Internalized stigma in pediatric psoriasis: A comparative multicenter study

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dc.authorid0000-0002-5572-196Xen_US
dc.authorid0000-0003-4236-0066en_US
dc.authorid0000-0001-7049-0170en_US
dc.authorid0000-0001-7310-8635en_US
dc.authorid0000-0001-7910-7908en_US
dc.authorid0000-0001-5963-8939en_US
dc.authorid0000-0001-9226-5134
dc.contributor.authorAlpsoy, Erkan
dc.contributor.authorPolat, Mualla
dc.contributor.authorYavuz, İbrahim Halil
dc.contributor.authorKartal, Pelin
dc.contributor.authorBalcı, Didem Didar
dc.contributor.authorKaradağ, Ayşe Serap
dc.contributor.authorBilgiç, Aslı
dc.date.accessioned2021-06-23T19:54:11Z
dc.date.available2021-06-23T19:54:11Z
dc.date.issued2020
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Internalized stigma, adoption of negative attitudes and stereotypes of the society regarding persons' illness, has not been studied previously in pediatric psoriasis patients. Objective: We aimed to investigate the internalized stigma in pediatric psoriasis patients and to determine differences according to factors affecting internalized stigma compared to adult psoriasis patients. Methods: This multicenter, cross-sectional, comparative study included 125 pediatric (55 female, 70 male; mean age +/- standard deviation [SD], 14.59 +/- 2.87 years) and 1,235 adult psoriasis patients (577 female, 658 male; mean age +/- SD, 43.3 +/- 13.7 years). Psoriasis Internalized Stigma Scale (PISS), Dermatology Life Quality Index (DLQI), Perceived Health Status (PHS), and the General Health Questionnaire (GHQ)-12 were the scales used in the study. Results: The mean PISS was 58.48 +/- 14.9 in pediatric group. When PISS subscales of groups were compared, the pediatric group had significantly higher stigma resistance (p = 0.01) whereas adult group had higher scores of alienation (p = 0.01) and stereotype endorsement (p = 0.04). There was a strong correlation between mean values of PISS and DLQI (r = 0.423, p = 0.001). High internalized stigma scores had no relation to either the severity or localization of disease in pediatric group. However, poor PHS (p = 0.007) and low-income levels (p = 0.03) in both groups, and body mass index (r = 0.181, p = 0.04) in the pediatric group were related to high PISS scores. Conclusion: Internalized stigma in pediatric patients is as high as adults and is related to poor quality of life, general health, and psychological illnesses. Unlike adults, internalized stigma was mainly determined by psoriasis per se, rather than disease severity or involvement of visible body parts, genitalia or folds.en_US
dc.identifier.doi10.5021/ad.2020.32.3.181
dc.identifier.endpage188en_US
dc.identifier.issn1013-9087
dc.identifier.issn2005-3894
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85086252205en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage181en_US
dc.identifier.urihttps://doi.org/10.5021/ad.2020.32.3.181
dc.identifier.urihttps://hdl.handle.net/20.500.12491/10455
dc.identifier.volume32en_US
dc.identifier.wosWOS:000531085900001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorPolat, Mualla
dc.language.isoenen_US
dc.publisherKorean Dermatological Assocen_US
dc.relation.ispartofAnnals Of Dermatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChilden_US
dc.subjectInflammationen_US
dc.subjectPsoriasisen_US
dc.subjectQuality of Lifeen_US
dc.subjectStigmatizationen_US
dc.titleInternalized stigma in pediatric psoriasis: A comparative multicenter studyen_US
dc.typeArticleen_US

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