Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study
Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that has been reported to have the greatest negative impact on quality of life (QoL) and psychosocial factors when compared with other skin conditions.Objectives: To assess psychosocial impact and QoL impairment in...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mattioli1885
2023-04-01
|
| Series: | Dermatology Practical & Conceptual |
| Subjects: | |
| Online Access: | https://dpcj.org/index.php/dpc/article/view/2617 |
| _version_ | 1797834337328037888 |
|---|---|
| author | Alya AlSiyoufi Saleh Almohaimeed Sawsan Alsiyoufi Louai Salah |
| author_facet | Alya AlSiyoufi Saleh Almohaimeed Sawsan Alsiyoufi Louai Salah |
| author_sort | Alya AlSiyoufi |
| collection | DOAJ |
| description |
Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that has been reported to have the greatest negative impact on quality of life (QoL) and psychosocial factors when compared with other skin conditions.Objectives: To assess psychosocial impact and QoL impairment in patients with HS.Methods: This cross-sectional case-control study included a case group with HS and a control group with psoriasis or atopic dermatitis diagnosed by a dermatologist at a public hospital in Jeddah, Saudi Arabia from 2016 to 2019. Data were obtained from medical records at a ratio of 1:2. Patients were contacted via telephone and asked to complete Arabic-validated questionnaires (Dermatology Life Quality Index [DLQI], Rosenberg Self-Esteem Scale, and Hospital Anxiety and Depression Scale) and a survey containing pictures to identify Hurley stage.Results: The study included 46 patients and 101 controls (eczema, 50; psoriasis, 51). Patients had significantly higher DLQI and depression scores than did controls (P < 0.05). Anxiety and depression scores were significantly higher in women than men (P < 0.05). Cases with Hurley stage 3 had significantly higher DLQI scores than those with Hurley stages 1 and 2. Controls had a significantly higher percentage of employed participants (P < 0.05).Conclusions: HS had a greater psychosocial impact on QoL than psoriasis or atopic dermatitis and was associated with a lower employment rate. Women were more affected by the disease than men. Therefore, we recommend paying close attention to the psychosocial aspects of the disease and establishing educational programs and support groups for patients with HS.
|
| first_indexed | 2024-04-09T14:36:40Z |
| format | Article |
| id | doaj.art-315bccf4934e46c3a1db64d65f177a14 |
| institution | Directory Open Access Journal |
| issn | 2160-9381 |
| language | English |
| last_indexed | 2024-04-09T14:36:40Z |
| publishDate | 2023-04-01 |
| publisher | Mattioli1885 |
| record_format | Article |
| series | Dermatology Practical & Conceptual |
| spelling | doaj.art-315bccf4934e46c3a1db64d65f177a142023-05-03T12:00:41ZengMattioli1885Dermatology Practical & Conceptual2160-93812023-04-0113210.5826/dpc.1302a76Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control StudyAlya AlSiyoufi0Saleh Almohaimeed1Sawsan Alsiyoufi2Louai Salah3Department of Dermatology, Faculty of Medicine, King Abdulaziz University and King Abdulaziz University Hospital, Jeddah, Saudi ArabiaDepartment of Dermatology, Faculty of Medicine, King Abdulaziz University and King Abdulaziz University Hospital, Jeddah, Saudi ArabiaDepartment of Dermatology, Faculty of Medicine, King Abdulaziz University and King Abdulaziz University Hospital, Jeddah, Saudi ArabiaDepartment of Dermatology, Ministry of Health, East Jeddah General Hospital, Jeddah, Saudi Arabia Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that has been reported to have the greatest negative impact on quality of life (QoL) and psychosocial factors when compared with other skin conditions.Objectives: To assess psychosocial impact and QoL impairment in patients with HS.Methods: This cross-sectional case-control study included a case group with HS and a control group with psoriasis or atopic dermatitis diagnosed by a dermatologist at a public hospital in Jeddah, Saudi Arabia from 2016 to 2019. Data were obtained from medical records at a ratio of 1:2. Patients were contacted via telephone and asked to complete Arabic-validated questionnaires (Dermatology Life Quality Index [DLQI], Rosenberg Self-Esteem Scale, and Hospital Anxiety and Depression Scale) and a survey containing pictures to identify Hurley stage.Results: The study included 46 patients and 101 controls (eczema, 50; psoriasis, 51). Patients had significantly higher DLQI and depression scores than did controls (P < 0.05). Anxiety and depression scores were significantly higher in women than men (P < 0.05). Cases with Hurley stage 3 had significantly higher DLQI scores than those with Hurley stages 1 and 2. Controls had a significantly higher percentage of employed participants (P < 0.05).Conclusions: HS had a greater psychosocial impact on QoL than psoriasis or atopic dermatitis and was associated with a lower employment rate. Women were more affected by the disease than men. Therefore, we recommend paying close attention to the psychosocial aspects of the disease and establishing educational programs and support groups for patients with HS. https://dpcj.org/index.php/dpc/article/view/2617Hidradenitis suppurativachronic inflammatory skin diseasequality of lifeDermatology Life Quality IndexRosenberg Self-Esteem Scale |
| spellingShingle | Alya AlSiyoufi Saleh Almohaimeed Sawsan Alsiyoufi Louai Salah Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study Dermatology Practical & Conceptual Hidradenitis suppurativa chronic inflammatory skin disease quality of life Dermatology Life Quality Index Rosenberg Self-Esteem Scale |
| title | Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study |
| title_full | Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study |
| title_fullStr | Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study |
| title_full_unstemmed | Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study |
| title_short | Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study |
| title_sort | psychosocial implications and quality of life in patients with hidradenitis suppurativa compared to those with atopic dermatitis and psoriasis a cross sectional case control study |
| topic | Hidradenitis suppurativa chronic inflammatory skin disease quality of life Dermatology Life Quality Index Rosenberg Self-Esteem Scale |
| url | https://dpcj.org/index.php/dpc/article/view/2617 |
| work_keys_str_mv | AT alyaalsiyoufi psychosocialimplicationsandqualityoflifeinpatientswithhidradenitissuppurativacomparedtothosewithatopicdermatitisandpsoriasisacrosssectionalcasecontrolstudy AT salehalmohaimeed psychosocialimplicationsandqualityoflifeinpatientswithhidradenitissuppurativacomparedtothosewithatopicdermatitisandpsoriasisacrosssectionalcasecontrolstudy AT sawsanalsiyoufi psychosocialimplicationsandqualityoflifeinpatientswithhidradenitissuppurativacomparedtothosewithatopicdermatitisandpsoriasisacrosssectionalcasecontrolstudy AT louaisalah psychosocialimplicationsandqualityoflifeinpatientswithhidradenitissuppurativacomparedtothosewithatopicdermatitisandpsoriasisacrosssectionalcasecontrolstudy |