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Hiebler-Ragger, M; Unterrainer, HF; Thompson, AR; Kellett, S; Aberer, E.
[German version of the Skin Shame Scale (SSS-24) : Validation with dermatological patients and dermatologically healthy individuals].
Hautarzt. 2020; 71(2):124-129
Doi: 10.1007/s00105-019-04501-5
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- Leading authors Med Uni Graz
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Aberer Elisabeth
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Hiebler-Ragger Michaela
- Co-authors Med Uni Graz
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Unterrainer Human-Friedrich
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- Abstract:
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Skin shame plays an important role in the psychological distress of dermatological patients. However, it is rarely examined in research or clinical practice due to the lack of availability of a robust measure of skin shame. This study sought to adapt and validate the Skin Shame Scale (SSS-24) for use in the German-speaking population.
The SSS-24 questionnaire was completed by 488 dermatologically healthy (DH) individuals (66.6% women) and 339 dermatological patients (DP; 66.7% women). Participants also completed measures of general shame (SHAME) and of psychological distress (BSI[Brief Symptom Inventory]-18).
The SSS-24 showed adequate psychometric properties and a high internal consistency in both samples (DH: α = 0.91; DP: α = 0.95). DP reported more skin shame than DH (p < 0.001) but in both samples more skin shame was associated with more general shame and more psychological distress (p < 0.001).
Overall, the psychometric properties of the English original version were replicated in the German version of the SSS-24. Due to the strong associations with general shame and psychological distress, skin shame should be considered an important parameter in psychodermatology. The SSS-24 enables further research into the role of shame in skin conditions and provides a useful tool for identifying patients who might benefit from psychosocial interventions.
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Female -
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Humans -
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Male -
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Psychometrics -
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Quality of Life -
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Reproducibility of Results -
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Shame -
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Skin Diseases - psychology
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Surveys and Questionnaires -
- Find related publications in this database (Keywords)
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Psychosocial interventions
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Psychodermatology
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Shame
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Validation of questionnaire
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Psychological distress