Body image, self-esteem and quality of life in vitiligo patients who lives in eastern of Turkey

Yıl 2017, , 52 - 57, 30.06.2017

Feride Çoban Gül

https://doi.org/10.5799/jcei.333380

Öz

Objective: The present study aims to investigate the effects of vitiligo on quality of life (QoL),
self-esteem (SE), and body image (BI).
Patients and Methods: This study included 64 patients diagnosed with vitiligo, and 87 ageand
sex-matched control subjects. Sociodemographic characteristics of the participants were
collected and hypopigmented lesion involvement regions were recorded to identify clinical
severity of vitiligo. The Dermatology Quality of Life Index (DQoLI), Body Image Scale (BIS), and
Rosenberg Self-Esteem Scale (RSES) were completed.
Results: Comparison of DQoLI, SE, and BI between vitiligo and control groups demonstrated
that vitiligo patients had a statistically significantly lower QoL (P<0.01), a lower SE (P<0.01), and
a worse BI (P<0.01). Localization of lesions at one or multiple sites did not show a statistically
significant impact on DQoLI, SE, or BI (P>0.05). The DQoLI, BIS, and RSES scores and the levels
of QoL, SE, and BI were similar between the patients with vitiligo for ≤5 and >5 years (P>0.05).
Conclusion: Vitiligo can negatively affect the QoL, SE, and BI of patients, thereby, resulting in
psychosocial problems. It can be concluded that the unfavorable skin appearance of the disease
is not only a factor affecting the patients’ QoL, SE, and BI; however, its relation with
neurobiological mechanisms should be further investigated. This study emphasizes that body
image and self-esteem is affected independently of the location of vitiligo lesions, and
consequently neurobiological mechanisms may be important.

Anahtar Kelimeler

Vitiligo, self-esteem, body image, quality of life

Kaynakça

• 1. Kıdır M, Karabulut AA, editors. Investigate the presence of regulatory T cells by immunohistochemical method in patients with vitiligo, Turkey, Kırıkkale; 2011 2. Ortonne JP. In: Bolognia JL,Jorizzo JL editors. Vitiligo and other disorders of hypopigmentation. 3rd edition 2012,section 66, Elseiver Saunders, p: 1023-49 3. Nordlund JJ. Vitiligo: a review of some facts lesser known about depigmentation. Indian J Dermatol. 2011;56:180-9. 4. Halder R, Taliaferro S. Vitiligo. In: Wolff K, Goldsmith LA, Katz SI, et al, eds. Fitzpatrick's Dermatology in General Medicine. 7th ed. New York: McGraw-Hill, 2008; p: 616-22. 5. Koblenzer CS. Psychosomatic concepts in dermatology. Arch Dermatol 1983; 119:501-512. 6. Türkçapar H, Bilişsel Terapi - Temel İlkeler ve Uygulama, HYB Press, 2006; p:86-87 [Turkısh] 7. Davis Daphne M., Jeffrey A. Hayes. What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy 2011;48:198-201. 8. İşcan C. Kendilik Ruhbilimi. Compos Mentis Press, Ankara 1995. [Turkish] 9. Ho J, Lee A, Kaminsky L, Wirrell E. Self-concept, attitude toward illness and family functioning in adolescents with type 1 diabetes. Paediatr Child Health. 2008;13:600-4. 10. Gümüş AB, Çevik N, Hysuni SH, Biçen Ş, Keskin G, Malak AT. Characteristics associated with self-esteem and body image in pregnancy. Anatol J Clin Invest. 2011;5:7-14. 11. Khoury LR, Danielsen PL, Skiveren J. Body image altered by psoriasis. A study based on individual interviews and a model for body image. J Dermatolog Treat. 2014;25:2-7. 12. Basra MK, Fenech R, Gatt RM, Salek MS, Finlay AY. The Dermatology Life Quality Index 1994-2007: A comprehensive review of validation data and clinical results. Br J Dermatol. 2008;159:997-1035. 13. Oztürkcan S, Ermertcan AT, Eser E, Sahin MT. Cross validation of the Turkish version of dermatology life quality index. Int J Dermatol. 2006;45:1300-7. 14. Secord PF, Jourard SM. The appraisal of body–cathexis: Body cathexis and the self. J Consult Psycho. 1953;17:343-7. 15. Hovardaoğlu S. Vücut algısı ölçeği. Psikiyatri, Psikoloji, Psikofarmakoloji (3P) Dergisi 1993;1:26. 16. Rosenberg M. Society and the Adolescent Self-Image. New Jersey: Princeton University Pres, 1965, 12-32. 17. Çuhadaroğlu F. Adolesanlarda benlik saygısı. Yayınlanmamış Uzmanlık Tezi, Hacettepe Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı, Ankara, 1986. 18. Balaban ÖD, et al. Psychiatric morbidity in patients with vitiligo. Düşünen Adam Psikiyatri Nörolojik Bilimler Derg. 2011; 24:306-13. 19. Domonkos AN. Pruritus, Cutaneous neuroses and Neurocutaneous dermatoses: In, Anrews GC, Domonkos AN (editors). Andrew’s Disease of the skin: clinical dermatology. 6th ed. Philadelphia: WB Sounders Co., 1971, 61-76. 20. Bağcıoğlu E, Sabuncuoğlu M, Sabuncuoğlu YD, Özturk A, Akıncı E. Evaluation of psychological factors and quality of life in patients with vitiligo. SDU J Health Sci. 2014;5:9-14. 21. Kent G, Al’Abadie M. Factors affecting responses on Dermatology Life Quality Index items among vitiligo sufferers. Clin Exp Dermatol. 1996; 21: 330-3. 22. Chua TL, Goh BK, Aw CW, Thng TG, Lee SM. Investigating factors associated with depression of vitiligo patients in Singapore. J Clin Nurs. 2012;21:1614-21. 23. Russo PA, Ilchef R, Cooper AJ. Psychiatric morbidity in psoriasis: a review. Australas J Dermatol. 2004;45:155-9. 24. Ho J, Lee A, Kaminsky L, Wirrell E. Self-concept, attitude toward illness and family functioning in adolescents with type 1 diabetes. Peadiatr Child Health. 2008;13:600-4. 25. Khattri S, Singh Bist J, Arun A, Kumar Mehta A. Clinical correlates of vitiligo with depression and anxiety: A comparative study in patients and their caregivers. Int J Adv Res. 2015;3:200-5. 26. Üstündağ H, Demir N, Zengin N, Gül A. Body Image and self-esteem in patients withs. Turkiye Klinikleri J Med Sci. 2007;27:522-7. 27. Teo I, Reece GP, Christie IC, Guindani M, Markey MK, Heinberg LJ, et al. Body image and quality of life of breast cancer patients: influence of timing and stage of breast reconstruction. Psychooncology. 2016;25:1106-12. 28. Lipowska M, Lipowski M. Narcissism as a moderator of satisfaction with body image in young women with extreme underweight and obesity. PLoS One. 2015;10:e0126724.