Prevalence and predictors of perceived stigmatization in adult patients with moderate‐to‐severe atopic dermatitis in France

Abstract

FS n = 86 (%) Non-FS n = 64 (%) p-value (significant if <0.05) Ability of the doctor to explain the different existing treatments to you [0-10] 7.16 ± 1.97 7.40 ± 1.83 0.437 Your doctor's ability to listen to your symptoms [0-10] 7.41 ± 2.24 8,04 ± 1.74 0.05 Ability of the physician to ask the right questions [0-10] 7.18 ± 1.91 8.01 ± 1.50 0.003 Ability of the doctor to educate you about the disease [0-10] 6.93 ± 2.09 7.43 ± 1.85 0.11 The doctor's ability to adapt your treatment according to the progression of the disease [0-10] 7.11 ± 2.01 7.07 ± 2.48 0.04 Ability of the doctor to offer you an appointment quickly when you are in the midst of an atopic dermatitis crisis [0-10] 6.89 ± 2.40 7.07 ± 2.48 0.65

Perceived Stigmatization among Dermatological Outpatients Compared with Controls: An Observational Multicentre Study in 17 European Countries

“…In analyses taking into account sociodemographic, healthrelated and psychological confounders, especially patients with psoriasis, atopic dermatitis, alopecia, and bullous disorders scored high in comparison with skin healthy controls. This is in line with results from studies with no control group in smaller samples (2,9,29), and highlights the burden of perceived stigmatization in lessoften studied conditions, such as alopecia (30) and bullous conditions (31).…”

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

“…As such, close social contacts predicted the occurrence of felt stigma in patients with psoriasis, while the variables related to having children (especially those still living in the household) and being employed also tend to increase feelings of stigmatization. In contrast to a recent study (17), this study could identify sex differences in felt stigma in patients with AD. Reflecting gender stereotypes, women face greater social pressure to fulfill stereotypes of appearance, as women's accomplishments tend to be assessed by their appearance (38).…”

“…These studies found that severity ( 5 , 18 ), involvement of sensitive body regions ( 19 ), and visibility ( 19 ) were associated with stigmatization. However, Halioua et al ( 17 ) found no predictive evidence for sex, severity, and disease duration, only a younger age was predictive. Compared with the relative lack of studies relating to AD, we benefit from more widely studied factors in patients with psoriasis, such as lower age ( 20 , 21 ), female sex ( 22 ), lower levels of educational attainment ( 21 , 23 ), being unemployed ( 24 ), early age of onset ( 20 , 24 ), longer disease duration ( 20 , 21 , 25 ), not having a partner ( 21 ), severity ( 21 , 26 ), involvement of genital areas ( 27 ), visibility ( 21 , 25 , 27 ), itching/frequency of scratching ( 28 , 29 ), living in the countryside ( 20 ), and type D personality ( 21 ).…”

“…A knowledge gap could be identified for AD. It is well known that this erythematous scaly skin condition, presenting similar symptoms to psoriasis, is one of the most stigmatized conditions, although stigmatization and its correlations have rarely been studied, and usually with respect to incidence in children ( 5 , 17 ). These studies found that severity ( 5 , 18 ), involvement of sensitive body regions ( 19 ), and visibility ( 19 ) were associated with stigmatization.…”