Stygmatyzacja w dermatologii ze szczególnym uwzględnieniem chorych na łuszczycę
Dimitre Dimitrov 1 , Jacek C. Szepietowski 2Abstrakt
A stigma is currently defined as a discrediting mark, biological or social, that sets a person off from others and disrupts interactions with them. People who differ from social norms in some respect are often negatively labeled. A number of medical conditions are recognized at present as stigmatizing their sufferers and certain skin diseases are among them. The article aimed to analyze the current understanding about stigmatization among dermatological patients, especially those with psoriasis. We performed our search on PubMed up to November 2016 and utilized combinations of key phrases containing such words as stigmatization, skin, dermatology, names of various skin conditions (psoriasis, vitiligo, acne, etc.). Following a precise selection process, 58 articles remained. Stigmatization seems to be a common and important problem in dermatology. Psoriasis appears as the most frequently studied skin disease (37.2% of articles). It was followed by vitiligo (13.7%) and leprosy (8.6%). Mainly, the visibility of skin lesions as well as cultural factors contribute to the feeling of stigmatization. There is a need for more research in the field of stigmatization in dermatological conditions and an urgent need for the creation of special anti-stigmatization program/programs for patients suffering from dermatoses.
Przypisy
- 1. Anandaraj H.: Measurement of dehabilitation in patients of leprosy – a scale. Indian J. Lepr., 1995; 67: 153-160
Google Scholar - 2. Barnack-Tavlaris J.L., Reddy D.M., Ports K.: Psychological adjustment among women living with genital herpes. J. Health Psychol., 2011; 16: 12-21
Google Scholar - 3. Borelli S., Fuerst R.: Stigmatization-an extreme example of a psychogenic dermatosis. Praxis, 1960; 49: 389-396
Google Scholar - 4. Böhm D., Schwanitz P., Stock Gissendanner S., Schmid-Ott G., Schulz W.: Symptom severity and psychological sequelae in rosacea: results of a survey. Psychol. Health Med., 2014; 19: 586-591
Google Scholar - 5. Böhm D., Stock Gissendanner S., Bangemann K., Snitjer I., Werfel T., Weyergraf A., Schulz W., Jäger B., Schmid-Ott G.: Perceived relationships between severity of psoriasis symptoms, gender, stigmatization and quality of life. J. Eur. Acad. Dermatol. Venereol., 2013; 27: 220-226
Google Scholar - 6. Breitkopf C.R.: The theoretical basis of stigma as applied to genital herpes. Herpes, 2004; 11: 4-7
Google Scholar - 7. Brieger W.R., Oshiname F.O., Ososanya O.O.: Stigma associated with onchocercal skin disease among those affected near the Ofiki and Oyan Rivers in western Nigeria. Soc. Sci. Med., 1998; 47: 841-852
Google Scholar - 8. Copeland R.: Stigmata: passion and punishment: a modern case history. J. Am. Soc. Psychosom. Dent. Med., 1975; 22: 85-90
Google Scholar - 9. Esmann S., Jemec G.B.: Psychosocial impact of hidradenitis suppurativa: a qualitative study. Acta Derm. Venereol., 2011; 91: 328-332
Google Scholar - 10. Falk G.: Stigma: how we treat outsiders. New York, NY, Prometheus Books, 2001
Google Scholar - 11. Ginsburg I.H., Link B.G.: Feelings of stigmatisation in patients with psoriasis. J. Am. Acad. Dermatol., 1989; 20: 53-63
Google Scholar - 12. Ginsburg I.H., Link B.G.: Psychosocial consequences of rejection and stigma feelings in psoriasis patients. Int. J. Dermatol., 1993; 32: 587-591
Google Scholar - 13. Goffman E.: Stigma: notes on the management of spoiled identity. Englewood Cliffs, N.J., Prentice-Hall Inc., 1963
Google Scholar - 14. Gupta M.A., Gupta A.K., Watteel G.N.: Perceived deprivation of social touch in psoriasis is associated with greater psychologic morbidity: an index of the stigma experience in dermatologic disorders. Cutis, 1998; 61: 339-342
Google Scholar - 15. Gussow Z., Tracy G.S.: The phenomenon of leprosy stigma in the continental United States. Lepr. Rev., 1972; 43: 85-93
Google Scholar - 16. Halioua B., Cribier B., Frey M., Tan J.: Feelings of stigmatization in patients with rosacea. J. Eur. Acad. Dermatol. Venereol., 2017; 31: 163-168
Google Scholar - 17. Hrehorów E., Salomon J., Matusiak L., Reich A., Szepietowski J.C.: Patients with psoriasis feel stigmatized. Acta Derm. Venereol., 2012; 92: 67-72
Google Scholar - 18. Hrehorów E., Szepietowski J., Reich A., Evers A.W., Ginsburg I.H.: Instruments for stigmatization evaluation in patients suffering from psoriasis: Polish language versions. Dermatol. Klin., 2006; 8: 253-258
Google Scholar - 19. Ibekwe P.U., Ogunbiyi A.O., Ogun O.G., George A.O.: Social stigmatization of two sisters with lamella ichthyosis in Ibadan, Nigeria. Int. J. Dermatol., 2012; 51: 67-68
Google Scholar - 20. ILEP, Guidelines to Reduce Stigma: Counselling to Reduce Stigma, ILEP, London, UK, 2011
Google Scholar - 21. Jankowiak B., Kowalewska B., Fiodaravich Khvorik D., Krajewska-Kułak E., Niczyporuk W.: The level of stigmatization and depression of patients with psoriasis. Iran. J. Public Health, 2016; 45: 690-692
Google Scholar - 22. Jones E., Farina A., Hastorf A., Markus H., Miller D., Scott R.: Social stigma: the psychology of marked relationships. New York, W.H. Freeman, 1984
Google Scholar - 23. Kassi M., Kassi M., Afghan A.K., Rehman R., Kasi P.M.: Marring leishmaniasis: the stigmatization and the impact of cutaneous leishmaniasis in Pakistan and Afghanistan. PLoS Negl. Trop. Dis., 2008; 2: e259
Google Scholar - 24. Kent G.: Correlates of perceived stigma in vitiligo. Psychol. Health, 1999; 14: 241-251
Google Scholar - 25. Kent G., Al’Abadie M.: Psychologic effects of vitiligo: a critical incident analysis. J. Am. Acad. Dermatol., 1996; 35: 895-898
Google Scholar - 26. Krüger C., Schallreuter K.U.: Stigmatisation, avoidance behaviour and difficulties in coping are common among adult patients with vitiligo. Acta Derm. Venereol., 2015; 95: 553-558
Google Scholar - 27. Lanigan S.W., Cotterill J.A.: Psychological disabilities amongst patients with port wine stains. Br. J. Dermatol., 1989; 121: 209-215
Google Scholar - 28. Lawrence J.W., Rosenberg L., Rimmer R.B., Thombs B.D., Fauerbach J.A.: Perceived stigmatization and social comfort: validating the constructs and their measurement among pediatric burn survivors. Rehabil. Psychol., 2010; 55: 360-371
Google Scholar - 29. Liasides J., Apergi F.S.: Predictors of quality of life in adults with acne: the contribution of perceived stigma. Eur. Proc. Social. Behav. Sci., 2015; 2015: 2357-1330
Google Scholar - 30. Lu Y., Duller P., van der Valk P.G., Evers A.W.: Helplessness as predictor of perceived stigmatization in patients with psoriasis and atopic dermatitis. Dermatol. Psychosom., 2003; 4: 146-150
Google Scholar - 31. Lusli M., Zweekhorst M.B., Miranda-Galarza B., Peters R.M., Cummings S., Seda F.S., Bunders J.F., Irwanto.: Dealing with stigma: experiences of persons affected by disabilities and leprosy. Biomed. Res. Int., 2015; 2015: 261329
Google Scholar - 32. Magin P., Adams J., Heading G., Pond D., Smith W.: Psychological sequelae of acne vulgaris: results of a qualitative study. Can. Fam. Physician, 2006; 52: 978-979
Google Scholar - 33. Manonukul J., Wisuthsarewong W., Chantorn R., Vongirad A., Omeapinyan P.: Hematidrosis: a pathologic process or stigmata. A case report with comprehensive histopathologic and immunoperoxidase studies. Am. J. Dermatopathol., 2008; 30: 135-139
Google Scholar - 34. Mansur A.T., Aydingoz I.E., Artunkal H.S.: A childhood case of trichotillomania associated with body dysmorphic disorder and stigmatization due to outstanding red hair. Int. J. Trichology, 2013; 5: 56-57
Google Scholar - 35. Masnari O., Landolt M.A., Roessler J., Weingaertner S.K., Neuhaus K., Meuli M., Schiestl C.: Self – and parent-perceived stigmatization in children and adolescents with congenital or acquired facial differences. J. Plast. Reconstr. Aesthet. Surg., 2012; 65: 1664-1670
Google Scholar - 36. Masnari O., Schiestl C., Rössler J., Gütlein S.K., Neuhaus K., Weibel L., Meuli M., Landolt M.A.: Stigmatization predicts psychological adjustment and quality of life in children and adolescents with a facial difference. J. Pediatr. Psychol., 2013; 38: 162-172
Google Scholar - 37. Matusiak L., Bieniek A., Szepietowski J.C.: Psychophysical aspects of hidradenitis suppurativa. Acta Derm. Venereol., 2010; 90: 264-268
Google Scholar - 38. Merin A., Pachankis J.E.: The psychological impact of genital herpes stigma. J. Health Psychol., 2011; 16: 80-90
Google Scholar - 39. Neil J.A.: The stigma scale: measuring body image and the skin. Plast Surg Nurs., 2001; 21: 79-82
Google Scholar - 40. Ongenae K., Dierckxsens L., Brochez L., van Geel N., Naeyaert J.M.: Quality of life and stigmatization profile in a cohort of vitiligo patients and effect of the use of camouflage. Dermatology, 2005; 210: 279-285
Google Scholar - 41. Panconesi E., Hautmann G.: Stress, stigmatization and psychosomatic purpuras. Int. Angiol., 1995; 14: 130-137
Google Scholar - 42. Perrott S.B., Murray A.H., Lowe J., Mathieson C.M.: The psychosocial impact of psoriasis: physical severity, quality of life, and stigmatization. Physiol. Behav., 2000; 70: 567-571
Google Scholar - 43. Pichaimuthu R., Ramaswamy P., Bikash K., Joseph R.: A measurement of the stigma among vitiligo and psoriasis patients in India. Indian J. Dermatol. Venereol. Leprol., 2011; 77: 300-306
Google Scholar - 44. Premkumar R., Kar B., Rajan P., Richard J.: Major precipitating factors for stigma among stigmatized vitiligo and psoriasis patients with brown-black skin shades. Indian J. Dermatol. Venereol. Leprol., 2013; 79: 703-705
Google Scholar - 45. Ramdas S., van der Geest S., Schallig H.D.: Nuancing stigma through ethnography: the case of cutaneous leishmaniasis in Suriname. Soc. Sci. Med., 2016; 151: 139-146
Google Scholar - 46. Reid U.: Stigma of hair loss after chemotherapy. Paediatr. Nurs., 1997; 9: 16-18
Google Scholar - 47. Richards H.L., Fortune D.G., Griffiths C.E., Main C.J.: The contribution of perceptions of stigmatization to disability in patients with psoriasis. J. Psychosom. Res., 2001; 50: 11-15
Google Scholar - 48. Richards H.L., Fortune D.G., Main C.J., Griffiths C.E.: Stigmatization and psoriasis. Br. J. Dermatol., 2003; 149: 209-211
Google Scholar - 49. Scambler G., Heijnders M., van Brakel W.H., ICRAAS: Understanding and tackling health-related stigma. Psychol. Health Med., 2006; 11: 269-270
Google Scholar - 50. Scheffer R.: Addressing stigma: increasing public understanding of mental illness. Presented to the standing senate committee on social affairs, science and technology. Ontario, Canada. Centre for Addiction and Mental Health, 2003
Google Scholar - 51. Schmid-Ott G., Burchard R., Niederauer H.H., Lamprecht F., Künsebeck H.W.: Stigmatization and quality of life of patients with psoriasis and atopic dermatitis. Hautarzt, 2003; 54: 852-857
Google Scholar - 52. Schmid-Ott G., Jaeger B., Kuensebeck H.W., Ott R., Lamprecht F.: Dimensions of stigmatization in patients with psoriasis in a “Questionnaire on Experience with Skin Complaints”. Dermatology, 1996; 193: 304-310
Google Scholar - 53. Schmid-Ott G., Künsebeck H.W., Jäger B., Sittig U., Hofste N., Ott R., Malewski P., Lamprecht F.: Significance of the stigmatization experience of psoriasis patients: a 1-year follow-up of the illness and its psychosocial consequences in men and women. Acta Derm. Venereol., 2005; 85: 27-32
Google Scholar - 54. Schmid-Ott G., Künsebeck H.W., Jecht E., Shimshoni R., Lazaroff I., Schallmayer S., Calliess I.T., Malewski P., Lamprecht F., Götz A.: Stigmatization experience, coping and sense of coherence in vitiligo patients. J. Eur. Acad. Dermatol. Venereol., 2007; 21: 456-461
Google Scholar - 55. Schmid-Ott G., Schallmayer S., Calliess I.T.: Quality of life in patients with psoriasis and psoriasis arthritis with a special focus on stigmatization experience. Clin. Dermatol., 2007; 25: 547-554
Google Scholar - 56. Shahwan K.T., Donigan J.M., Pascoe V.L., Kimball A.B.: Stigmatization of acne. J. Am. Acad. Dermatol., 2016; 74 (Suppl. 1): 3641
Google Scholar - 57. Szepietowski J.C., Reich A., National Quality of Life in Dermatology Group: Stigmatisation in onychomycosis patients: a population-based study. Mycoses, 2009; 52: 343-349
Google Scholar - 58. Thompson A.R., Clarke S.A., Newell R.J., Gawkrodger D.J., Appearance Research Collaboration (ARC): Vitiligo linked to stigmatization in British South Asian women: a qualitative study of the experiences of living with vitiligo. Br. J. Dermatol., 2010; 163: 481-486
Google Scholar - 59. van Brakel W.H.: Measuring leprosy stigma – a preliminary review of the leprosy literature. Int. J. Lepr. Other Mycobact. Dis., 2003; 71: 190-197
Google Scholar - 60. 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: 736-742
Google Scholar - 61. Vlassoff C., Weiss M., Ovuga E.B., Eneanya C., Nwel P.T., Babalola S.S., Awedoba A.K., Theophilus B., Cofie P., Shetabi P.: Gender and the stigma of onchocercal skin disease in Africa. Soc. Sci. Med., 2000; 50: 1353-1368
Google Scholar - 62. Wahl A.K., Gjengedal E., Hanestad B.R.: The bodily suffering of living with severe psoriasis: in-depth interviews with 22 hospitalized patients with psoriasis. Qual. Health Res., 2002; 12: 250-261
Google Scholar - 63. Withington S.G., Joha S., Baird D., Brink M., Brink J.: Assessing socio-economic factors in relation to stigmatization, impairment status, and selection for socio-economic rehabilitation: a 1-year cohort of new leprosy cases in north Bangladesh. Lepr. Rev., 2003; 74: 120-132
Google Scholar - 64. Wittkowski A., Richards H.L., Griffith C.E., Main C.J.: The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis. J. Psychosom. Res., 2004; 57: 195-200
Google Scholar