Facets of shame are differently expressed in dermatological disease: a prospective observational study

Aberer, Elisabeth; Hiebler‐Ragger, Michaela; Zenker, Moritz; Weger, Wolfgang; Hofer, Angelika; Unterrainer, ­Human-Friedrich

doi:10.1111/bjd.18899

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We do not attribute this higher level of skin shame to the patients' educational level, but to the disease itself. In a previous study by Aberer et al (23), dermatological patients generally had a higher level of skin shame; the level was highest in patients with psoriasis. The physical appearance of psoriasis also causes a substantial social burden for patients (31).…”

Section: Discussionmentioning

confidence: 76%

“…In further studies, patients with a variety of dermatological diseases were investigated with regard to several variables of shame using the 2 above-mentioned shame questionnaires. In a recently published article by Aberer et al, patients with psoriasis, besides those with inflammatory diseases and eczema, had the highest scores for skin shame, as revealed by the SSS-24 questionnaire ( 23 ).…”

mentioning

confidence: 97%

See 1 more Smart Citation

Relationship Between Skin Shame, Psychological Distress and Quality of Life in Patients with Psoriasis: a Pilot Study

Homayoon

Hiebler‐Ragger²,

Zenker³

et al. 2020

Acta Derm Venereol

View full text Add to dashboard Cite

Shame is a negative emotion that has been shown to cause psychosocial distress in patients with psoriasis. This study used questionnaires to measure skin and general shame. The results show that higher levels of skin shame were associated with greater disease burden and impaired quality of life. Interestingly, skin shame was correlated with severity of psychiatric disease burden in a similar way to in controls without skin disease. Similarly, general shame and psychiatric disease burden did not differ between patients and controls. It was notable that skin shame did not correlate with Psoriasis Area and Severity Index, the measured disease severity index. Shame has been registered as a part of psychosocial distress in patients with psoriasis. This study investigated 44 patients with psoriasis and 88 age-and sexmatched individuals without skin disease. Skin shame, multifarious expressions of shame, psychological symptoms, overall health, dermatological quality of life, disease burden and disease severity were measured. Higher levels of skin shame correlated with a greater disease burden (r=0.63; p < 0.01), higher Dermatology Life Quality Index (r=0.33; p < 0.05), and lower mental quality of life (r=-0.30; p < 0.05). Patients had a higher level of skin shame (F=74.03; eta 2 = 0.36; p < 0.01) and less physical quality of life on the SF-36 (F=5.14; eta 2 = 0.04; p < 0.05) than non-dermatological controls. General shame was not related to disease burden or quality of life. While self-rated skin shame appears to be related to quality of life in patients with psoriasis, no association was registered between expert-rated Psoriasis Area and Severity Index and quality of life.

show abstract

Section: Discussionmentioning

confidence: 76%

mentioning

confidence: 97%