Quality of life of adult vitiligo patients using camouflage: A survey in a Chinese vitiligo community

Chen, Dian; Tuan, Hsiaohan; Zhou, Eray Yihui; Liu, Dehua; Zhao, Yi

doi:10.1371/journal.pone.0210581

Cited by 30 publications

(48 citation statements)

References 31 publications

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“…In concordance with Chen et al, 25 there was a significantly higher decrease in DLQI score before and after camouflage in comparison with the controls. Based on these results, dermatologists should be aware of camouflage use and discuss it with their patients from the first visit, especially in newly diagnosed cases along with the repigmenting treatments.…”

Section: Discussionsupporting

confidence: 90%

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Cosmetic camouflage as an adjuvant to vitiligo therapies: Effect on quality of life

Bassiouny

Hegazy

Esmat

et al. 2020

J of Cosmetic Dermatology

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A variety of therapies are available for vitiligo; however, complete repigmentation is seldom achieved in all cases. Moreover, halting vitiligo activity and inducing repigmentation tend to take months to years. Meanwhile, vitiligo patients with evident contrast in their skin color predominantly experience deteriorated Dermatology Life Quality Index (DLQI). The use of camouflage can help alleviate this stress through concealing vitiligo lesions, thus improving the psycho-social well-being of vitiligo patients and ensuring their adherence to therapy. 1 Camouflaging can be either permanent in the form of "tattoo" or temporary, such as indigenous and self-tanning products, liquid dyes,

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Section: Discussionsupporting

confidence: 90%

“…In concordance with Chen et al, 25 In the camouflage group, skin phototype was the only variable that had a significant effect on DLQI score. DLQI score decreased significantly in skin type III compared with skin type IV and V cases owing to efficient concealment of lesions in those cases.…”

Section: Discussionsupporting

confidence: 88%

Cosmetic camouflage as an adjuvant to vitiligo therapies: Effect on quality of life

Bassiouny

Hegazy

Esmat

et al. 2020

J of Cosmetic Dermatology

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“…Among QoL instruments assessing general health, total and/or component scores were most frequently reported for the adult and child versions of the Dermatology Life Quality Index (DLQI, 53 studies) [ 4 , 13 , 14 , 18 , 19 , 22 , 25 , 33 , 35 – 38 , 45 , 64 , 65 , 67 – 70 , 74 , 77 , 81 – 83 , 87 , 89 , 90 , 92 , 93 , 96 , 99 , 100 , 102 , 104 , 112 , 115 , 119 , 120 , 122 , 123 , 140 , 143 , 144 , 146 , 148 , 151 , 156 , 161 , 162 , 164 – 166 , 168 ], Children’s DLQI (seven studies) [ 24 , 67 , 73 , 101 , 103 , 110 , 152 ], 36-Item Short Form Health Survey (SF-36, eight studies) [ 9 , 82 , 83 , 105 – 107 , 161 , 162 ], General Health Questionnaire (eight studies) [ 14 , 30 , 65 , 93 ...…”

Section: Resultsmentioning

confidence: 99%

“…Factors that were significantly associated with higher psychosocial (Fig. 3) or overall QoL burden were female sex (30 studies) [15,21,25,28,30,45,46,49 [17,25,30,48,49,62,67,68,70,88,100,113,119,132,151,160], and extensive body area involvement (13 studies) [4,25,63,65,70,89,92,96,98,107,151,152,166]. Unmarried and/or single relationship status (nine studies) [17,22,48,49,62,70,93,113,138], longer disease duration (nine studies; particularly duration >5 years) [4,…”

Section: Factors Associated With Psychosocial Burdenmentioning

confidence: 99%

Psychosocial Effects of Vitiligo: A Systematic Literature Review

et al. 2021

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Background Patients with vitiligo experience reduced quality of life. Objective To comprehensively describe the available evidence for psychosocial burden in vitiligo. Methods A systematic review of observational studies and clinical trials identified using PubMed, EMBASE, Scopus, and the Cochrane databases was performed through 1 March, 2021, to assess psychosocial comorbidities in vitiligo. Two independent reviewers performed an assessment of articles and extracted data for qualitative synthesis. Results Included studies (N = 168) were published between 1979 and 1 March, 2021; 72.6% were published since 2010. Disorders including or related to depression (41 studies, 0.1-62.3%) and anxiety (20 studies, 1.9-67.9%) were the most commonly reported. The most prevalent psychosocial comorbidities were feelings of stigmatization (eight studies, 17.3-100%), adjustment disorders (12 studies, 4-93.9%), sleep disturbance (seven studies, 4.6-89.0%), relationship difficulties including sexual dysfunction (ten studies, 2.0-81.8%), and avoidance or restriction behavior (12.5-76%). The prevalence of most psychosocial comorbidities was significantly higher vs healthy individuals. Factors associated with a significantly higher burden included female sex, visible or genital lesions, age < 30 years (particularly adolescents), and greater body surface area involvement, among others. The most commonly reported patient coping strategy was lesion concealment. Limitations Available studies were heterogeneous and often had limited details; additionally, publication bias is possible. Conclusions The results of this systematic review show that vitiligo greatly affects psychosocial well-being. The extent of psychosocial comorbidities supports the use of multidisciplinary treatment strategies and education to address the vitiligoassociated burden of disease. Protocol Registration PROSPERO (CRD42020162223).

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“…When comparing eczema and vitiligo patients, the prevalence rates of anxiety were almost comparable (33.22% vs.37.59%, respectively). Slightly higher prevalence of anxiety in vitiligo patients might be explained by the fact that most of the studies included in this meta-analysis were carried out in Asian and African countries and vitiligo in patients with dark skin phototype is associated with stigmatization and reduced quality of life [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Vitiligo and anxiety: A systematic review and meta-analysis

et al. 2020

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Background Vitiligo is an acquired depigmenting skin disease which is often accompanied by mental distress. There are numerous studies dedicated to local and global prevalence of depression in patients with vitiligo but anxiety has not been recognized as a major mental problem within named population. We aimed to evaluate the prevalence of anxiety among patients with vitiligo from different countries and to compare it with patients suffering from eczema, psoriasis, and acne. Methods In November 2019, we conducted a systematic search for observational studies that examined the prevalence of anxiety in vitiligo patients. Fifteen studies comprising 1176 patients with vitiligo were included to our systematic review. Results The general prevalence of anxiety among vitiligo patients was equal to 35.8%. Statistically significant difference in anxiety rates was found among female and male patients (47.32% vs 42.4%) (P = 0.03), but the clinical relevance of this issue remains arguable. In addition, the pooled odds ratio among vitiligo and non-vitiligo patients did not indicate a statistical significance among patients coming from different continents. Conclusions The pooled prevalence of anxiety among vitiligo patients worldwide was comparable to other severe skin disorders. This finding accentuates the necessity of anxiety awareness in management of patients with skin diseases.

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Quality of life of adult vitiligo patients using camouflage: A survey in a Chinese vitiligo community

Cited by 30 publications

References 31 publications

Cosmetic camouflage as an adjuvant to vitiligo therapies: Effect on quality of life

Cosmetic camouflage as an adjuvant to vitiligo therapies: Effect on quality of life

Psychosocial Effects of Vitiligo: A Systematic Literature Review

Vitiligo and anxiety: A systematic review and meta-analysis

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