Stigmatization and perceived health status in patients with hidradenitis suppurativa: an observational multicenter study in Europe

IF 3.5 4区 医学 Q1 DERMATOLOGY
Servando E. Marron, Tamara Gracia-Cazaña, Francesca Sampogna, Christina Schut, Joerg Kupfer, Florence J. Dalgard, Anthony Bewley, Sylvia van Beugen, Uwe Gieler, Lars Lien, Sonja Ständer, Nienke Vulink, Andrew Y. Finlay, Franz J. Legat, Geraldine Titeca, Gregor B. Jemec, Laurent Misery, Csanad Szabo, Vesna Grivcheva-Panovska, Saskia Spillekom-van Koulil, Flora Balieva, Jacek C. Szepietowski, Adam Reich, Bárbara Roque Ferreira, Andrey Lvov, Dmitry Romanov, Ake Svensson, Ilknur K. Altunay, Andrew R. Thompson, Claudia Zeidler, Lucía Tomas-Aragones, the ESDAP Study Collaborators
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引用次数: 0

Abstract

Introduction

Hidradenitis suppurativa (HS) can severely affect the quality of life (QoL) and is linked to psychological distress, including anxiety, depression, and reduced self-esteem. Stigmatization due to physical appearance may significantly contribute to the psychological burden and impact on QoL for HS patients. This study investigates the association between stigmatization, depression, anxiety, and health- and disease-related variables among HS patients in Europe.

Patients and methods

This observational cross-sectional multicenter study was conducted across 22 dermatological outpatient clinics in 17 European countries. Data collected included sociodemographic variables, general health variables, disease-related variables, perceived stigmatization (PSQ), and mental health (PHQ-2, GAD-2).

Results

Of the 5487 dermatological patients, 142 (2.6%) were diagnosed with HS, and data from 135 patients (70.1% women, mean age 38.2 years) who completed the PSQ questionnaire were analyzed. Scores on the stigmatization measure indicated that significant stigmatization levels were present in the sample. Linear regression models revealed a significant relationship between stigmatization and both the duration of HS and the presence of itch. Similar findings were noted for the PSQ “confused/staring behavior” scale with depression. The PSQ “absence of friendly behavior” scale was inversely associated with general health status, whereas the “hostile behavior” scale was positively linked to depression.

Conclusion

HS patients experience significant stigmatization linked to disease duration, itch, and depression. Comprehensive management, including screening for psychosocial co-morbidity, is essential, as is providing access to psychological interventions that support patients to both manage internal distress and the potential reactions of others.

Abstract Image

化脓性扁桃体炎患者的耻辱感和健康状况:欧洲多中心观察研究。
导言:化脓性扁平湿疹(HS)会严重影响患者的生活质量(QoL),并与焦虑、抑郁和自卑等心理困扰有关。因外貌而产生的耻辱感可能会在很大程度上加重 HS 患者的心理负担并影响其生活质量。本研究调查了欧洲 HS 患者的鄙视、抑郁、焦虑以及健康和疾病相关变量之间的关系:这项观察性横断面多中心研究在 17 个欧洲国家的 22 家皮肤病门诊诊所进行。收集的数据包括社会人口学变量、一般健康变量、疾病相关变量、感知到的污名化(PSQ)和心理健康(PHQ-2、GAD-2):在 5487 名皮肤病患者中,有 142 人(2.6%)被诊断出患有 HS,对 135 名填写 PSQ 问卷的患者(70.1% 为女性,平均年龄 38.2 岁)的数据进行了分析。污名化测量得分表明,样本中存在明显的污名化程度。线性回归模型显示,鄙视与 HS 的持续时间和是否出现瘙痒之间存在显著关系。PSQ 的 "困惑/凝视行为 "量表与抑郁也有类似的结果。PSQ 的 "缺乏友好行为 "量表与总体健康状况成反比,而 "敌意行为 "量表与抑郁呈正相关:结论:HS 患者会因病程、瘙痒和抑郁而遭受严重的侮辱。全面的管理,包括对心理社会共病的筛查,以及提供心理干预,帮助患者管理内心痛苦和他人的潜在反应,都是至关重要的。
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来源期刊
CiteScore
4.70
自引率
2.80%
发文量
476
审稿时长
3 months
期刊介绍: Published monthly, the International Journal of Dermatology is specifically designed to provide dermatologists around the world with a regular, up-to-date source of information on all aspects of the diagnosis and management of skin diseases. Accepted articles regularly cover clinical trials; education; morphology; pharmacology and therapeutics; case reports, and reviews. Additional features include tropical medical reports, news, correspondence, proceedings and transactions, and education. The International Journal of Dermatology is guided by a distinguished, international editorial board and emphasizes a global approach to continuing medical education for physicians and other providers of health care with a specific interest in problems relating to the skin.
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