Transcultural assessment of quality of life in patients with vitiligo

Hans, Amrita; Reddy, K. Anji; Black, Samantha; Thomas, Jamael; Martinez-Luna, Orlando; McKesey, Jacqueline; Hynan, Linda S.; Pandya, Amit G.

doi:10.1016/j.jaad.2021.03.118

Cited by 8 publications

(8 citation statements)

References 4 publications

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“…For instance, studies conducted in Western populations demonstrated greater impairment in groups with lower educational levels, a finding that opposes the results of studies conducted in Eastern populations [ 23 ]. Another study that demonstrated a greater burden on the QoL of vitiligo patients from a South Asian culture compared to those who were from an American culture validates the cultural difference in the impact of the disease [ 24 ]. In addition, dark-skinned vitiligo patients may show more color contrast compared with light-skinned vitiligo patients, a difference that caused the results obtained from Western and Eastern studies to vary.…”

Section: Discussionmentioning

confidence: 96%

Worsening Quality of Life in Young Adult, Highly Educated, and Married Female Patients with Vitiligo: A Hospital-Based Case Control Study in Taiwan

Yang

Hsu

Wang

et al. 2022

IJERPH

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Vitiligo is an acquired chronic depigmentation disorder that can have a negative impact on the quality of life (QoL). This is especially true for patients with non-white skin. Only few studies have investigated the QoL of Asian patients with vitiligo. We aimed to investigate the QoL in Taiwanese vitiligo patients and identify the factors that influence their QoL. The cross-sectional study recruited 100 vitiligo patients and 100 controls with general skin diseases in the Department of Dermatology of Changhua Christian Hospital. Data were obtained using a structured questionnaire for demographic information and modified Skindex-21 instruments. The QoL was not significantly different between vitiligo patients and controls. Among the vitiligo patients, adults exhibited deteriorated emotional levels and total QoL as compared with non-adults. Married females reported greater levels of emotional disturbance than the unmarried ones. A higher educational level and shorter history of disease were associated with greater emotional impacts. The patients with a generalized type of vitiligo suffered more in total QoL. After multivariate adjustment, the young adult patients aged 20–39 were associated with poorer total QoL. It is suggested that vitiligo patients who are aged between 20 and 39, are married females, are highly educated, have a shorter disease history, and suffer from the generalized type of this disease demonstrate more deterioration in their life quality compared with other vitiligo patients. Care providers should tailor the psychological counseling and treatment accordingly.

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Section: Discussionmentioning

confidence: 96%

Worsening Quality of Life in Young Adult, Highly Educated, and Married Female Patients with Vitiligo: A Hospital-Based Case Control Study in Taiwan

Yang

Hsu

Wang

et al. 2022

IJERPH

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“…A recent study showed that South Asian patients with vitiligo who were living in America had a lesser effect on their quality of life, as compared to those in India. This is likely due to the reduction in perceived stigma by integration into the Western culture 10 …”

Section: Psychosocial Impact Of Vitiligo In Patients With Different S...mentioning

confidence: 99%

“…This is likely due to the reduction in perceived stigma by integration into the Western culture. 10 However, the impact of vitiligo on patients' life is not confined to the Asian population with skin of color. Studies from the United States and the United Kingdom among chiefly white population have highlighted the considerable distress and concerns regarding disease spread, effective treatment, and a fear of cancer.…”

Section: Psychosocial Impact Of Vitiligo In Patients With Different S...mentioning

confidence: 99%

“…Patients with dark skin tone have more noticeable vitiligo. This is further compounded by the prevailing social stigma in certain cultures, like in South Asian countries 8–10 . Understanding these psychosocial issues related to vitiligo will help clinicians in providing better care to their patients.…”

Section: Introductionmentioning

confidence: 99%

“…This is further compounded by the prevailing social stigma in certain cultures, like in South Asian countries. [8][9][10] Understanding these psychosocial issues related to vitiligo will help clinicians in providing better care to their patients. This review focuses on the psychosocial impact of vitiligo in patients with skin of color.…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial impact of vitiligo in patients with skin of color

Mehta

Gupta

2022

Dermatological Reviews

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Vitiligo exerts a significant negative effect on patients' quality of life. Patients with skin of colour have a more negative attitude towards vitiligo than those with fairer skin. Many myths and misconceptions about vitiligo are prevalent in certain societies in South-east Asia and the middle east. Confusion with leprosy further adds to the stigma. Vitiligo impacts several spheres of life due to the cosmetic disfigurement as well as the prevailing socio-cultural factors. Patients with vitiligo suffer from low self-esteem, and often face discrimination, and difficulties in social life and relationships. Quality-of-life measures such as Dermatology Life Quality Index and Vitiligo Impact Scale-22 indicate that vitiligo has a moderate-to-large effect on patients' life. Psychiatric comorbidities such as anxiety and depression are more prevalent among patients with vitiligo as compared to general population. The psychosocial burden of vitiligo should be evaluated separately from the clinical severity separately because it may not correlate with the extent of depigmentation, and may not improve in proportion to the repigmentation. Apart from the treatment of vitiligo patches, patients may benefit from measures specifically aimed at reducing the psychosocial distress.

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Dermatoses communes

Mahé¹

2022

Dermatologie De La Diversité

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Transcultural assessment of quality of life in patients with vitiligo

Cited by 8 publications

References 4 publications

Worsening Quality of Life in Young Adult, Highly Educated, and Married Female Patients with Vitiligo: A Hospital-Based Case Control Study in Taiwan

Worsening Quality of Life in Young Adult, Highly Educated, and Married Female Patients with Vitiligo: A Hospital-Based Case Control Study in Taiwan

Psychosocial impact of vitiligo in patients with skin of color

Dermatoses communes

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