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...
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2023-04-01
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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. |
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language | English |
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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 |
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