Background Psoriatic arthritis (PsA) is a chronic inflammatory arthritis associated with psoriasis. The differences between homemaker (HM) and working at paid work (PW) in women were not assessed.
Objectives The aim of this study was to assess differences between being HM and working in PW in female patients with PsA related to clinical findings, quality of life and difficulties at working.
Methods Female patients with PsA over the age of 18-year-old who met the CASPAR classification criteria were underwent clinical and laboratory evaluation by using standardized protocol and case report form, from three different universities outpatient's clinics. Female patients with PsA were divided into age matched two group as a HM or working in PW. Patients who were HM or PW were asked to mark their level of difficulty during household works or office works respectively, on a 0–10 Likert scale. 0, indicated no difficulty during household/office works; 10, unable to do household/office works because of PsA and high scores indicated more difficulty.
Results A total of 115 female patients with PsA (mean age 41.9±11.9 year) were included. Mean symptom duration was 10.7±9.3 year. Out of 86 (74.8%) patients with PsA were HM and 29 (25.2%) were working at a regular PW. Homemaker had higher body mass index than PW (25.1±7.4 vs 29.7±6.6 p=0.012). Dactylitis (current or having history) were higher in PW (58.6 vs 31.4% p=0.014) whereas enthesitis (current or having history) were higher in HM (27.6 vs 52.3% p=0.021). Disease activity measures (acute phase reactants, BASDAI, DAS28, VAS-pain, physician's and patient's global assessment, tender and swollen joint count), functional status and health related quality of life assessments (BASFI, BASMI, Duruoz hand index, SF-36, Nottingham health profile, psoriatic arthritis quality of life, hospital anxiety and depression scale, fatigue severity scale) were similar between HM and PW patients with PsA (p>0.05). Level of difficulties in working at household works were 5.2±2.6 in HM and level of difficulties in office works were 5.3±2.3 (p=0.804) in PW. Depression risk (HAD-depression ≥7) was relatively higher in PW (59.3 vs 43.7%), but anxiety risk (HAD-anxiety ≥10) was relatively higher in HW (26.8 vs 22.2%) (p>0.05). Fatigue severity scale score≥36 was associated with depression risk in all women with PsA by using univariate logistic regression analysis (OR: 5.1, 95% CI: 2.0–12.8 p<0.0001).
Conclusions Women with PsA who were homemakers or working in paid work do not differ from each other in terms of disease burden, health related quality of life, difficulties at homework or at office work.Furthermore, increased fatigue may be associated with depression risk in female patients with PsA.
Disclosure of Interest None declared