Validation of the Psoriasis Symptom Inventory (PSI), a patient-reported outcome measure to assess psoriasis symptom severity

Donald M. Bushnell*, Mona L. Martin, Kelly Mccarrier, Kenneth Gordon, Chiun Fang Chiou, Xingyue Huang, Brian Ortmeier, Gregory Kricorian

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

51 Scopus citations


Background: The objective of this study was to evaluate the measurement properties of the Psoriasis Symptom Inventory (PSI), an eight-item patient-reported outcome measure for assessing severity of plaque psoriasis symptoms. Methods: In this prospective, randomized study using data from adults with moderate-to-severe plaque psoriasis, patients completed the PSI, Dermatology Life Quality Index (DLQI), SF-36v2 Acute, and Patient Global Assessment (PtGA). PSI construct validity was assessed using Spearman rank correlations between PSI and DLQI and SF-36; test-retest reliability and sensitivity to change were evaluated using PtGA as an anchor. Daily 24-h and weekly 7-day PSI versions were evaluated. Results: Eight US sites enrolled 143 patients; 139 (97.2%) completed the study. All symptoms (itch, redness, scaling, burning, cracking, stinging, flaking, and pain) were reported across all response options (not at all severe, mild, moderate, severe, very severe). Test-retest reliability was acceptable (intraclass correlation coefficients range = 0.70-0.80). A priori hypotheses of convergent and discriminant validity were confirmed by correlations of PSI with DLQI items and SF-36 domains. The PSI demonstrated good construct validity and was sensitive to within-subject change (p < 0.0001). Conclusions: The PSI is brief, valid, reproducible, and responsive to change and has the potential to be a useful PRO measure in psoriasis clinical trials.

Original languageEnglish (US)
Pages (from-to)356-360
Number of pages5
JournalJournal of Dermatological Treatment
Issue number5
StatePublished - Oct 2013


  • Daily diary
  • Patient-reported outcome
  • Plaque psoriasis
  • Psychometric properties
  • Symptom

ASJC Scopus subject areas

  • Dermatology


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