Blushing Propensity and Psychological Distress in People with Rosacea

Su, Daphne; Drummond, Peter D.

doi:10.1002/cpp.763

Cited by 58 publications

(62 citation statements)

References 55 publications

(66 reference statements)

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“…Nevertheless, the findings suggest that rosacea sufferers were 12 more aware of and embarrassed by blushing than controls. Blushing during social interactions might contribute to social anxiety in rosacea sufferers by drawing attention to their persistently flushed face [13]. If so, psychological interventions for a fear of blushing [41,42] may help to alleviate social anxiety associated with facial flushing in patients with rosacea.…”

Section: Discussionmentioning

confidence: 99%

“…46.5 ± 12.1 years) [13]. The diagnosis of rosacea was confirmed by a general practitioner or dermatologist.…”

Section: Participantsmentioning

confidence: 99%

“…Although early impressions that rosacea is a manifestation of emotional trauma or other psychiatric difficulties [31,32] do not apply to most patients seen in dermatological practice [33 -35], rosacea may have a major impact on quality of life [36 -38]. For example, people with severe rosacea prefer to avoid situations that might involve scrutiny by others [13].…”

Section: Psychological Responses In Rosaceamentioning

confidence: 99%

“…As perceptions of blushing were associated with the degree of embarrassment, these findings suggest that blushing heightened embarrassment. In particular, rosacea sufferers could worry that blushing might draw attention to their persistently flushed face, or that the erythema of rosacea might be misinterpreted as an intense emotional response [13] or a sign of alcoholism [39].…”

Section: Psychological Responses In Rosaceamentioning

confidence: 99%

“…In a study in our laboratory, the Blushing Propensity Scale [12] was administered to 19 patients with mild rosacea and another 12 with more severe rosacea [13]. Blushing propensity scores were greater in severe than mild rosacea sufferers or controls, indicating that participants with severe symptoms thought that they blushed readily in a range of 4 social situations.…”

Section: Introductionmentioning

confidence: 99%

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Blushing in rosacea sufferers

Drummond

2012

Journal of Psychosomatic Research

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Objective. Rosacea is characterized by extremely sensitive skin and persistent facial flushing, perhaps initiated or exacerbated by frequent or intense blushing. To investigate this, blushing was assessed in rosacea sufferers and controls during embarrassing laboratory tasks.Methods. Changes in forehead blood flow were monitored with laser Doppler fluxmetry in 31 rosacea sufferers (12 with severe symptoms and 19 with mild symptoms) and 86 controls while singing, giving an impromptu speech, and listening to recordings of these activities.Results. Changes in forehead blood flow were similar in rosacea sufferers and controls, and were similar in subgroups with mild and severe rosacea. Even so, rosacea sufferers thought that that they blushed more intensely and were more embarrassed than controls during most of the tasks. Likewise, changes in forehead blood flow were similar in participants with mild and severe rosacea. Nevertheless, ratings of embarrassment and blushing were greater in those with severe than mild symptoms. Within the rosacea group, increases in blood flow while singing were greatest in participants with the highest blushing ratings, whereas increases in blood flow while listening to the speech were greatest in the most embarrassed participants.Conclusions. These findings do not support the hypothesis that blushing is abnormal in rosacea but, nevertheless, suggest that rosacea sufferers are more aware of and embarrassed by blushing than controls. This might contribute to social anxiety in rosacea sufferers.

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Section: Discussionmentioning

confidence: 99%

“…46.5 ± 12.1 years) [13]. The diagnosis of rosacea was confirmed by a general practitioner or dermatologist.…”

Section: Participantsmentioning

confidence: 99%

Section: Psychological Responses In Rosaceamentioning

confidence: 99%

Section: Psychological Responses In Rosaceamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Blushing in rosacea sufferers

Drummond

2012

Journal of Psychosomatic Research

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Ocular rosacea: The often‐overlooked component of rosacea

Geng,

Slomovic,

Bourkas

et al. 2024

JEADV Clinical Practice

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Ocular rosacea is a chronic inflammatory condition that affects the eyes and periocular skin as part of the broader cutaneous rosacea skin disease. Cutaneous rosacea is common, affecting approximately 5.5% of the global population, where up to 72% of patients will develop ocular involvement either before or after the cutaneous disease. Clinical features of ocular rosacea include Meibomian gland disease, blepharitis and conjunctivitis. Ocular rosacea reduces quality of life through various potential mechanisms including anxiety, social withdrawal and physical discomfort. If left untreated, ocular rosacea can reduce visual acuity and in severe cases, vision loss. Several topical and systemic treatment options are available, with efficacies based on their anti‐inflammatory properties. This review focuses on the clinical features of ocular rosacea, differential diagnoses and treatment options with the aim of aiding clinicians involved in the care of rosacea patients to better identify onset of the ocular manifestations of rosacea and prevent its severe complications.

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