Testing a Model of Disfigurement: Effects of a Skin Camouflage Service on Well-being and Appearance Anxiety

Kent, Gerry

doi:10.1080/08870440290029601

Cited by 34 publications

(36 citation statements)

References 27 publications

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“…Although no causal relations can be demonstrated, our observations suggest that reduction of the subjective disease severity and improvement of lesions of the face, for example with camouflage, could increase the patients’ quality of life while it might not influence the feeling of stigma. Also Kent [25 ]suggested that although an excellent cosmesis can be obtained, having to conceal the true condition may sustain the feeling of stigma and the fear to be rejected.…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life and Stigmatization Profile in a Cohort of Vitiligo Patients and Effect of the Use of Camouflage

Ongenae¹,

Dierckxsens²,

Brochez³

et al. 2005

Dermatology

164

154

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Background: Few studies have paid attention to the effects of treatment interventions on the psychosocial consequences of vitiligo. Objectives: To quantify and analyse the psychosocial benefit of the use of camouflage in vitiligo patients. Patients and Methods: 78 vitiligo patients completed the Dermatology Life Quality Index (DLQI) and an adapted stigmatization questionnaire, and 62 of them completed the DLQI after at least a 1-month use of camouflage. Results: The initial mean overall DLQI score (n = 78) is 6.9 (SD 5.6). The mean global stigmatization score is 38%. Disease extent and disease severity are strong predictors of the DLQI (p < 0.0001). Vitiligo on the face/head/neck substantially affects the DLQI, independently of degree of involvement. The mean DLQI score before and after use of camouflage (n = 62) is 7.3 (SD 5.6) and 5.9 (SD 5.2; p = 0.006). Mainly the high-scoring items ‘feelings of embarrassment and self consciousness’ and ‘choice of clothing’ improve. Predictors of improvement are higher DLQI scores (p = 0.0005) and higher total severity scores (p = 0.03). Conclusions: Camouflage can be recommended, particularly in patients with higher DLQI scores or self-assessed disease severity. Patients with minor involvement of the face benefit from camouflage.

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Section: Discussionmentioning

confidence: 99%

“…Since long-term follow-up data of the patients are lacking, we do not know if they continued using camouflage and/or if the effect was sustained. Although a prolonged effect of camouflage has been described [25], it is also known that patients might need supportive interaction with their physicians in order to continue application [9]. …”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Stigmatization Profile in a Cohort of Vitiligo Patients and Effect of the Use of Camouflage

Ongenae¹,

Dierckxsens²,

Brochez³

et al. 2005

Dermatology

164

154

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“…The aforementioned association can be interpreted in the light of Kent's (2002) cognitivebehavioural model, constructed to explain the effects of appearance altering medical condition on well-being. As he posits, afflicted individual utilize unhealthy coping strategies to deal with the activation of their anxiety schema which is triggered because of their anticipation or experience with stigma.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, those with visible cutaneous pathologies are better adjusted than others with concealable blemishes; the latter have been found to behave more competently in social situations as they believe that others are not aware of their skin condition (Kent, 2002). In relation to age, even though research has indicated that teens suffer as a result of their acne, it has been reported that older adults become greatly distressed as well (Clark-Carter, Grogan, Hassan, Richards, & Yates 2009).…”

Section: Introductionmentioning

confidence: 99%

Predictors of QOL for adults with acne: The Contribution of perceived stigma

Liasides¹,

Apergi²

2015

The European Proceedings of Social and Behavioural Sciences

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As dermatology patients complain that their psychological distress is extensive and often overlooked, it is concerning that there is a paucity of research investigating factors associated with acne-related QOL. This study, therefore, aimed to compile a preliminary list of risk factors for psychosocial distress as a result of having acne in adulthood, while specifically examining the role of an under investigated variable -perceived stigma -due to the high levels of stigmatization reported by these individuals. Adults with acne (N=119, M/F: 38/81; mean age: M = 26.37, SD =7.97), recruited from private dermatology offices in Athens were administered the Feelings of Stigmatization Questionnaire (FSQ; Ginsburg & Link, 1989) and Acne-Specific Quality of Life Questionnaire (Acne-QoL; Botek, Girman, Light, Lookingbill, Martin, & Thiboutot, 2001). Multiple regression analyses were conducted in order to assess the capacity of various psychosocial and demographic variables to predict acne-related QOL. While participants' gender, age, history of acne and selfrated severity of acne emerged as significant predictors of acne-related QOL, perceived stigma made the largest contribution to the regression model. This research study provides preliminary evidence that adults who feel stigmatized are at risk for experiencing a poor quality of life as a result of having acne. Potential risk factors of secondary importance, which can aid the screening of psychological distress in these individuals, may also include one's self-rated severity of acne, age, gender and previous history of acne.

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“…appearance, social contacts, sexuality, work), is generally accepted [Jowett and Ryan, 1985]. From these observations the hypothesis of a 'tendency toward paranoia' among skin patients as counterpart of the 'contentedness of the healthy' has been concluded: Patients with skin diseases (e.g., psoriasis, AD, acne, loss of hair, nevi, scars) frequently feel less attractive than healthy persons and suffer significantly more often from psychosomatic disorders [Jowett and Ryan 1985;Lanigan and Cotterill, 1989;Mills et al, 1994;Shum et al, 2000;Troilius et al, 2000;Kent, 2002]. Using the 'Freiburger Beschwerdeliste' (FBL), a complaint questionnaire developed by Fahrenberg [1975], Korth et al [1988] discovered that chronic skin patients (here: AD patients) display a much more negative attitude towards their skin and significantly more psychosomatic symptoms than acute skin patients (here: patients with pityriasis rosea) and healthy subjects.…”

mentioning

confidence: 99%

Psychosomatic Aspects of Skin Care and Therapy of Atopic Dermatitis with Regard to the Patient’s Dealing with Himself and the Parents’ Dealing with Their Child

Roos¹

2004

Dermatol Psychosom

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Due to their exposed localization, skin diseases have characteristic individual and social consequences as compared to other diseases. In the first section of this review, general psychosomatic and psychosocial aspects of the skin and common skin diseases are described. Since atopic dermatitis is characterized by a chronic inflammatory course and associated with intermittent attacks of intensive pruritus, it is more frequently associated with intraand interpersonal conflicts than other skin diseases. Therefore, certain aspects of atopic dermatitis such as coping and compliance/adherence-to-treatment are reviewed and discussed in detail. Finally, clinically important issues of psychosomatic care and dermatological therapy (skin care and topical therapy) of patients with atopic dermatitis are reviewed.

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Testing a Model of Disfigurement: Effects of a Skin Camouflage Service on Well-being and Appearance Anxiety

Cited by 34 publications

References 27 publications

Quality of Life and Stigmatization Profile in a Cohort of Vitiligo Patients and Effect of the Use of Camouflage

Quality of Life and Stigmatization Profile in a Cohort of Vitiligo Patients and Effect of the Use of Camouflage

Predictors of QOL for adults with acne: The Contribution of perceived stigma

Psychosomatic Aspects of Skin Care and Therapy of Atopic Dermatitis with Regard to the Patient’s Dealing with Himself and the Parents’ Dealing with Their Child

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