Psychosocial Implications and Quality of Life in Patients with Hidradenitis Suppurativa Compared to Those With Atopic Dermatitis and Psoriasis: a Cross-sectional Case-control Study.

Content Provider	Europe PMC
Author	Alya, AlSiyoufi Saleh, AlMohaimeed Sawsan, AlSiyoufi Louai, Salah
Copyright Year	2023
Abstract	IntroductionHidradenitis suppurativa (HS) is a chronic inflammatory skin disease that has been reported to have the greatest negative impact on quality of life (QoL) and psychosocial factors when compared with other skin conditions.ObjectivesTo assess psychosocial impact and QoL impairment in patients with HS.MethodsThis cross-sectional case-control study included a case group with HS and a control group with psoriasis or atopic dermatitis diagnosed by a dermatologist at a public hospital in Jeddah, Saudi Arabia from 2016 to 2019. Data were obtained from medical records at a ratio of 1:2. Patients were contacted via telephone and asked to complete Arabic-validated questionnaires (Dermatology Life Quality Index [DLQI], Rosenberg Self-Esteem Scale, and Hospital Anxiety and Depression Scale) and a survey containing pictures to identify Hurley stage.ResultsThe study included 46 patients and 101 controls (eczema, 50; psoriasis, 51). Patients had significantly higher DLQI and depression scores than did controls (P < 0.05). Anxiety and depression scores were significantly higher in women than men (P < 0.05). Cases with Hurley stage 3 had significantly higher DLQI scores than those with Hurley stages 1 and 2. Controls had a significantly higher percentage of employed participants (P < 0.05).ConclusionsHS had a greater psychosocial impact on QoL than psoriasis or atopic dermatitis and was associated with a lower employment rate. Women were more affected by the disease than men. Therefore, we recommend paying close attention to the psychosocial aspects of the disease and establishing educational programs and support groups for patients with HS.
Journal	Dermatology Practical & Conceptual
Volume Number	13
PubMed Central reference number	PMC10188164
Issue Number	2
PubMed reference number	37196280
e-ISSN	21609381
DOI	10.5826/dpc.1302a76
Language	English
Publisher	Mattioli 1885
Publisher Date	2023-04-01
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited. ©2023 AlSiyoufi et al.
Subject Keyword	Hidradenitis suppurativa chronic inflammatory skin disease quality of life Dermatology Life Quality Index Rosenberg Self-Esteem Scale
Content Type	Text
Resource Type	Article
Subject	Genetics Molecular Biology Dermatology Oncology