ejm Ege Tıp Dergisi 1016-9113 2147-6500 Ege University 10.19161/etd.1680153 Dermatology Dermatoloji Seboreik dermatit hastalarında sağlıklı yaşam biçimi davranışları ve algılanan stres: Bir vaka-kontrol çalışması Healthy lifestyle behaviors and perceived stress in seborrheic dermatitis patients: A case-control study https://orcid.org/0000-0002-1027-9549 Hacınecipoğlu Fatmanur Ankara Etlik Şehir Hastanesi https://orcid.org/0000-0002-0032-5572 Çelik Gökçen Ankara Etlik Şehir Hastanesi https://orcid.org/0000-0002-7119-9876 Öner Ümran Ümran Öner Özel Dermatoloji Kliniği https://orcid.org/0000-0001-7310-8635 Kartal Pelin Ankara Etlik Şehir Hastanesi 12 08 2025 64 4 674 681 04 20 2025 08 15 2025 Copyright © 1962, Ege Journal of Medicine 1962 Ege Journal of Medicine

Amaç: Bu çalışmanın amacı, seboreik dermatit (SD) hastalarında sağlıklı yaşam biçimi davranışları ve algılanan stres ölçeklerini sağlıklı kontrollerle karşılaştırmak ve bu ölçütlerin hastalık şiddeti ve süresi ile ilişkilerini incelemektir. Gereç ve Yöntem: Çalışmaya 100 SD hastası ile 100 sağlıklı kişi dahil edildi. Katılımcılar tarafından Sağlıklı Yaşam Biçimleri Profili II (HPLP II) ve Algılanan Stres Ölçeği (PSS) anketleri dolduruldu. Grup karşılaştırmaları bağımsız t-testleri ve ki-kare testleri kullanılarak yapıldı, HPLP II skorları, SDASI, hastalık süresi ve PSS arasındaki ilişkiler Spearman korelasyon analizi ile incelendi. İstatistiksel anlamlılık p < 0,05 olarak belirlendi.Bulgular: HPLP II toplam skorlarında gruplar arasında anlamlı fark bulunmadı (p = 0,631). Ancak, SD hastaları, kontrollere göre anlamlı derecede daha düşük Manevi Gelişim (p = 0,025) ve Stres Yönetimi skorları (p = 0,038) ile anlamlı derecede daha yüksek Sağlık Sorumluluğu skorlarına (p = 0,027) sahipti. PSS skoru, seboreik dermatit hastalarında anlamlı şekilde daha yüksekti (p = 0,048). SD hastaları arasında, şiddetli hastalık durumunda Beslenme (p = 0,030) ve Stres Yönetimi skorları (p = 0,016) daha düşük bulundu. Ayrıca, Stres Yönetimi alt ölçeğinin SDASI (p = 0,030) ve hastalık süresi (p = 0,016) ile ters orantılı korelasyon gösterdiği tespit edildi. Sonuç: Bu sonuçlar, seboreik dermatitli hastalarda özellikle manevi gelişim ve stres yönetimi başta olmak üzere temel yaşam biçimi alanlarında eksiklikler olduğunu ve yüksek düzeyde algılanan stres varlığını ortaya koymaktadır. Bulgular, yaşam tarzı düzenlemeleri ile stres azaltıcı müdahalelerin seboreik dermatitte klinik sonuçları iyileştirme potansiyeline işaret etmekte ve gelecekteki bütüncül tedavi stratejileri için önemli bir zemin sunmaktadır.

Aim: This study investigated health-promoting lifestyle behaviors and perceived stress in seborrheic dermatitis (SD) patients compared with healthy controls and examined the associations of these measures with disease severity and duration.Materials and Methods: One hundred SD patients and 100 healthy controls were enrolled. Participants completed the Health-Promoting Lifestyle Profile II (HPLP II) and the Perceived Stress Scale (PSS). Group comparisons were performed using independent t-tests and chi-square tests, while Spearman correlation analysis evaluated associations among HPLP II scores, SDASI, disease duration, and PSS. Statistical significance was set at p < 0.05.Results: Overall HPLP II total scores did not differ significantly between groups (p = 0.631). However, SD patients had significantly lower Spiritual Growth (p = 0.025) and Stress Management scores (p = 0.038), and significantly higher Health Responsibility scores (p = 0.027) compared with controls. The PSS score was significantly higher in SD patients (p = 0.048). Among SD patients, severe disease was associated with lower Nutrition (p = 0.030) and Stress Management scores (p = 0.016). Additionally, the Stress Management subscale was inversely correlated with SDASI (p = 0.030) and disease duration (p = 0.016).Conclusion: These findings indicate that SD patients exhibit deficits in key lifestyle domains—particularly in spiritual growth and stress management—along with elevated perceived stress. The results underline the potential for lifestyle and stress reduction interventions to improve clinical outcomes in seborrheic dermatitis and provide a solid basis for future integrative treatment strategies.

 Seborrheic dermatitis HPLP II perceived stress lifestyle stress management case-control seboreik dermatit HPLP II algılanan stres yaşam biçimi stres yönetimi vaka-kontrol Schwartz RA, Janusz CA, Janniger CK. Seborrheic dermatitis: an overview. Am Fam Physician. 2006;74(1):125-32. Polaskey MT, Chang CH, Daftary K, Fakhraie S, Miller CH, Chovatiya R. The global prevalence of seborrheic dermatitis: a systematic review and meta-analysis. JAMA Dermatol. 2024;160(8):846-55. Aksoy M, Ozkorumak E, Bahadır S, Yaylı S, Aksu Arıca D. Quality of life, anxiety and depression levels in patients with seborrheic dermatitis. Turkderm. 2012;46(1):39-43. Batan T, Acer E, Kaya Erdoğan H, Ağaoğlu E, Bilgin M, Saraçoğlu ZN. The relationship between nutrition habits, BMI, anxiety and seborrheic dermatitis. J Cosmet Dermatol. 2025;24(1):e16737. Lancar R, Missy P, Dupuy A, Beaulieu P, Fardet L, Costagliola D, et al. Risk factors for seborrhoeic dermatitis flares: case-control and case-crossover study. Acta Derm Venereol. 2020;100(17):adv00292. Misery L, Touboul S, Vinçot C, Dutray S, Rolland-Jacob G, Consoli SG, et al. Stress et dermatite séborrhéique. Ann Dermatol Venereol. 2007;134(11):833-7. Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81. Walker SN, Hill-Polerecky DM. Psychometric evaluation of Health-Promoting Lifestyle Profile II. Lincoln (NE): University of Nebraska Medical Center, College of Nursing; 1997. Unpublished manuscript. Pınar R, Çelik R, Bahçecik N. Reliability and construct validity of the Health-Promoting Lifestyle Profile II in an adult Turkish population. Nurs Res. 2009;58(3):184-93. Deniz F, Altunay İK, Özkür E, Cerman AA, Erdoğan HK, Bulur İ. Evaluation of healthy lifestyle behaviors in psoriasis patients. Sisli Etfal Hastan Tip Bul. 2021;55(2):197-202. Cömert A, Bekiroğlu N, Gürbüz O, Ergün T. Efficacy of oral fluconazole in the treatment of seborrheic dermatitis: a placebo-controlled study. Am J Clin Dermatol. 2007;8(4):235-8. Kulaklı S, Kulaklı F, Yılmaz B, Sarı İF, Oğuz İD. Is seborrheic dermatitis associated with early-stage osteoarthritis? Medicine (Baltimore). 2024;103(6):e37217. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96 Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Algılanan Stres Ölçeği’nin Türkçe’ye uyarlanması: güvenirlik ve geçerlik analizi. Yeni Symposium. 2013;51(2):132-40. Dalgard FJ, Gieler U, Tomas-Aragones L, Lien L, Poot F, Jemec GBE, et al. The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol. 2015;135(4):984-91. Bae JM, Ha B, Lee H, Park CK, Kim HJ, Park YM. Prevalence of common skin diseases and their associated factors among military personnel in Korea: a cross-sectional study. J Korean Med Assoc. 2012;27(12):1248-54. Zhang H, Wang M, Zhao X, Wang Y, Chen X, Su J. Role of stress in skin diseases: a neuroendocrine-immune interaction view. Brain Behav Immun. 2024;116:286-302. Kimyai-Asadi A, Usman A. The role of psychological stress in skin disease. J Cutan Med Surg. 2001;5(2):140-5. Oztas P, Çalıkoğlu E, Çetin İ. Psychiatric tests in seborrhoeic dermatitis. Acta Derm Venereol. 2004;85(1):68-9. Doğramacı AÇ, Havlucu DY, Savaş N. Seboreik dermatitli hastalarda yaşam kalitesi değerlendirmesi. Turk Dermatoloji Derg. 2008;2(2):99-102. Maietta G, Fornaro P, Rongioletti F, Rebora A. Patients with mood depression have a high prevalence of seborrhoeic dermatitis. Acta Derm Venereol. 1990;70(6):432-4. Iani L, Quinto RM, Porcelli P, Angeramo AR, Schiralli A, Abeni D. Positive psychological factors are associated with better spiritual well-being and lower distress in individuals with skin diseases. Front Psychol. 2020;11:552764. Rahim Zahedi M, Torabizadeh C, Najafi Kalyani M, Moayedi SA. The relationship between spiritual well-being and resilience in patients with psoriasis. Dermatol Res Pract. 2021;2021:8852730. Unterrainer HF, Lukanz M, Pilch M, Scharf S, Glawischnig-Goschnik M, Wutte N, et al. Spirituality and mood pathology in severe skin conditions: a prospective observational study. Arch Dermatol Res. 2016;308(7):521-5. Kabat-Zinn J, Wheeler E, Light T, Skillings A, Scharf MJ, Cropley TG, et al. Influence of a mindfulness meditation-based stress-reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing UVB or PUVA therapy. Psychosom Med. 1998;60(5):625-32. Fordham B, Griffiths CE, Bundy C. A pilot study examining mindfulness-based cognitive therapy in psoriasis. Psychol Health Med. 2015;20(1):121-7. Sanders MGH, Pardo LM, Ginger RS, Kiefte-de Jong JC, Nijsten T. Association between diet and seborrheic dermatitis: a cross-sectional study. J Invest Dermatol. 2019;139(1):108-14. Aygar H, Zencirci SA, Emiral GO, Alaiye M, Soysal A, Onsuz MF, et al. Assessment of health-promoting lifestyle behaviors of adults living in a semi-rural area. North Clin Istanb. 2019;6(1):13-20. Bagwell MM, Bush HA. Health conception and health promotion in blue-collar workers: program-planning issues. AAOHN J. 1999;47(11):512-8. Delerue Matos A, Barbosa F, Cunha C, Voss G, Correia F. Social isolation, physical inactivity and inadequate diet among European middle-aged and older adults. BMC Public Health. 2021;21(1):924. Nacar M, Baykan Z, Çetinkaya F, Arslantaş D, Özer A, Coşkun O, et al. Health-promoting lifestyle behaviour in medical students: a multicentre study from Turkey. Asian Pac J Cancer Prev. 2014;15(20):8969-74. Bhuiyan M, Sheng JWK, Ghazali FH, Mughasbi FG, Arnous MK, Maziz MNH, et al. Health-promoting lifestyle habits among preclinical medical students. Pak J Med Health Sci. 2017;11(2):490-5. Ettner SL, French MT, Popovici I. Heavy drinking and health promotion activities. Soc Sci Med. 2010;71(1):134-42.