Stigmatization in Patients With Psoriasis: A Mini Review

Zhang, Hanlin; Yang, Zihan; Tang, Keyun; Sun, Qiuning; Jin, Hongzhong

doi:10.3389/fimmu.2021.715839

Cited by 17 publications

(14 citation statements)

References 65 publications

(90 reference statements)

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“…Stigmatization can exacerbate negative emotions and unfavorable self-perceptions such as low self-esteem and a negative body image [ 4 , 5 ]. Stigmatization not only leads to the social exclusion of patients with psoriasis but also affects their mental status, possibly causing anxiety, anger, depression or its most serious complication, suicide [ 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

The Implication of Misinformation and Stigma in Age-Related Quality of Life, Depression, and Coping Mechanisms of Adult Patients with Psoriasis

et al. 2022

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Background and Objectives: Stigma and lack of acceptance in society might have detrimental effects on the quality of life of patients with psoriasis, sometimes being comparable with other chronic diseases and conditions that affect the appearance of a patient, such as burns. Therefore, we surveyed our patients diagnosed with psoriasis to determine the implications of misinformation and stigma for their quality of life, depression, and coping strategies stratified by different age categories. Materials and Methods: A cross-sectional study was designed for a sample size of a minimum of 45 patients considering a prevalence of psoriasis of 2–3% in the general population. The study participants (patients and controls) were given both a paper-based unstandardized questionnaire and an online version of three standardized surveys. The cohort of patients was further split into three age groups to determine their age-related quality of life and coping mechanisms. Results: The proportion of patients with a history of depression and depressive symptoms among patients with psoriasis was significantly higher. Multiple discrepancies were observed between patients and controls regarding questions that targeted stigma and misinformation. On the Coping Orientation to Problems Experienced Inventory (COPE-60) questionnaire, older patients were more likely to use positive coping mechanisms such as engagement and problem-focused coping, while the young patients were using more emotion-focused coping mechanisms. However, patients in the 30–50 age range group scored the highest on physical and mental health among all participants who filled the 12-Item Short Form Survey (SF-12) survey. The Dermatology Life Quality Index (DLQI) results showed significantly more patients answering “a lot and very much” concerning embarrassment and social activities, while sexual difficulties affected the older patients. The strongest correlations with depression were observed in the young patient group, who believed that psoriasis can cause skin cancer (rho = 0.418) and who had sexual difficulties (rho = 0.414) and embarrassment (rho = 0.359) as evaluated by the DLQI survey. In the 30- to 50-year-old group, the strongest correlations were with the feeling of being stigmatized (rho = 0.376), having sexual difficulties (rho = 0.367) and disengagement coping style (rho = 273). Conclusions: While the respondents are reasonably well-informed regarding psoriasis, a degree of stigma remains, likely due to involuntary emotional responses such as repulsion and embarrassment. It is essential to establish initiatives aimed at educating the general public, raising awareness, and establishing a more tolerant social environment for psoriasis patients.

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Section: Introductionmentioning

confidence: 99%

The Implication of Misinformation and Stigma in Age-Related Quality of Life, Depression, and Coping Mechanisms of Adult Patients with Psoriasis

et al. 2022

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“…12-13 The degree of stigmatization and the burden of disease are stronger in female than male patients. 29-30 Such findings could help us to understand the sex- and severity-related differences among patients with psoriasis.…”

Section: Discussionmentioning

confidence: 96%

Female Gender Was Associated With Increased Odds of Sleep Disturbance in Adult Chinese With Moderate-to-Severe Psoriasis: A Cross-Sectional Study

Tan¹,

Luo

Hu³

et al. 2022

International Journal of Dermatology and Venereology

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Objective: Up to 85.3% of patients with psoriasis experience sleep disturbance (SD). However, SD has not been characterized in Chinese patients with psoriasis, and the factors that affect SD among adult patients with psoriasis remain unclear. This study was performed to examine the risk of SD in patients with psoriasis compared with a control group of healthy individuals and to identify factors contributing to SD in patients with psoriasis. Methods: This was a cross-sectional, questionnaire-based, case-control study involving 142 adult participants with psoriasis and 142 healthy controls. The Pittsburgh Sleep Quality Index (PSQI) was administered to assess SD. Mild psoriasis was defined by Psoriasis Area and Severity Index and body surface area cut-offs of <10, and mild to severe psoriasis was determined by Psoriasis Area and Severity Index and body surface area cut-offs of ≥10. Logistic regression was performed to investigate the associations. Results: The prevalence of SD (PSQI score of ≥6) was 47.9% in adult patients with psoriasis. The mean PSQI score in patients with psoriasis was 6.1 ± 3.7, which was higher than that in the control group (4.9 ± 2.5, P < 0.001). The risk of SD in the psoriasis group was 1.669 times higher (95% confidence interval, 1.008–2.761; P = 0.046) than that in the healthy group. Female sex (adjusted odds ratio, 4.130; 95% confidence interval, 1.306–13.058; P = 0.016) was significantly associated with an increased risk of SD in patients with moderate to severe psoriasis, whereas there were no significant factors affecting the risk of SD in patients with mild psoriasis. Conclusion: Patients with psoriasis were more likely than healthy controls to develop SD. In patients with moderate to severe psoriasis, but not in those with mild psoriasis, female sex was associated with a higher likelihood of SD.

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“…Relaxation techniques, cognitive‐behavioral therapy and participation in patients' groups, might be beneficial. The cooperation between dermatologists and psychologists is crucial in such cases 32 …”

Section: Discussionmentioning

confidence: 99%

Facial acne causes stigmatization among adolescents: A cross‐sectional study

Szepietowska

Dąbrowska

Nowak

et al. 2022

J of Cosmetic Dermatology

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Background Stigmatization is defined as a discrediting mark which sets the person from others and hindering interpersonal relationships. Literature data on stigma in acne subjects are scarce. Aims This study was undertaken to assess feelings of stigmatization in adolescents with facial acne. Material/Methods The study was performed on 730 high‐school students aged 15 to 19 years with the mean age of 17.05 ± 1.18 years. Self‐reported acne was found in 74.9% of subjects. The severity of acne was self‐assessed with the standardized color images based on Investigators Global Assessment (IGA). Stigmatization was studied with 6‐Item Stigmatization Scale (6‐ISS) and Perceived Stigmatization Questionnaire (PSQ). Additionally, quality of life (QoL) was evaluated with Dermatology Life Quality Index (DLQI). Results 58% of adolescents with acne presented with feelings of stigmatization. Within the acne population, stigmatization was significantly more common in females than in males (p < 0.001). The mean level of stigmatization according to 6‐ISS was significantly higher in acne sufferers than in those free from acne (1.68 ± 2.42 points and 0.55 ± 1.50 points, respectively; p < 0.001). Feelings of stigmatization were significantly more pronounced by females than males (p < 0.001). Staring at the skin and the fact that others are not attracted to person due to skin lesions were main problems raised by the study participants with acne. 6‐ISS scores correlated with acne severity (r = 0.278; p < 0.001) and both 6‐ISS and PSQ scores with QoL impairment (r = 0.530; p < 0.001 and r = 0.341; p < 0.001, respectively). Conclusions Facial acne is a highly stigmatized skin disease and requires a holistic therapeutic approach.

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Stigmatization in Patients With Psoriasis: A Mini Review

Cited by 17 publications

References 65 publications

The Implication of Misinformation and Stigma in Age-Related Quality of Life, Depression, and Coping Mechanisms of Adult Patients with Psoriasis

The Implication of Misinformation and Stigma in Age-Related Quality of Life, Depression, and Coping Mechanisms of Adult Patients with Psoriasis

Female Gender Was Associated With Increased Odds of Sleep Disturbance in Adult Chinese With Moderate-to-Severe Psoriasis: A Cross-Sectional Study

Facial acne causes stigmatization among adolescents: A cross‐sectional study

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