Internalized stigma in psoriasis: a multicenter study

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dc.authorid0000-0001-7049-0170en_US
dc.authorid0000-0001-9226-5134
dc.authorid0000-0003-4236-0066
dc.authorid0000-0003-4333-8274
dc.authorid0000-0001-7310-8635
dc.contributor.authorAlpsoy, Erkan
dc.contributor.authorPolat, Mualla
dc.contributor.authorKaraman, Bilge Fettahlıoğlu
dc.contributor.authorKaradağ, Ayşe Serap
dc.contributor.authorDurmazlar, Pelin Kartal
dc.date.accessioned2021-06-23T19:45:39Z
dc.date.available2021-06-23T19:45:39Z
dc.date.issued2017
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractInternalized stigma is the adoption of negative attitudes and stereotypes of the society regarding a person's illness. It causes decreased self-esteem and life-satisfaction, increased depression and suicidality, and difficulty in coping with the illness. The primary aim of this study was to investigate the internalized stigma state of psoriatic patients and to identify the factors influencing internalized stigma. The secondary aim was to identify the correlation of internalized stigma with quality of life and perceived health status. This multicentre, cross-sectional study comprised 1485 patients. There was a significant positive correlation between mean values of Psoriasis Internalized Stigma Scale (PISS) and Psoriasis Area and Severity Index, Body Surface Area, Dermatological Life Quality Index and General Health Questionnaire-12 (P < 0.001 in all). Lower percieved health score (P = 0.001), early onset psoriasis (P = 0.016), family history of psoriasis (P = 0.0034), being illiterate (P < 0.001) and lower income level (P < 0.001) were determinants of high PISS scores. Mean PISS values were higher in erythrodermic and generalized pustular psoriasis. Involvement of scalp, face, hand, genitalia and finger nails as well as arthropathic and inverse psoriasis were also related to significantly higher PISS scores (P = 0.001). Our findings imply that psoriatic patients experience high levels of internalized stigma which are associated with psoriasis severity, involvement of visible body parts, genital area, folds or joints, poorer quality of life, negative perceptions of general health and psychological illnesses. Therefore, internalized stigma may be one of the major factors responsible from psychosocial burden of the disease.en_US
dc.identifier.doi10.1111/1346-8138.13841
dc.identifier.endpage891en_US
dc.identifier.issn0385-2407
dc.identifier.issn1346-8138
dc.identifier.issue8en_US
dc.identifier.pmid28407292en_US
dc.identifier.scopus2-s2.0-85017550006en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage885en_US
dc.identifier.urihttps://doi.org/10.1111/1346-8138.13841
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9188
dc.identifier.volume44en_US
dc.identifier.wosWOS:000408928500016en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorPolat, Mualla
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Dermatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDermatology Quality of Life Indexen_US
dc.subjectGeneral Health Questionnaire-12en_US
dc.subjectInternalized Stigmaen_US
dc.subjectPsoriasisen_US
dc.subjectPsoriasis Internalized Stigma Scaleen_US
dc.titleInternalized stigma in psoriasis: a multicenter studyen_US
dc.typeArticleen_US

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