforementioned changes to a population of individuals living with psoriasis. This study provided limited evidence for the effectiveness of participation in a CDSMP to increase quality of life and decrease psychological distress. Participants reported significant improvement in one domain of psychological functioning, life stress; however, participants did not report significant improvements in other domains, including depression, anxiety, and perceived stigmatization. In addition, participants did not report an overall greater quality of life from the start of the intervention to the re-evaluation at the completion of the intervention. Methodologically, the small sample size (n = 3) made finding significant results less likely. Overall, the present study offers an opportunity to better understand the effects of participation in a CDSMP on individuals diagnosed with psoriasis.


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