•  
  •  
 

ORCID ID

Bedriye Cansu Demirkiran : 0000-0002-0297-2634

Emine Kiyak : 0000-0002-7058-4254

Abstract

Background: Internalized stigma is defined as individuals’ acceptance of negative stereotypes created by society and then their alienation from society. Psoriasis is a dermatological disease that affects the quality of life. The study evaluated the internalized stigma and quality of life of patients diagnosed with psoriasis.

Methods: This cross sectional study enrolled 222 patients. Data were collected using the internalized stigma scale and the dermatology life quality index questionnaires. Data were analyzed using the Cronbach’s alpha.

Results: The internalized stigma score of the patients was 78.41 ± 23.14, and the quality of life score was 12.30 ± 5.67. Stigmatization and quality of life were affected by patients’ physical, psychological, and social lives (p < 0.05).

Conclusions: Patients’ internalized stigma level was high, their quality of life was low, and their quality of life decreased as the internalized stigma level increased. Furthermore, the internalized stigma level of the patients who suffered more from psoriasis was higher, but their quality of life was lower than those who suffered less.

References

  1. Dimitrov D, Szepietowski JC. Stigmatization in dermatology with a special focus on psoriatic patients. Postepy Hig Med Dosw (Online). 2017;71:1115–22.
  2. Jankowiak B, Kowalewska B, Krajewska-Kułak E, Khvorik DF. Stigmatization and quality of life in patients with psoriasis. Dermatol Ther (Heidelb). 2020;10:285–96.
  3. Michalek IM, Loring B, John SM. A systematic review of worldwide epidemiology of psoriasis. J Eur Acad Dermatol Venereol. 2017;31:205–12.
  4. Corrigan PW, Rao D. On the self-stigma of mental illness: Stages, disclosure, and strategies for change. Can J Psychiatry. 2012;57:464–9.
  5. Hrehorów E, Salomon J, Matusiak L, Reich A, Szepietowski JC. Patients with psoriasis feel stigmatized. Acta Derm Venereol. 2012;92:67–72.
  6. Topp J, Andrees V, Weinberger NA, Schäfer I, Sommer R, Mrowietz U, et al. Strategies to reduce stigma related to visible chronic skin diseases: A systematic review. J Eur Acad Dermatol Venereol. 2019;33:2029–38.
  7. Łakuta P, Marcinkiewicz K, Bergler-Czop B, Brzezińska-Wcisło L. How does stigma affect people with psoriasis? Postepy Dermatol Alergol. 2017;34:36–41.
  8. Bundy C, Borthwick M, McAteer H, Cordingley L, Howells L, Bristow P, et al. Psoriasis: Snapshots of the unspoken: Using novel methods to explore patients' personal models of psoriasis and the impact on well-being. Br J Dermatol. 2014;171:825–31.
  9. Vardy D, Besser A, Amir M, Gesthalter B, Biton A, Buskila D. Experiences of stigmatization play a role in mediating the impact of disease severity on quality of life in psoriasis patients. Br J Dermatol. 2002;147:736–42.
  10. Armstrong AW, Schupp C, Wu J, Bebo B. Quality of life and work productivity impairment among psoriasis patients: Findings from the National Psoriasis Foundation survey data 2003-2011. PLoS One. 2012;7:e52935.
  11. Nair PA, Badri T. Psoriasis [Internet, Updated 2022 Apr 6]. Treasure Island: StatPearls Publishing; 2022.
  12. Kim WB, Jerome D, Yeung J. Diagnosis and management of psoriasis. Can Fam Physician. 2017;63:278–85.
  13. Zięciak T, Rzepa T, Król J, Żaba R. Stigmatization feelings and depression symptoms in psoriasis patients. Psychiatr Pol. 2017;51:1153–63.
  14. Çapık C. Geçerlik ve güvenirlik çalışmalarında doğrulayıcı faktör analizinin kullanımı. J Anatol Nurs Health Sci. 2014;17:196–205.
  15. Alpsoy E, Polat M, FettahlıoGlu-Karaman B, Karadag AS, Kartal-Durmazlar P, YalCın B, et al. Internalized stigma in psoriasis: A multicenter study. J Dermatol. 2017;44:885–91.
  16. Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Res. 2003;121:31–49.
  17. Alpsoy E, Şenol Y, Temel AB, Baysal GÖ, Karakaş AA. Reliability and validity of internalized stigmatization scale in psoriasis. Türkderm. 2015;49:45–9.
  18. Oztürkcan S, Ermertcan AT, Eser E, Sahin MT. Cross validation of the Turkish version of dermatology life quality index. Int J Dermatol. 2006;45:1300–7.
  19. Ozturk A. Stigmatization spreads faster than the virus. Viruses do not discriminate, and neither should we." Combatting the stigmatization surrounding coronavirus disease (COVID-19) pandemic. Perspect Psychiatr Care. 2021;57:2030–4.
  20. Dopytalska K, Sobolewski P, Błaszczak A, Szymańska E, Walecka I. Psoriasis in special localizations. Reumatologia. 2018;56:392–8.
  21. Merola JF, Shrom D, Eaton J, Dworkin C, Krebsbach C, Shah-Manek B, et al Patient perspective on the burden of skin and joint symptoms of psoriatic arthritis: Results of a multi-national patient survey. Rheumatol Ther. 2019;6:33–45.
  22. Sahi FM, Masood A, Danawar NA, Mekaiel A, Malik BH. Association between psoriasis and depression: A traditional review. Cureus. 2020;12:e9708.
  23. Candelas G, Villaverde V, García S, Guerra M, León MJ, Cañete JD. Benefit of health education by a training nurse in patients with axial and/or peripheral psoriatic arthritis: A systematic literature review. Rheumatol Int. 2016;36:1493–506.
  24. Russo PA, Ilchef R, Cooper AJ. Psychiatric morbidity in psoriasis: A review. Australas J Dermatol. 2004;45:155–9.
  25. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan R. Quality of life in patients with psoriasis. Health Qual Life Outcomes. 2006;4:35.
  26. Wu JH, Cohen BA. The stigma of skin disease. Curr Opin Pediatr. 2019;31:509–14.
  27. Ghorbanibirgani A, Fallahi-Khoshknab M, Zarea K, Abedi H. The lived experience of psoriasis patients from social stigma and rejection: A qualitative study. Iran Red Crescent Med J. 2016;18:e27893.
  28. Wahl A, Hanestad BR, Wiklund I, Moum T. Coping and quality of life in patients with psoriasis. Qual Life Res. 1999;8:427–33.
  29. de Korte J, Sprangers MA, Mombers FM, Bos JD. Quality of life in patients with psoriasis: A systematic literature review. J Investig Dermatol Symp Proc. 2004;9:140–7.
  30. Zill JM, Christalle E, Tillenburg N, Mrowietz U, Augustin M, Härter M, et al. Effects of psychosocial interventions on patient-reported outcomes in patients with psoriasis: A systematic review and meta-analysis. Br J Dermatol. 2019;181:939–45.
  31. Beck KM, Yang EJ, Sanchez IM, Liao W. Treatment of genital psoriasis: A systematic review. Dermatol Ther (Heidelb). 2018;8:509–25.
  32. Amin M, Lee EB, Tsai TF, Wu JJ. Psoriasis and Co-morbidity. Acta Derm Venereol. 2020;100:adv00033.
  33. Kouris A, Platsidaki E, Kouskoukis C, Christodoulou C. Psychological parameters of psoriasis. Psychiatriki. 2017;28:54–9.

Creative Commons License

Creative Commons Attribution-Share Alike 3.0 License
This work is licensed under a Creative Commons Attribution-Share Alike 3.0 License.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.