Internalized Stigma in Hidradenitis Suppurativa: A Multicenter Cross-Sectional Study

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dc.contributor.authorBilgic, A
dc.contributor.authorKaraman, BF
dc.contributor.authorDemirseren, DD
dc.contributor.authorCinar, L
dc.contributor.authorKacar, N
dc.contributor.authorErmertcan, AT
dc.contributor.authorBaskan, EB
dc.contributor.authorGüven, M
dc.contributor.authorYazici, S
dc.contributor.authorAkbulut, TÖ
dc.contributor.authorUcmak, D
dc.contributor.authorAtaseven, A
dc.contributor.authorTemiz, SA
dc.contributor.authorEngin, B
dc.contributor.authorAktürk, AS
dc.contributor.authorSaricaoglu, H
dc.contributor.authorÖzden, MG
dc.contributor.authorÖzdemir, H
dc.contributor.authorMammadli, K
dc.contributor.authorDurmaz, K
dc.contributor.authorGülbasaran, F
dc.contributor.authorKilinc, F
dc.contributor.authorÖzden, HK
dc.contributor.authorGönülal, M
dc.contributor.authorBalci, DD
dc.contributor.authorCemil, BÇ
dc.contributor.authorSolak, SS
dc.contributor.authorSelçuk, LB
dc.contributor.authorYavuz, GÖ
dc.contributor.authorYavuz, IH
dc.contributor.authorDönmez, L
dc.contributor.authorAlpsoy, E
dc.date.accessioned2024-07-18T12:08:22Z
dc.date.available2024-07-18T12:08:22Z
dc.description.abstractBackground: Hidradenitis suppurativa (HS) causes significant physical, social, and psychological burdens. Internalized stigma, acceptance of negative attitudes and stereotypes of society regarding a person's illness, has not been studied previously in HS. Objectives: The objective of this study was to investigate the internalized stigma state of HS patients and identify the factors affecting it. Methods: This multicenter, prospective, cross-sectional study included 731 patients. Internalized Stigma Scale (ISS), Hurley staging, Physician Global Assessment, Dermatology Life Quality Index (DLQI), Skindex-16, Beck Depression Inventory-II (BDI-II), and Visual Analog Scale (VAS)-pain score were used in the study. Results: The mean ISS value (57.50 +/- 16.90) was comparable to the mean ISS values of studies in visible dermatological and various psychiatric diseases. A significant correlation was found between the mean values of ISS and all disease activity scores, quality of life measures, BDI-II, and VAS-pain scores. Obesity, family history, low education and income level, vulva/scrotum involvement and being actively treated are significant and independent predictive factors for high internalized stigma in multivariate analysis. Conclusions: HS patients internalize society's negative judgements, which may create a profound negative effect on access to health care. Therefore, in addition to suppressing disease activity, addressing internalized stigma is fundamental for improving health care quality.
dc.identifier.issn1018-8665
dc.identifier.other1421-9832
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/10916
dc.language.isoEnglish
dc.publisherKARGER
dc.subjectMENTAL-ILLNESS
dc.subjectACNE-VULGARIS
dc.subjectSTIGMATIZATION
dc.subjectRELIABILITY
dc.subjectPSORIASIS
dc.subjectVALIDITY
dc.titleInternalized Stigma in Hidradenitis Suppurativa: A Multicenter Cross-Sectional Study
dc.typeArticle

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