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Marron, SE; Gracia-Cazaña, T; Sampogna, F; Schut, C; Kupfer, J; Dalgard, FJ; Bewley, A; van, Beugen, S; Gieler, U; Lien, L; Ständer, S; Vulink, N; Finlay, AY; Legat, FJ; Titeca, G; Jemec, GB; Misery, L; Szabo, C; Grivcheva-Panovska, V; Spillekom-van, Koulil, S; Balieva, F; Szepietowski, JC; Reich, A; Roque, Ferreira, B; Lvov, A; Romanov, D; Svensson, A; Altunay, IK; Thompson, AR; Zeidler, C; Tomas-Aragones, L, , ESDAP, Study, Collaborators.
Stigmatization and perceived health status in patients with hidradenitis suppurativa: an observational multicenter study in Europe.
Int J Dermatol. 2024; Doi: 10.1111/ijd.17569
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Co-authors Med Uni Graz: Legat Franz
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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.
Find related publications in this database (Keywords): itch; burden; hidradenitis suppurativa; stress; acne inversa; perceived health status; stigmatization