Kaya Hazel Ezgi, Altunay İlknur Kıvanç, Aksu Aslı
University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, Dermatology Department, Seyrantepe, İstanbul, Turkey.
Dermatol Pract Concept. 2025 Jul 31;15(3):5054. doi: 10.5826/dpc.1503a5054.
Considering its visible nature, facial dermatosis may result in more prominent psychosocial effects.
We aimed to compare quality of life, anxiety, depression, perceived stress, stress coping strategies, and body image in individuals with facial and trunk dermatosis.
A total of 120 patients (60 with facial dermatosis, 60 with trunk dermatosis) and 60 healthy volunteers were included in the study. Demographic and clinical features were recorded, and participants were evaluated with Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Stress Coping Attitudes Inventory (SCAI), and Body Image Scale (BIS).
In trunk dermatosis patient group, the DLQI, HADS, and PSS scores were significantly higher, while the BIS scores were significantly lower than in the facial dermatosis group and the controls. Avoidance subscores of the SCAI were significantly higher in the trunk dermatosis group compared to the facial dermatosis group. Acceptance/Cognitive Restructuring subscore of the SCAI was found to be higher in the facial dermatosis than the trunk dermatosis group (P=0.037). Linear regression analysis revealed that the most important determinant of DLQI was HADS-Anxiety score (β=0.271, P=0.023) and one of the most important determinant of the PSS score was HADS-Anxiety score (β= 0.426, P<0.001).
Patients with trunk dermatosis experienced more stress, anxiety, depression, and distortion of body perception, and the impact on quality of life was more pronounced. This situation was thought to be related to the fact that patients with facial dermatosis used positive coping strategies, while negative strategies were more common in patients with trunk dermatosis.
鉴于其可见性，面部皮肤病可能会导致更显著的心理社会影响。
我们旨在比较面部和躯干皮肤病患者的生活质量、焦虑、抑郁、感知压力、压力应对策略和身体形象。
本研究共纳入120例患者（60例面部皮肤病患者，60例躯干皮肤病患者）和60名健康志愿者。记录人口统计学和临床特征，并用皮肤病生活质量指数（DLQI）、医院焦虑抑郁量表（HADS）、感知压力量表（PSS）、压力应对态度量表（SCAI）和身体形象量表（BIS）对参与者进行评估。
在躯干皮肤病患者组中，DLQI、HADS和PSS评分显著更高，而BIS评分显著低于面部皮肤病组和对照组。与面部皮肤病组相比，躯干皮肤病组SCAI的回避子评分显著更高。发现面部皮肤病组SCAI的接受/认知重构子评分高于躯干皮肤病组（P = 0.037）。线性回归分析显示，DLQI的最重要决定因素是HADS焦虑评分（β = 0.271，P = 0.023），PSS评分的最重要决定因素之一是HADS焦虑评分（β = 0.426，P < 0.001）。
躯干皮肤病患者经历了更多的压力、焦虑、抑郁和身体感知扭曲，对生活质量的影响更为明显。这种情况被认为与面部皮肤病患者使用积极应对策略，而躯干皮肤病患者更常见消极策略这一事实有关。
