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A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis

The impact of dermatological diseases goes beyond symptoms and often includes psychosocial burden. Self-stigmatization plays a key role in this relationship and was compared in patients with psoriasis and atopic dermatitis to evaluate the validity of cross-disease stigmatization models. In total, 10...

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Autores principales: SCHLACHTER, Sophie, SOMMER, Rachel, AUGUSTIN, Matthias, TSIANAKAS, Athanasios, WESTPHAL, Lukas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden, on behalf of the Society for Publication of Acta Dermato-Venereologica 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108622/
https://www.ncbi.nlm.nih.gov/pubmed/37014270
http://dx.doi.org/10.2340/actadv.v103.3962
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author SCHLACHTER, Sophie
SOMMER, Rachel
AUGUSTIN, Matthias
TSIANAKAS, Athanasios
WESTPHAL, Lukas
author_facet SCHLACHTER, Sophie
SOMMER, Rachel
AUGUSTIN, Matthias
TSIANAKAS, Athanasios
WESTPHAL, Lukas
author_sort SCHLACHTER, Sophie
collection PubMed
description The impact of dermatological diseases goes beyond symptoms and often includes psychosocial burden. Self-stigmatization plays a key role in this relationship and was compared in patients with psoriasis and atopic dermatitis to evaluate the validity of cross-disease stigmatization models. In total, 101 patients per indication were included in this cross-sectional study. Besides sociodemographic and clinical data, patient-reported outcome measures relating to self-stigmatization, depression, anxiety, and quality of life were compared across groups. Sociodemographic and clinical factors were tested for their moderating effects between self-stigmatization and quality of life. Group mean comparisons yielded no significant differences in self-stigmatization between patient groups. In both diseases, self-stigmatization significantly predicted depression and anxiety symptoms as well as quality of life. Current symptoms, not having close social relationships, and lower age predicted self-stigma in patients with psoriasis, whereas the involvement of sensitive body areas, the sum of previous treatments, and female sex were predictors in patients with atopic dermatitis. In both groups, symptoms had significantly moderating effects. The results underline the relevance of self-stigmatization in patients with chronic skin diseases. Awareness should be raised, screening implemented, and psychosocial support offered early on. Assessments, conceptual models of self-stigma, and interventions are probably applicable for both diseases. SIGNIFICANCE Patients with chronic skin diseases often experience psychosocial impairment alongside somatic effects. This can have a considerable influence on their entire lives. Stigmatization, especially when generated by oneself, is a key element in the relationship between social, demographic, and clinical factors and quality of life, feelings of depression, and anxiety. Therefore, the mechanisms of self-stigmatization should be studied so that screenings can be developed, and appropriate interventions devised, thus reducing the psychological and social burdens on affected individuals and thereby empowering them throughout their lives.
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spelling pubmed-101086222023-04-18 A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis SCHLACHTER, Sophie SOMMER, Rachel AUGUSTIN, Matthias TSIANAKAS, Athanasios WESTPHAL, Lukas Acta Derm Venereol Original Report The impact of dermatological diseases goes beyond symptoms and often includes psychosocial burden. Self-stigmatization plays a key role in this relationship and was compared in patients with psoriasis and atopic dermatitis to evaluate the validity of cross-disease stigmatization models. In total, 101 patients per indication were included in this cross-sectional study. Besides sociodemographic and clinical data, patient-reported outcome measures relating to self-stigmatization, depression, anxiety, and quality of life were compared across groups. Sociodemographic and clinical factors were tested for their moderating effects between self-stigmatization and quality of life. Group mean comparisons yielded no significant differences in self-stigmatization between patient groups. In both diseases, self-stigmatization significantly predicted depression and anxiety symptoms as well as quality of life. Current symptoms, not having close social relationships, and lower age predicted self-stigma in patients with psoriasis, whereas the involvement of sensitive body areas, the sum of previous treatments, and female sex were predictors in patients with atopic dermatitis. In both groups, symptoms had significantly moderating effects. The results underline the relevance of self-stigmatization in patients with chronic skin diseases. Awareness should be raised, screening implemented, and psychosocial support offered early on. Assessments, conceptual models of self-stigma, and interventions are probably applicable for both diseases. SIGNIFICANCE Patients with chronic skin diseases often experience psychosocial impairment alongside somatic effects. This can have a considerable influence on their entire lives. Stigmatization, especially when generated by oneself, is a key element in the relationship between social, demographic, and clinical factors and quality of life, feelings of depression, and anxiety. Therefore, the mechanisms of self-stigmatization should be studied so that screenings can be developed, and appropriate interventions devised, thus reducing the psychological and social burdens on affected individuals and thereby empowering them throughout their lives. Medical Journals Sweden, on behalf of the Society for Publication of Acta Dermato-Venereologica 2023-04-04 /pmc/articles/PMC10108622/ /pubmed/37014270 http://dx.doi.org/10.2340/actadv.v103.3962 Text en © Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Original Report
SCHLACHTER, Sophie
SOMMER, Rachel
AUGUSTIN, Matthias
TSIANAKAS, Athanasios
WESTPHAL, Lukas
A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis
title A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis
title_full A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis
title_fullStr A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis
title_full_unstemmed A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis
title_short A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis
title_sort comparative analysis of the predictors, extent and impacts of self-stigma in patients with psoriasis and atopic dermatitis
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108622/
https://www.ncbi.nlm.nih.gov/pubmed/37014270
http://dx.doi.org/10.2340/actadv.v103.3962
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