Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study

Introduction: Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory dermatosis with vast psychosocial burden. The objective of this study is to thoroughly analyze satisfaction with life (SWL) and coping strategies of HS patients in relation to the clinical and psychosocial factors. Metho...

Full description

Bibliographic Details
Main Authors: Julia E. Rymaszewska, Piotr K. Krajewski, Łukasz Matusiak, Joanna Maj, Jacek C. Szepietowski
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/8/2755
_version_ 1797604963662168064
author Julia E. Rymaszewska
Piotr K. Krajewski
Łukasz Matusiak
Joanna Maj
Jacek C. Szepietowski
author_facet Julia E. Rymaszewska
Piotr K. Krajewski
Łukasz Matusiak
Joanna Maj
Jacek C. Szepietowski
author_sort Julia E. Rymaszewska
collection DOAJ
description Introduction: Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory dermatosis with vast psychosocial burden. The objective of this study is to thoroughly analyze satisfaction with life (SWL) and coping strategies of HS patients in relation to the clinical and psychosocial factors. Methods: 114 HS patients (53.1% females; mean age 36.6 ± 13.1 years) were enrolled. Severity of the disease was measured using Hurley staging and International HS Score System (IHS4). Instruments utilized: Satisfaction with Life Scale (SWLS); Coping-Orientation to Problems-Experienced Inventory (Brief COPE); HS Quality of Life Scale (HiSQoL); Patient Health Questionnaire-9 (PHQ-9); Generalized Anxiety Disorder-7 (GAD-7); General Health Questionnaire (GHQ-28). Results: SWL was low in 31.6% of HS patients. No relation was found between SWL and Hurley staging and IHS4. SWL correlated with GHQ-28 (r = −0.579 <i>p</i> < 0.001), PHQ-9 (r = −0.603 <i>p</i> < 0.001), GAD-7 (r = −0.579 <i>p</i> < 0.001), and HiSQoL (r = −0.449 <i>p</i> < 0.001). Problem-focused coping strategies were most commonly used, followed by emotion-focused coping and avoiding coping strategies. Significant differences were found between the following coping strategies and SWL: self-distraction (<i>p</i> = 0.013), behavioral-disengagement (<i>p</i> = 0.001), denial (<i>p</i> = 0.003), venting (<i>p</i> = 0.019), and self-blame (<i>p</i> = 0.001). Conclusions: HS patients present low SWL which correlates with psychosocial burden. Reducing anxiety–depression comorbidity and encouraging optimal coping strategies may be of great importance in holistic approach to HS patients.
first_indexed 2024-03-11T04:54:19Z
format Article
id doaj.art-af7b85c666c94184929da74bea43abc7
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-11T04:54:19Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-af7b85c666c94184929da74bea43abc72023-11-17T19:48:02ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01128275510.3390/jcm12082755Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional StudyJulia E. Rymaszewska0Piotr K. Krajewski1Łukasz Matusiak2Joanna Maj3Jacek C. Szepietowski4Department and Clinic of Dermatology, Allergology and Venerology, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment and Clinic of Dermatology, Allergology and Venerology, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment and Clinic of Dermatology, Allergology and Venerology, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment and Clinic of Dermatology, Allergology and Venerology, Wroclaw Medical University, 50-367 Wroclaw, PolandDepartment and Clinic of Dermatology, Allergology and Venerology, Wroclaw Medical University, 50-367 Wroclaw, PolandIntroduction: Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory dermatosis with vast psychosocial burden. The objective of this study is to thoroughly analyze satisfaction with life (SWL) and coping strategies of HS patients in relation to the clinical and psychosocial factors. Methods: 114 HS patients (53.1% females; mean age 36.6 ± 13.1 years) were enrolled. Severity of the disease was measured using Hurley staging and International HS Score System (IHS4). Instruments utilized: Satisfaction with Life Scale (SWLS); Coping-Orientation to Problems-Experienced Inventory (Brief COPE); HS Quality of Life Scale (HiSQoL); Patient Health Questionnaire-9 (PHQ-9); Generalized Anxiety Disorder-7 (GAD-7); General Health Questionnaire (GHQ-28). Results: SWL was low in 31.6% of HS patients. No relation was found between SWL and Hurley staging and IHS4. SWL correlated with GHQ-28 (r = −0.579 <i>p</i> < 0.001), PHQ-9 (r = −0.603 <i>p</i> < 0.001), GAD-7 (r = −0.579 <i>p</i> < 0.001), and HiSQoL (r = −0.449 <i>p</i> < 0.001). Problem-focused coping strategies were most commonly used, followed by emotion-focused coping and avoiding coping strategies. Significant differences were found between the following coping strategies and SWL: self-distraction (<i>p</i> = 0.013), behavioral-disengagement (<i>p</i> = 0.001), denial (<i>p</i> = 0.003), venting (<i>p</i> = 0.019), and self-blame (<i>p</i> = 0.001). Conclusions: HS patients present low SWL which correlates with psychosocial burden. Reducing anxiety–depression comorbidity and encouraging optimal coping strategies may be of great importance in holistic approach to HS patients.https://www.mdpi.com/2077-0383/12/8/2755hidradenitis suppurativaacne inversasatisfaction with lifecopingcoping mechanisms
spellingShingle Julia E. Rymaszewska
Piotr K. Krajewski
Łukasz Matusiak
Joanna Maj
Jacek C. Szepietowski
Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study
Journal of Clinical Medicine
hidradenitis suppurativa
acne inversa
satisfaction with life
coping
coping mechanisms
title Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study
title_full Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study
title_fullStr Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study
title_full_unstemmed Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study
title_short Satisfaction with Life and Coping Strategies among Patients with Hidradenitis Suppurativa: A Cross-Sectional Study
title_sort satisfaction with life and coping strategies among patients with hidradenitis suppurativa a cross sectional study
topic hidradenitis suppurativa
acne inversa
satisfaction with life
coping
coping mechanisms
url https://www.mdpi.com/2077-0383/12/8/2755
work_keys_str_mv AT juliaerymaszewska satisfactionwithlifeandcopingstrategiesamongpatientswithhidradenitissuppurativaacrosssectionalstudy
AT piotrkkrajewski satisfactionwithlifeandcopingstrategiesamongpatientswithhidradenitissuppurativaacrosssectionalstudy
AT łukaszmatusiak satisfactionwithlifeandcopingstrategiesamongpatientswithhidradenitissuppurativaacrosssectionalstudy
AT joannamaj satisfactionwithlifeandcopingstrategiesamongpatientswithhidradenitissuppurativaacrosssectionalstudy
AT jacekcszepietowski satisfactionwithlifeandcopingstrategiesamongpatientswithhidradenitissuppurativaacrosssectionalstudy