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Published on: March 1, 2024
Stigmatization among Patients with Plaque Psoriasis
Barbara Jankowiak1, Elżbieta Krajewska-Kułak1, Marta Jakoniuk2
1Department of Integrated Medical Care, Medical University of Bialystok, 15-096 Białystok, Poland.
Patients with plaque psoriasis experience significant stigmatization, particularly women and those in rural areas. Psoriasis lesion extent impacts perceived positive attitudes, highlighting the need for greater attention to disease-related stigma.
Area of Science:
- Dermatology
- Psychosocial Medicine
- Public Health
Background:
- Plaque psoriasis is a chronic inflammatory skin condition associated with significant psychosocial burden.
- Stigmatization is a known consequence of psoriasis, impacting patients' quality of life and well-being.
- Understanding demographic and clinical factors influencing psoriasis stigma is crucial for targeted interventions.
Purpose of the Study:
- To investigate the level of stigmatization in plaque psoriasis patients.
- To analyze the relationship between demographic and clinical characteristics and feelings of stigmatization.
- To identify specific domains of stigma affected by patient attributes.
Main Methods:
- A cross-sectional study involving 122 plaque psoriasis patients.
- Utilized the 6-item and 33-item Feelings of Stigmatization Questionnaire.
- Collected sociodemographic data and clinical information on lesion distribution.
Main Results:
- Mean stigmatization scores were 6.4 (6-item scale) and 81.3 (33-item scale).
- Female patients reported higher levels of stigmatization than males.
- Rural residents experienced greater stigma in 'Sensitivity to Others' Attitudes' and 'Secretiveness' domains.
- Widespread psoriatic lesions correlated with stigma in the 'Positive Attitudes' domain.
- A significant difference was observed in the 'feeling of being flawed' domain (mean score 13.4).
Conclusions:
- Stigmatization is a prevalent issue among plaque psoriasis patients.
- Demographic factors (sex, location) and clinical factors (lesion extent) significantly influence psoriasis-related stigma.
- Addressing psoriasis stigma requires a comprehensive approach beyond clinical management, considering psychosocial impacts.
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