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Body Image in Children with Morphea: A Systematic Review
Sarah D Mills1, Rina S Fox1, Vanessa L Malcarne1,2
1San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California.
Pediatric Dermatology
|May 14, 2015
Summary
Children with morphea generally experience mild body image distress despite visible skin changes. This review highlights the limited research on body image in pediatric morphea patients.
Area of Science:
- Pediatric Dermatology
- Psychosocial Impact of Chronic Illness
- Body Image Research
Background:
- Morphea is a rare autoimmune condition causing skin and connective tissue inflammation in children.
- Body image concerns are common in pediatric populations, particularly those with visible differences.
- Limited research exists on the psychosocial impact of morphea, specifically regarding body image distress.
Purpose of the Study:
- To systematically review existing literature on body image in children diagnosed with morphea.
- To assess the prevalence and severity of body image distress in this pediatric cohort.
- To identify gaps in current research regarding body image and morphea.
Main Methods:
- A systematic literature search was conducted using relevant databases.
- Studies were included if they focused on children with morphea and assessed body image outcomes.
- Only five studies met the predefined inclusion criteria for this review.
Main Results:
- The reviewed studies indicate that disease-related skin changes in children with morphea are typically associated with mild levels of body image distress.
- A significant heterogeneity was observed across the limited number of studies.
- No studies reported severe body image distress in relation to morphea.
Conclusions:
- Current evidence suggests that children with morphea experience, on average, minimal body image distress.
- Further research is warranted to comprehensively understand the long-term psychosocial effects of morphea in children.
- Future studies should employ robust methodologies to better quantify body image distress in pediatric morphea patients.

