Comparison of the Psychological Impacts of Asymptomatic and Symptomatic Cutaneous Diseases: Vitiligo and Atopic Dermatitis

We have reported in a previous study that, among the various kinds of psychological parameters, anxiety was strongly associated with the symptoms of AD13

Seongmin Noh; Miri Kim; Chang Ook Park; Seung-Kyung Hann; Sang Ho Oh


Scholarcy highlights

  • As skin is the largest and most visible part of the human body, patients with skin diseases often suffer from psychological stress and impaired quality of life due to the appearance and subjective symptoms
  • There are reports comparing the psychological impacts of vitiligo and psoriasis, the psychological aspects of skin diseases with and without subjective symptoms have rarely been studied, and the psychological aspects of vitiligo and atopic dermatitis have been compared in only a few studies
  • Some reports suggested that anxiety was more prevalent in vitiligo patients as compared with the general population, while BilgiƧ et al. reported that children and adolescents with vitiligo did not show increased levels of anxiety compared with controls
  • As a large number of patients with moderate and severe AD are included in this study, the severity of AD may have elevated psychological stress and worsened QoL compared with the vitiligo group
  • In the case of private body consciousness subscales, which assess attention to internal physical sensations and hypochondriatic features, the vitiligo patients showed no significant difference from AD patients, despite significantly higher values of PBC compared with the normal controls group
  • There were no significant differences in age and sex among the three groups
  • Taken together with the results for interaction anxiousness, which was not elevated in vitiligo patients, we suggest that vitiligo patients might be more concerned with the spreading or aggravation of the hypopigmented lesions on their bodies than the social problems associated with unwanted attention from other people
  • While the patients with vitiligo in this study showed less psychological stress and less impaired quality of life than atopic dermatitis patients, they still exhibited elevated levels of anxiety and body consciousness, as well as more impaired QoL in comparison to normal controls. physicians should be aware that even unexposed vitiligo lesions may distress patients, and that patients with vitiligo may be more concerned with the aggravation of hypopigmented patches on the body, even those unexposed, than with difficulties in social interactions

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