Body dysmorphia in common skin diseases: results of an observational, cross‐sectional multicentre study among dermatological outpatients in 17 European countries*

Schut, Christina; Dalgard, Florence; Bewley, Anthony; Evers, Andrea W M; Gieler, Uwe; Lien, Lars; Sampogna, Francesca; Ständer, Sonja; Aragonés, Lucía Tomás; Vulink, Nienke; Finlay, Andrew Y.; Legat, Franz J.; Titeca, Géraldine; Jemec, Gregor B. E.; Miséry, Laurent; Szabó, Csanád; Grivcheva‐Panovska, Vesna; Koulil, Saskia Spillekom‐van; Balieva, Flora; Szepietowski, Jacek; Reich, Adam; Ferreira, Bárbara Roque; Lvov, A. N.; Романов, Д. В.; Marrón, S.E.; Gracia‐Cazaña, Tamara; Svensson, Åke; Altunay, İlknur Kıvanç; Thompson, Andrew R.; Zeidler, Claudia; Kupfer, J.; Heinemann, Tiziana; Şahin, Hüseyin; Kupsa, Romana; E, Narro-Bartenstein; Repelnig, Maria-Lisa; Beugen, Sylvia van; Middendorp, Henriët van; Euler, Love van; Bartczyszyn-Kmiecik, Aleksandra; Sawińska, Edyta

doi:10.1111/bjd.21021

Cited by 30 publications

(17 citation statements)

References 68 publications

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“…Data were systematically checked for mistakes and statistically analysed using International Business Machines Statistical Package for the Social Sciences 26 ® . The rationale for grouping diseases is described in detail elsewhere 17 …”

Section: Methodsmentioning

confidence: 99%

“…12 During the last 2 decades multiple studies have shown that patients with skin disease have a lower HRQoL, 4,13 higher risk for depression, anxiety, 14 stress 15 and issues with body image. 4,16,17 Perceived stress is less explored, but low HRQoL, depression and anxiety related to the skin condition can increase stress, which in turn may worsen the skin disease, reduce the HRQoL even more, resulting in a selfperpetuating process. 3,4,15,18 Sensitivity to stress affects psoriasis severity and high stress reactors had significantly more severe psoriasis, where stress, in turn, exacerbated the skin condition.…”

Section: Introductionmentioning

confidence: 99%

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Perceived stress in patients with inflammatory and non‐inflammatory skin conditions. An observational controlled study among 255 Norwegian dermatological outpatients

Balieva

Schut

Kupfer

et al. 2022

Skin Health and Disease

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Background Inflammation may increase stress, while stress may promote inflammation. Most dermatological conditions are chronic and inflammatory, while some, such as cancer, naevi and tumours are non‐inflammatory, but may cause stress because of the fear of malignancy and the necessity for surgical and other invasive treatments. Stress among patients with skin diseases is little explored. Objectives To assess perceived stress in patients with inflammatory and non‐inflammatory skin conditions compared to healthy controls. Methods Observational cross‐sectional study. Consecutive outpatients (N = 255) visiting the Department of Dermatology, Stavanger University Hospital, Norway and 148 skin‐healthy controls contributed by answering questionnaires on sociodemographics, stressful life events, economic difficulties, self‐rated health and perceived stress. The validated Perceived Stress Scale10 was used to evaluate stress. A dermatologist examined patients and registered their diagnoses and comorbidities. Controls included in this study were not examined by a dermatologist and self‐reported their comorbidities. Results Patients with an inflammatory skin disease or psoriasis have a tripled risk of reporting moderate to high stress compared with controls when adjusted for relevant confounders, including having experienced a stressful life event recently or having a comorbidity. Patients with a purely non‐inflammatory skin disease perceived stress no differently than controls. Conclusion Patients with inflammatory skin disease perceived higher stress than controls and patients with non‐inflammatory skin conditions. Dermatologists may play a role in awareness of the importance of stress in skin disease.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceived stress in patients with inflammatory and non‐inflammatory skin conditions. An observational controlled study among 255 Norwegian dermatological outpatients

Balieva

Schut

Kupfer

et al. 2022

Skin Health and Disease

Self Cite

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“…PSO and AD were not directly compared in this study, but a clear increase in body dysmorphia symptoms occurred in both group. 5 In this paper, going beyond the quality of life measures such as dermatology quality of life index (DLQI), the authors have reviewed available medical literature regarding the prevalence of psychiatric disorders…”

Section: Methodsmentioning

confidence: 99%

Contrasting between Atopic Dermatitis and Psoriasis in the Quality of Life Impact and the Prevalence of Psychiatric Disorders

et al. 2022

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As chronic inflammatory skin conditions, psoriasis and atopic dermatitis have both been associated with significant psychosocial comorbidities. However, the similarities and differences between the two in the manifestation of psychologic/psychiatric sequalae have not been reviewed. We reviewed the current literature comparing these two skin conditions and determined that there are potentially notable differences in psychiatric impact between psoriasis and atopic dermatitis patients. For example, patients with atopic dermatitis appears to have more issues with attention deficit hyperactive disorder (ADHD) and conduct disorder while psoriasis is associated more with suicidal acts. We propose that these may stem from the different ages of onset, which subsequently influences how the psychological impact manifests within the individual.

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“…4,5 Recognition is important given these associations and the perception of patients that physicians (including dermatologists) may often underestimate the psychological implications of skin diseases, and may be insensitive to the emotional suffering of their patients. 6 In this issue of the BJD, Schut et al 7 report on a cross-sectional multicentre study of dermatology outpatient clinics in 17 European countries. Their findings of high prevalence of BDD in dermatology outpatients (10Á5%) and of positive associations of BDD with demographic (younger age and female sex) and psychological factors (stress and stigmatization) are of considerable practical interest.…”

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confidence: 99%

“…In this issue of the BJD , Schut et al 7 . report on a cross‐sectional multicentre study of dermatology outpatient clinics in 17 European countries.…”

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confidence: 99%

Body dysmorphic disorder, skin diseases and psychological morbidity: common and complex

Magin

Fisher

2022

Br J Dermatol

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Body dysmorphia in common skin diseases: results of an observational, cross‐sectional multicentre study among dermatological outpatients in 17 European countries*

Abstract: The data that support the findings of this study are available from the corresponding author upon reasonable request.

Cited by 30 publications

References 68 publications

Perceived stress in patients with inflammatory and non‐inflammatory skin conditions. An observational controlled study among 255 Norwegian dermatological outpatients

Perceived stress in patients with inflammatory and non‐inflammatory skin conditions. An observational controlled study among 255 Norwegian dermatological outpatients

Contrasting between Atopic Dermatitis and Psoriasis in the Quality of Life Impact and the Prevalence of Psychiatric Disorders

Body dysmorphic disorder, skin diseases and psychological morbidity: common and complex

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