Disease-induced level of shame in patients with acne, psoriasis and syphilis

Rzepa, Teresa; Jakubowicz, Oliwia; Witmanowski, Henryk; Żaba, Ryszard

doi:10.5114/pdia.2013.37033

Cited by 15 publications

(21 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Public health experts have posited that syphilis is the source of more stigma than other STI diagnoses, although this is difficult to measure with certainty because STI programmes tend to focus contact tracing efforts more strongly on syphilis than other curable STIs owing to its serious consequences 215 . In one study measuring the level of shame associated with several stigmatizing skin diseases, patients assigned greatest shame to syphilis — more than to AIDS, other STIs or several disfiguring skin conditions 216 .…”

Section: Quality Of Lifementioning

confidence: 99%

Syphilis

Peeling

Mabey

Kamb

et al. 2017

Nat Rev Dis Primers

431

387

View full text Add to dashboard Cite

Treponema pallidum subspecies pallidum (T. pallidum) causes syphilis via sexual exposure or vertical transmission during pregnancy. T. pallidum is renowned for its invasiveness and immune-evasiveness; its clinical manifestations result from local inflammatory responses to replicating spirochetes and often imitate those of other diseases. The spirochete has a long latent period during which patients have no signs or symptoms, but can remain infectious. Despite the availability of simple diagnostic tests and the effectiveness of treatment with a single dose of long-acting penicillin, syphilis is re-emerging as a global public health problem, particularly among men who have sex with men (MSM) in high-income and middle-income countries. Syphilis also causes several hundred thousand stillbirths and neonatal deaths every year in developing nations. Although several low-income countries have achieved WHO targets for the elimination of congenital syphilis, an alarming increase of syphilis in HIV-infected MSM serves as a strong reminder of the tenacity of T. pallidum as a pathogen. Strong advocacy and community involvement is needed to ensure that syphilis is given high priority on the global health agenda. More investment in research is needed on the interaction between HIV and syphilis in MSM, as well as into improved diagnostics, a better test of cure, intensified public health measures and, ultimately, a vaccine.

show abstract

Section: Quality Of Lifementioning

confidence: 99%

Syphilis

Peeling

Mabey

Kamb

et al. 2017

Nat Rev Dis Primers

431

387

View full text Add to dashboard Cite

show abstract

“…The strong correlation between psoriasis and psychiatric comorbidities and the reports from the patients themselves put forth the need to further inform the general population about this condition and to offer early support to patients struggling to cope with their condition. There is a quantifiable link between shame over the disease and stigma (31), with stigma being an important predictor for lowered quality of life (30).…”

Section: Discussionmentioning

confidence: 99%

The first nation-wide study revealing epidemiologic data and life quality aspects of psoriasis in Romania

et al. 2019

View full text Add to dashboard Cite

Psoriasis is a chronic, immune mediated, inflammatory condition, which primarily affects the patient's skin. It is known to associate a variable array of comorbidities such as cardiovascular, metabolic and psychiatric ones, with an important impact on the patients' quality of life. The purpose of this study is to provide a first image of the prevalence, comorbidities, as well as the social impact of psoriasis in Romania. We devised a questionnaire, and with the aid of general practitioners throughout the country, delivered it to patients seeking medical care in their office. The questionnaire assessed demographic criteria as well as patient-related issues. It was completed in the presence of the general practitioner, and clear written instructions for completion were included. After statistical analysis, the resulting data formed the basis of this study. The reported prevalence of psoriasis in Romania is 5.18%. Almost half of the subjects who completed the questionnaire stated they knew somebody affected by the disease, yet almost a third believed it is a contagious condition. Cardiovascular and psychiatric comorbidities, as well as negative impact on social interactions were reported by the subjects in the study. These findings indicate the clear need for better quality of life for patients in a social context and increased awareness of the disease. All these could, in turn, help decrease the rate of psoriasis complications in Romania. Materials and methodsThis is a questionnaire-based study with sample populations coming from all regions of the country, in a representative distribution. The questionnaire (available upon request) was

show abstract

“…Shame is a self‐regulatory function of the body in adapting to the social environment, as well as maintaining and restoring self‐esteem and self‐acceptance . Feelings of shame have been reported to cause psychosocial restriction in patients with various dermatological diseases such as infection, or diseases with visible skin lesions like psoriasis or acne . These have a significant impact on the individual's social interaction and well‐being …”

Section: Differences Between Various Diseases Regarding the Aspects Omentioning

confidence: 99%