Tosun Nurperihan, Tosun Mustafa, Dığış Mahir, Younis Mustafa
Department of Health Management, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas 58140, Türkiye.
Department of Dermatology, Faculty of Medicine, Sivas Cumhuriyet University, Sivas 58140, Türkiye.
Healthcare (Basel). 2025 Jun 6;13(12):1359. doi: 10.3390/healthcare13121359.
: Acne vulgaris (AV), a common dermatological condition in adolescence, has been widely recognized not only for its physical impact but also for its significant psychological and social consequences, particularly the internalization of stigma. This study specifically aimed to evaluate the state of internalized stigma in adolescents with AV and its relationship with quality of life and disease severity. Additionally, we sought to identify and assess the factors associated with internalized stigma. : A total of 179 patients with AV were included in this cross-sectional observational study. We employed a convenience sampling strategy. The Internalized Stigma Scale (ISS) was used to assess patients' stigma. The Acne Quality of Life Scale (AQLS) and the Dermatology Life Quality Index (DLQI) were used to assess patients' quality of life. The Global Acne Grading System (GAGS) was used to assess disease severity. : Cronbach's alpha coefficient for the ISS was determined to be 0.79. In our study, the mean total ISS scores for patients with AV were notably high. The ISS was significantly positively correlated with the AQLS score ( = 0.653, < 0.001), DLQI score ( = 0.487, < 0.001), and GAGS score ( = 0.257, = 0.006). Linear regression analysis was performed to predict the ISS variable. Accordingly, the AQLS positively and significantly predicts ( = 0.521, < 0.001). : AVs often experience high levels of stigma. Internalized stigma is strongly associated with reduced quality of life and increased disease severity. Moreover, the AQLS significantly affects stigma.
寻常痤疮（AV）是青少年常见的皮肤病，不仅因其对身体的影响而被广泛认识，还因其显著的心理和社会后果，特别是耻辱感的内化而受到关注。本研究旨在评估AV青少年内化耻辱感的状况及其与生活质量和疾病严重程度的关系。此外，我们试图识别和评估与内化耻辱感相关的因素。：本横断面观察性研究共纳入179例AV患者。我们采用了便利抽样策略。内化耻辱感量表（ISS）用于评估患者的耻辱感。痤疮生活质量量表（AQLS）和皮肤病生活质量指数（DLQI）用于评估患者的生活质量。全球痤疮分级系统（GAGS）用于评估疾病严重程度。：ISS的Cronbach's α系数确定为0.79。在我们的研究中，AV患者的平均ISS总分显著较高。ISS与AQLS评分（=0.653，<0.001）、DLQI评分（=0.487，<0.001）和GAGS评分（=0.257，=0.006）显著正相关。进行线性回归分析以预测ISS变量。因此，AQLS正向且显著预测（=0.521，<0.001）。：AV患者经常经历高水平的耻辱感。内化耻辱感与生活质量下降和疾病严重程度增加密切相关。此外，AQLS显著影响耻辱感。
