26558 Anxiety, depression, and quality of life in patients with chronic skin diseases

Though vitiligo is one of the psychodermatological disorders which do not cause direct physical impairment, it is cosmetically disfiguring leading to serious psychological problems in daily life. We undertook this research to study patients of vitiligo the prevalence of depression, coping, stigma, and quality of life and comparison of the same in both genders. Patients diagnosed clinically as having vitiligo by consultant dermatologist were enrolled after informed consent and ethics approval. 156 patients were screened, of which 100 satisfying criteria were taken up for the study. A semistructured proforma was designed to collect the necessary information with administration of Beck’s depression inventory, participation scale, dermatology life quality index, and adjustment to chronic skin diseases questionnaire. Depression prevalence was 63.64% in females and 42.86% in males (p<0.0457); the total mean BDI scores were significant with females having higher scores than males (p<0.0083). No significant differences were seen on participation scale though 52% females felt stigmatized as compared to 45% males (p <0.5779). While almost 97% of our patients had impaired quality of life there was no significant difference in both genders on the total score (p<0.3547). Females had significantly higher faulty coping style than males with significant differences on all domains and total scores (p< 0.0094). There was a strong association of depression with faulty coping and stigma (p< 0.0001) in both genders. Also association of stigma with quality of life showed highly significant findings in both genders (p< 0.0001) on all the domains of DLQI. This study helps in early identification of psychological problems in vitiligo patients and planning their future course of management, hence improving the prognosis and quality of life.

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Quality of Life and Disease Impact of Atopic Dermatitis and Psoriasis on Children and Their Families

Children ◽

10.3390/children6120133 ◽

2019 ◽

Vol 6 (12) ◽

pp. 133

Author(s):

Chan Ho Na ◽

Janice Chung ◽

Eric L. Simpson

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Skin Diseases ◽

Health Impact ◽

Health Related ◽

Disease Impact ◽

Chronic Skin ◽

Chronic Skin Diseases ◽

The Impact

Atopic dermatitis (AD) and psoriasis are common chronic skin diseases affecting children. These disorders negatively impact the quality of life (QoL) of patients in health-related aspects such as physical, psychosocial, and mental functioning. This health impact is more accurately represented when accounting for the numerous comorbidities associated with each disorder, and the impact the disorders have on patients’ families. A number of QoL tools have been developed and can be routinely implemented in the evaluation of QoL in pediatric patients and their caregivers. Ways to improve QoL include a multidisciplinary approach to care, education, and psychological support.

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Quality of Life in Patients with Skin Disease and Their Cohabitants

10.5772/intechopen.97450 ◽

2021 ◽

Author(s):

Trinidad Montero-Vílchez ◽

Manuel Sánchez-Díaz ◽

Antonio Martínez-López ◽

Salvador Arias-Santiago

Keyword(s):

Quality Of Life ◽

Hidradenitis Suppurativa ◽

Skin Diseases ◽

Life Quality ◽

Related Quality ◽

Health Related ◽

Chronic Skin ◽

Skin Conditions ◽

Chronic Skin Diseases

Health evaluation implies assess multidimensional aspects of a person’s development, such as physical, social, psychological, and emotional features. It is important to consider all these factors to apply a needs-oriented each patient approach. Chronic skin diseases have a great impact on quality of life, even more than other chronic conditions. For example, hidradenitis suppurativa is estimated to impair quality of life more than cardiovascular disease, lung disease or endocrine diseases. Multiple tools have been developed to measure health-related quality of life in patient, being the Dermatology Life Quality Index (DLQI) the most used. Psoriasis, hidradenitis suppurativa, acne, atopic dermatitis and hair disorders are those with the greatest impact on patients’ quality of life. Moreover, chronic skin conditions impair not only patients’ quality of life, but also cohabitants. Nevertheless, there is scarce information regarding the impact on their cohabitants. So, the objective of this chapter is to review the literature to assess the psychological and social effects of dermatological conditions both on patients and cohabitants.

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Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16030305 ◽

2019 ◽

Vol 16 (3) ◽

pp. 305 ◽

Cited By ~ 15

Author(s):

Sau Huu Nguyen ◽

Long Hoang Nguyen ◽

Giang Thu Vu ◽

Cuong Tat Nguyen ◽

Thu Hoai Thi Le ◽

...

Keyword(s):

Quality Of Life ◽

Skin Diseases ◽

Cross Sectional Study ◽

Health Related Quality ◽

Sectional Study ◽

Cross Sectional ◽

Related Quality ◽

Health Related ◽

Anxiety Depression

Skin diseases have caused a heavy burden on the infected population worldwide. This study aimed to examine the health-related quality of life (HRQOL) among patients with different skin diseases and identify associated factors. A cross-sectional study with 430 participants was conducted at the Vietnam National Hospital of Dermatology and Venereology (NHD) from September to November 2018. The EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) instrument was employed, which measures the EQ-5D index from five domains including mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Multivariate Tobit regression was adopted to determine factors that were associated with HRQOL (EQ-5D index). The rate of atopic dermatitis was the highest with 28.8%, following by contact dermatitis (17.0%) and skin fungal infections (13.0%). Regarding HRQOL, anxiety/depression was the most common health problem in patients with skin diseases (71.8%), following by pain/discomfort (63.6%). The mean EQ-5D index score was 0.73 (SD = 0.19). The lowest EQ-5D index scores were obtained for females with skin infections (mean = 0.52) and for males with psoriasis (mean = 0.59). Females had significantly lower scores compared to males (Coef. = −0.06; 95% CI = −0.11 to −0.01). Higher income and living in rural areas were also negatively correlated with the EQ-5D index. This study demonstrated the low HRQOL among patients with skin diseases in Vietnam and emphasized the vulnerability of patients with different socioeconomic statuses to their HRQOL.

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Assessing depression and anxiety in the caregivers of pediatric patients with chronic skin disorders

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20131915 ◽

2013 ◽

Vol 88 (6) ◽

pp. 894-899 ◽

Cited By ~ 19

Author(s):

Ana Paula Dornelles da Silva Manzoni ◽

Magda Blessmann Weber ◽

Aline Rodrigues da Silva Nagatomi ◽

Rita Langie Pereira ◽

Roberta Zaffari Townsend ◽

...

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Emotional Disorders ◽

Pediatric Patients ◽

Skin Diseases ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Skin Disorders ◽

Chronic Skin

BACKGROUND: The literature has shown that the presence of emotional disturbances in caregivers of children with skin diseases affects the course and treatment of the disease. Anxiety and depression are among the most frequently reported psychiatric diagnoses related to this fact. OBJECTIVE: To evaluate the presence of anxiety and depression in caregivers of pediatric patients with chronic skin disorders, exemplified by atopic dermatitis, psoriasis and vitiligo, and correlate them to the quality of life of the patients. METHODS: The sample consisted of 118 patients with atopic dermatitis, vitiligo and psoriasis, monitored by their main caregiver. The levels of anxiety and depression in the caregivers were assessed using the Hamilton Anxiety Scale and the Beck Depression Inventory, respectively. The Children's Dermatology Life Quality Index was applied. RESULTS: Anxiety was observed in 36% of the caregivers of the patients with atopic dermatitis, in 36% of those of children affected by psoriasis, and in 42% of those responsible for pediatric patients with vitiligo. Depression occurred in 36% of the caregivers of patients with atopic dermatitis, in 36% of those of children affected by psoriasis and in 26% of those responsible for pediatric patients with vitiligo. There was a significant correlation between poor quality of life scores in patients with vitiligo and the presence of depression and anxiety in their caregivers. CONCLUSION: Emotional disorders tend to be present among close family members of children with the chronic skin diseases studied and their prevention can help in controlling and treating these diseases.

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Skin Disease in Children: Effects on Quality of Life, Stigmatization, Bullying, and Suicide Risk in Pediatric Acne, Atopic Dermatitis, and Psoriasis Patients

Children ◽

10.3390/children8111057 ◽

2021 ◽

Vol 8 (11) ◽

pp. 1057

Author(s):

Katherine A. Kelly ◽

Esther A. Balogh ◽

Sebastian G. Kaplan ◽

Steven R. Feldman

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Family Relationships ◽

Pediatric Patients ◽

Skin Diseases ◽

Management Options ◽

Self Image ◽

Chronic Skin

Acne, atopic dermatitis (AD), and psoriasis are all chronic dermatologic conditions that greatly impact the lives of pediatric patients and their caregivers. The visible nature of these diseases negatively affects the self-image of children early in life as well as their relationships with their families and peers. Physicians recognize the importance of addressing both the physical and mental symptoms of their patients but are currently not equipped with clear guidelines to manage long-term psychosocial comorbidities in pediatric dermatologic patients. A PubMed and Google Scholar search of key words was conducted to explore self-image in pediatric patients with acne, AD, and psoriasis. Chronic skin diseases put pediatric patients at risk for strained family relationships, poor self-image, psychiatric comorbidities, stigmatization, and eventual suicidal behavior. A limitation of this study is a lack of a validated measure of quality of life in the pediatric population that fulfills enough criteria to evaluate long term quality of life in children and adults. Possible management options, including connecting patients with the same diagnosis and allocating resources to parents and teachers to better understand these chronic skin conditions, may provide pediatric patients with the support they need to develop resilience in the face of these challenges.

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Symmetry or face asymmetry, what is the condition — contemporary opinions of researchers

Journal of Face Aesthetics ◽

10.20883/jofa.31 ◽

2020 ◽

Vol 3 (1) ◽

pp. 51-60

Author(s):

Agnieszka Wróblewska ◽

Mohit Bhatia ◽

Teresa Matthews‑Brzozowska ◽

Adriana Polańska

Keyword(s):

Aging Process ◽

Skin Diseases ◽

Facial Asymmetry ◽

Significant Degree ◽

Medical Databases ◽

Population Average ◽

Chronic Skin ◽

Face Structure ◽

Chronic Skin Diseases

Symmetry, among others, is the exponent of the correct face structure. 31 publications from the last 5 years were selected from medical databases, which discussed factors that may affect facial symmetry. According to the analyzed reports, the etiology of facial asymmetry is multifactorial through functional, neuromuscular, stomatognathic, environmental, congenital, acquired as a result of injuries, cancer, chronic skin diseases and aging process. Fluctuation asymmetry within the population average does not significantly affect the assessment of facial attractiveness, while a significant degree of fluctuation asymmetry can have a destructive impact on the multi‑faceted quality of life of an individual.

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The Constructive Thinking Inventory: Factorial Structure in Healthy Individuals and Patients with Chronic Skin Diseases

European Journal of Psychological Assessment ◽

10.1027/1015-5759.14.3.226 ◽

1998 ◽

Vol 14 (3) ◽

pp. 226-233 ◽

Cited By ~ 3

Author(s):

Jürgen Hoyer ◽

Mechthild Averbeck ◽

Thomas Heidenreich ◽

Ulrich Stangier ◽

Karin Pöhlmann ◽

...

Keyword(s):

Skin Diseases ◽

Principal Component ◽

Initial Study ◽

Statistical Independence ◽

Constructive Thinking ◽

Global Factor ◽

Emotional Coping ◽

Factor Congruence ◽

Chronic Skin ◽

Chronic Skin Diseases

Epstein's “Constructive Thinking Inventory” (CTI) was developed to measure the construct of experiential intelligence, which is based on his cognitive-experiential self-theory. Inventory items were generated by sampling naturally occurring automatic cognitions. Using principal component analysis, the findings showed a global factor of coping ability as well as six main factors: Emotional Coping, Behavioral Coping, Categorical Thinking, Personal Superstitious Thinking, Esoteric Thinking, and Naive Optimism. We tested the replicability of this factor structure and the amount of statistical independence (nonredundancy) between these factors in an initial study of German students (Study 1, N = 439) and in a second study of patients with chronic skin disorders (Study 2, N = 187). Factor congruence with the original (American) data was determined using a formula proposed by Schneewind and Cattell (1970) . Our findings show satisfactory factor congruence and statistical independence for Emotional Coping and Esoteric Thinking in both studies, while full replicability or independence could not be found in both for the other factors. Implications for the use and further development of the CTI are discussed.

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