Vitiligo – Coping Behavior

Gieler, Uwe; Brosig, Burkhard; Schneider, Udo; Kupfer, Jörg; Niemeier, V.; Stangier, Ulrich; Küster, Wolfgang

doi:10.1159/000017500

Cited by 16 publications

(17 citation statements)

References 15 publications

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“…Stress has been implicated for a long time as a trigger or worsening factor in vitiligo [2,12,44]. Several other trigger factors have been suggested, ranging from hormonal changes, exposure to certain chemical compounds and psychological injuries related to stressful life events [12,45].…”

Section: Is There Already Something Different In Patients Before Vitimentioning

confidence: 99%

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Cumulative Life Course Impairment in Vitiligo

Krüger¹,

Schallreuter²

2013

Dermatological Diseases and Cumulative Life Course Impairment

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Section: Is There Already Something Different In Patients Before Vitimentioning

confidence: 99%

“…Gieler et al [44] found in 33 patients with vitiligo that the longer they had the disease the less depressed the patients became (assessed with the Beck Depression Inventory; BDI). This finding is not confirmed by the data in Lee et al [55].…”

Section: Has Duration Of Vitiligo Any Influence On Patient's Psycholomentioning

confidence: 99%

Cumulative Life Course Impairment in Vitiligo

Krüger¹,

Schallreuter²

2013

Dermatological Diseases and Cumulative Life Course Impairment

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“…These include depression, an impaired sense of body image, decreased selfesteem, sexual and relationship difficulties and a general reduction in quality of life Porter et al, 1987;Obermeyer, 1985;Dungey and Busselmeir, 1982]. They also include a reduced sense of control, predictability over one's life and reduced social support [Gieler et al, 2000;Thompson and Kyle, 2000;Picardi et al, 2003]. The visibility of most dermatoses has psychological consequences and can often carry connotations of contagion or a lack of hygiene [Papadopoulos and Walker, 2003;Kleinman, 1988].…”

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confidence: 99%

Living with Vitiligo: A Controlled Investigation into the Effects of Group Cognitive-Behavioural and Person-Centred Therapies

2004

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Background: Vitiligo is a progressive condition involving a loss of pigmentation in the skin. It can be disfiguring and no fully effective treatment or cure exists. Although medical effects of vitiligo have been studied extensively, less attention has been paid to its psychological impact. Methods: This research compared the efficacy of group cognitive-behavioural therapy (CBT) and group personcentred therapy with respect to ameliorating the disabling effects of the condition. Participants were randomly allocated to either the control group, the CBT treatment group or the person-centred treatment group. Participants underwent 8 consecutive weeks of therapy and psychological and physiological gains were recorded before therapy, after therapy and at 6 and 12-month follow-up. The study used a mixed factorial design for the questionnaire analysis. The independent factor was the three different experimental conditions; control, CBT and person-centred therapy and the repeated measures factor was assessment point; pre-treatment, post-treatment, 6-month follow-up and 12-month follow-up. Results: Unlike previous work with different psychotherapy formats, little psychosocial or physiological benefits were gained as a result of the two group therapy programmes. Conclusion: This research helps us to understand more fully the efficacy of psychological therapy with a vitiligo population and will help direct health professionals to the most appropriate format for future use.

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“…However, the published results on this topic are not conclusive. Neither Gieler et al (52) nor Lee et al (53) found a difference between patients and controls. Clearly our data are limited because the group that used the BDI after 12 months was too small.…”

Section: Discussionmentioning

confidence: 86%

Significant Immediate and Long-term Improvement in Quality of Life and Disease Coping in Patients with Vitiligo after Group Climatotherapy at the Dead Sea

Krüger¹,

Smythe²,

Spencer³

et al. 2011

Acta Derm Venerol

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Quality of life in patients with vitiligo is impaired. This study explored the immediate effect of 20 days of climatotherapy at the Dead Sea on quality of life, coping with the disease, general well-being and individual stress levels in a group of 71 patients with vitiligo and 42 matched controls. The long-term effect was assessed after 12 months in 33/71 patients and 12/42 controls. Study instruments were Dermatology Life Quality Index, Beck Depression Inventory and the Adjustment to Chronic Skin Disorders Questionnaire. Stress measurements were based on cortisol and β-endorphin concentrations in saliva samples. Quality of life was significantly improved at day 20 at the Dead Sea compared with day 1, and this was still significant after 12 months. Moreover, social anxiety/avoidance, anxious-depressive mood and helplessness as measured by the Adjustment to Chronic Skin Disorders Questionnaire were significantly reduced. There was no difference in levels of cortisol and β-endorphin between patients and controls, indicating that stress per se is not a significant contributor in vitiligo. In conclusion, therapy in patient groups offers an effective tool for long-lasting improvement in quality of life and patients' well-being.

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Vitiligo – Coping Behavior

Cited by 16 publications

References 15 publications

Cumulative Life Course Impairment in Vitiligo

Cumulative Life Course Impairment in Vitiligo

Living with Vitiligo: A Controlled Investigation into the Effects of Group Cognitive-Behavioural and Person-Centred Therapies

Significant Immediate and Long-term Improvement in Quality of Life and Disease Coping in Patients with Vitiligo after Group Climatotherapy at the Dead Sea

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