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白癜风的性别差异:心理症状与生活质量评估描述

Gender differences in vitiligo: psychological symptoms and quality of life assessment description.

作者信息

Samela Tonia, Malorni Walter, Matarrese Paola, Mattia Gianfranco, Alfani Stefania, Abeni Damiano

机构信息

Clinical Psychology Unit, Istituto Dermopatico Dell'Immacolata, (IDI) IRCCS, Rome, Italy.

Clinical Epidemiology Unit, Istituto Dermopatico Dell'Immacolata, (IDI) IRCCS, Rome, Italy.

出版信息

Front Psychol. 2023 Dec 20;14:1234734. doi: 10.3389/fpsyg.2023.1234734. eCollection 2023.


DOI:10.3389/fpsyg.2023.1234734
PMID:38187434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10769495/
Abstract

OBJECTIVE: Assuming that the difference exist in the manifestation of psychological suffering among genders, the purpose of this review is to summarize the current knowledge on gender differences in vitiligo quality of life and psychological assessment. METHODS: We searched in PubMed, Scopus, and Web of Science databases for original articles in English language. Results were screened according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA checklist). RESULTS: The study yielded 107 results; 12 articles have been evaluated as eligible. Each eligible study has been screened and analyzed. The study's qualitative evaluation revealed that 8 papers were classifiable as satisfactory, 4 were classifiable as unsatisfactory. The agreement between the coders was high (% agreement = 84.6%; Cohen's kappa = 0.79). All considered researches (100%) were cross-sectional studies, based on self-report questionnaires. From our analysis, women with vitiligo had a higher risk to experience lower quality of life, and worse mental health in a wide range of psychopathology symptoms than men. A wide heterogeneity of tools is used to investigate the quality of life and psychological symptoms among these patients. CONCLUSION: Unfortunately, there are few explanatory models proposed in the literature to rationalize these findings. It will be important to investigate in further researches the specific influence of known risk factors for psychopathology in this population to better explore these phenomena.

摘要

目的:假设不同性别在心理痛苦表现方面存在差异,本综述的目的是总结目前关于白癜风患者生活质量和心理评估中性别差异的知识。 方法:我们在PubMed、Scopus和科学网数据库中检索英文原创文章。根据系统评价和Meta分析的首选报告项目(PRISMA清单)筛选结果。 结果:该研究产生了107条结果;12篇文章被评估为合格。对每篇合格研究进行了筛选和分析。该研究的定性评价显示,8篇论文可归类为满意,4篇可归类为不满意。编码者之间的一致性较高(一致性百分比=84.6%;科恩kappa系数=0.79)。所有纳入研究(100%)均为横断面研究,基于自我报告问卷。通过我们的分析,白癜风女性比男性在更广泛的精神病理学症状方面经历较低生活质量和较差心理健康的风险更高。在这些患者中,用于调查生活质量和心理症状的工具存在很大异质性。 结论:遗憾的是,文献中提出的解释这些发现的模型很少。在进一步研究中调查该人群中已知精神病理学风险因素的具体影响,以更好地探索这些现象将很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/592a/10769495/a593df509276/fpsyg-14-1234734-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/592a/10769495/a593df509276/fpsyg-14-1234734-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/592a/10769495/a593df509276/fpsyg-14-1234734-g001.jpg

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本文引用的文献

[1]
Similar Levels of Disease Severity Correspond to a Greater Burden of Illness in Women Compared with Men with Hidradenitis Suppurativa.

Acta Derm Venereol. 2023-1-27

[2]
Dispositional mindfulness, alexithymia and sensory processing: Emerging insights from habituation of the acoustic startle reflex response.

Int J Psychophysiol. 2023-2

[3]
FDA approves Ruxolitinib (Opzelura) for Vitiligo Therapy: A breakthrough in the field of dermatology.

Ann Med Surg (Lond). 2022-8-28

[4]
Evaluation of the Behavioral and Psychological Symptoms in Patients with Vitiligo in China.

Psychol Res Behav Manag. 2022-8-11

[5]
Neuroticism, stress, and rumination in anxiety and depression of people with Vitiligo: An explanatory model.

Acta Psychol (Amst). 2022-7

[6]
Quality of life impairment amongst persons living with vitiligo using disease specific vitiligo quality of life index: A Nigerian perspective.

Niger Postgrad Med J. 2021

[7]
British Association of Dermatologists guidelines for the management of people with vitiligo 2021.

Br J Dermatol. 2022-1

[8]
Meta-Analytic Review of High Anxiety Comorbidity among Patients with Vitiligo.

Biomed Res Int. 2021

[9]
Development of a shared decision-making tool in vitiligo: an international study.

Br J Dermatol. 2021-10

[10]
Vitiligo and anxiety: A systematic review and meta-analysis.

PLoS One. 2020-11-10

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