Internalized Stigma in Hidradenitis Suppurativa: A Multicenter Cross-Sectional Study

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dc.contributor.authorBilgic, Asli
dc.contributor.authorKaraman, Bilge Fettahlioglu
dc.contributor.authorDemirseren, Duriye Deniz
dc.contributor.authorCinar, Levent
dc.contributor.authorKacar, Nida
dc.contributor.authorErmertcan, Aylin Türel
dc.contributor.authorBaskan, Emel Bulbul
dc.date.accessioned2024-04-24T17:14:29Z
dc.date.available2024-04-24T17:14:29Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Hidradenitis suppurativa (HS) causes significant physical, social, and psychological burdens. Internalized stigma, acceptance of negative attitudes and stereotypes of society regarding a person's illness, has not been studied previously in HS. Objectives: The objective of this study was to investigate the internalized stigma state of HS patients and identify the factors affecting it. Methods: This multicenter, prospective, cross-sectional study included 731 patients. Internalized Stigma Scale (ISS), Hurley staging, Physician Global Assessment, Dermatology Life Quality Index (DLQI), Skindex-16, Beck Depression Inventory-II (BDI-II), and Visual Analog Scale (VAS)-pain score were used in the study. Results: The mean ISS value (57.50 +/- 16.90) was comparable to the mean ISS values of studies in visible dermatological and various psychiatric diseases. A significant correlation was found between the mean values of ISS and all disease activity scores, quality of life measures, BDI-II, and VAS-pain scores. Obesity, family history, low education and income level, vulva/scrotum involvement and being actively treated are significant and independent predictive factors for high internalized stigma in multivariate analysis. Conclusions: HS patients internalize society's negative judgements, which may create a profound negative effect on access to health care. Therefore, in addition to suppressing disease activity, addressing internalized stigma is fundamental for improving health care quality.en_US
dc.identifier.doi10.1159/000529194
dc.identifier.endpage453en_US
dc.identifier.issn1018-8665
dc.identifier.issn1421-9832
dc.identifier.issue3en_US
dc.identifier.pmid36702103
dc.identifier.scopus2-s2.0-85159574817
dc.identifier.scopusqualityQ1
dc.identifier.startpage445en_US
dc.identifier.urihttps://doi.org/10.1159/000529194
dc.identifier.urihttps://hdl.handle.net/11468/17998
dc.identifier.volume239en_US
dc.identifier.wosWOS:000972961400001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofDermatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHidradenitis Suppurativaen_US
dc.subjectInternalized Stigmaen_US
dc.subjectQuality Of Lifeen_US
dc.subjectPsychodermatologyen_US
dc.titleInternalized Stigma in Hidradenitis Suppurativa: A Multicenter Cross-Sectional Studyen_US
dc.titleInternalized Stigma in Hidradenitis Suppurativa: A Multicenter Cross-Sectional Study
dc.typeArticleen_US

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