Quality of Life and Emotional Status Among Women with Skin Disease: A Multicenter Cross-Sectional Study
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Abstract
Introduction: Skin is considered the most noticeable organ. The impact of visible skin disorders extends far beyond its clinical features, especially among women, in terms of quality of life (QoL) and emotional status. The aim of the study is to determine the quality of life and emotional status among women with skin disease in public hospitals. Method: A cross-sectional study design was conducted at the dermatology clinics of Kuala Lumpur and Selayang Hospital from March 2023 to May 2023. The researcher utilized a proportionate and random sampling method involving 404 respondents. The self-administered questionnaire comprised the Dermatology Life Quality Index (DLQI) and Emo- tional State Questionnaire (EST-Q). Results: Most of the respondents were diagnosed with eczema (n=170, 42.1%) and aged 18–30 (n=217, 53.7%). Eczema patients had the most very large effect on DLQI score (n=61, 35.9%) and the highest depression in EST-Q score (n=61, 35.9%). There was no significant difference between types of skin diseases with emotional status subscales except for insomnia (p=0.012). Depression and insomnia were significantly associated with the DLQI score (p<0.05). Conclusion: These findings showed the need to develop comprehensive care approaches by dermatologists and nurses that address the multidimensional impact of skin diseases on patients to enhance their quality of life and health outcomes by implementing strategies to improve depression and insomnia.
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AlOtaibi HM, AlFurayh NA, AlNooh BM, Aljomah NA, Alqahtani SM. Quality of life assessment among patients suffering from different dermatological diseases. Saudi Med J. 2021;42(11):1195–200. doi: 10.15537/smj.2021.42.11.20210560
Greaves MW. Skin disease | Description, Types, & Treatment | Britannica [Internet]. 2020. Available from: https://www.britannica.com/science/human- skin-disease
Mian M, Silfvast-Kaiser AS, Paek SY, Kivelevitch D, Menter A. A Review of the Most Common Dermatologic Conditions and their Debilitating Psychosocial Impacts. Int Arch Intern Med. 2019;3(2):018. doi: 10.23937/2643-4466/1710018
Flohr C, Hay R. Putting the burden of skin diseases on the global map. Br J Dermatol. 2021;184(2):189– 90. doi: 10.1111/bjd.19704.
Dagne DA. Recognizing neglected skin diseases: WHO publishes pictorial training guide [Internet]. World Helath Organization. 2018 [cited 2023 Jul 25]. Available from: https://www.who.int/news/ item/08-06-2018-recognizing-neglected-skin- diseases-who-publishes-pictorial-training-guide
World Health Ranking. Health profile: Malaysia [Internet]. World Health Organisation. 2018. p. 1–5. Available from: https://www.worldlifeexpectancy. com/country-health-profile/malaysia
Kassab YW, Muhamad SA, Aldahoul HK, Mohammed IK, Paneerselvam GS, Ayad MS. The impact of skin disorders on patients’ quality of life in Malaysia. J Clin Intensive Care Med. 2019;4(1):1– 9. doi: 10.29328/journal.jcicm.1001018
Prajwala M. Psychiatric comorbidity and quality of life in patients with dermatological diseases [Internet]. ProQuest. 2017. Available from: https://www.proquest.com/pqdtglobal/docview/ 2606983778/11D05038E9904CD1PQ/1? accountid=42518
Germain N, Augustin M, François C, Legau K, Bogoeva N, Desroches M, et al. Stigma in visible skin diseases – a literature review and development of a conceptual model. J Eur Acad Dermatology Venereol. 2021;35(7):1493–504. doi: 10.1111/ jdv.17110
Fellizar K. 7 Types Of Skin Conditions Women Are More Likely To Have, According To Experts [Internet]. Bustle. 2019. Available from: https:// www.bustle.com/p/7-types-of-skin-conditions- women-are-more-likely-to-have-according-to- experts-18668062
Seth D, Cheldize K, Brown D, Freeman EE. Global Burden of Skin Disease: Inequities and Innovations. Curr Dermatol Rep. 2017;6(3):204–10. doi: 10.1007/s13671-017-0192-7.
Raosoft. Sample Size Calculator by Raosoft, Inc. [Internet]. Raosoft, Inc. 2004 [cited 2023 Jul 26]. Available from: http://www.raosoft.com/ samplesize.html
Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI)—a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(3):210–6. doi: 10.1111/j.1365-2230.1994.tb01167.x
Cardiff University. Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use. [Internet]. 2019 [cited 2023 Jul 6]. Available from: https://www.cardiff.ac.uk/ medicine/resources/quality-of-life-questionnaires/ dermatology-life-quality-index
Department of Statistics Malaysia. Current Population Estimates, Malaysia, 2022 [Internet]. Ministry of Economy Department of Statistics Malaysia. 2022 [cited 2023 Jul 27]. Available from: https://dev.dosm.gov.my/portal-main/ release-content/current-population-estimates- malaysia-2022
Department of Statistic Malaysia. Salaries & Wages [Internet]. Ministry of Economy Department of Statistics Malaysia. 2022 [cited 2023 Jul 18]. Available from: https://www.dosm.gov.my/portal- main/release-content/salaries-&-wages-survey- report-malaysia-2021
Sanclemente G, Burgos C, Nova J, Hernández F, González C, Reyes MI, et al. The impact of skin diseases on quality of life: A multicenter study. Actas Dermo-Sifiliográficas (English Ed. 2017;108(3):244–52. doi: 10.1016/j. ad.2016.11.008.
Weidinger S, Beck LA, Bieber T, Kabashima K, Irvine AD. Atopic dermatitis. Nat Rev Dis Prim [Internet]. 2018 Jun 21 [cited 2023 Jul 18];4(1):1– 20. doi: 10.1038/s41572-018-0001-z.
Ghafoor R, Saleem F, Iqbal Q, Hassali MA, Hashmi FK, Haider S, et al. Quality of Life in Patients with Skin Diseases Attending a Public Healthcare Institute of Quetta City, Pakistan. J Pharm Pract Community Med. 2018;4(1):16–20. doi: 10.5530/ jppcm.2018.1.5
Tan WF, Voo SYM, Sulaiman N, Robinson S. Psychosocial burden of patients with atopic dermatitis at two tertiary referral centres in malaysia. Med J Malaysia. 2021;76(5):643–52.
National Eczema Association. Eczema and Emotional Wellness [Internet]. 2023 [cited 2023 Jul 20]. Available from: https://nationaleczema. org/eczema-emotional-wellness/
Mento C, Rizzo A, Anna MR, Zoccali RA, Bruno A. Negative Emotions in Skin Disorders : A Systematic Review. Int J Psychol Res. 2020;13(1):71–86. Negative Emotions in Skin Disorders : A Systematic Review.
Khalaf OO, El-Komy MM, Kattaria DB, El-Mesidy MS. Sleep quality among psoriasis patients: excluding the immunosuppressive therapy effect. Middle East Curr Psychiatry [Internet]. 2023;30(1):1–8. doi:10.1186/s43045-023-00305- 5
Saçmacı H, Gürel G. Sleep disorders in patients with psoriasis: a cross-sectional study using non- polysomnographical methods. Sleep Breath [Internet]. 2019 Sep 1 [cited 2023 Jul 21];23(3):893– 8. doi: 10.1007/s11325-019-01820-8.
Patel R. 12 Psoriasis Triggers to Avoid: Foods, Alcohol, Stress, and More [Internet]. Healthline. 2021 [cited 2023 Jul 21]. Available from: https:// www.healthline.com/health/psoriasis/triggers-to- avoid#hormones
Talamonti M, Galluzzo M, Silvaggio D, Lombardo P, Tartaglia C, Bianchi L. Quality of life and psychological impact in patients with atopic dermatitis. J Clin Med. 2021;10(6):1–9. doi: 10.3390/jcm10061298.
Nowowiejska J, Baran A, Flisiak I. Mutual Relationship Between Sleep Disorders, Quality of Life and Psychosocial Aspects in Patients With Psoriasis. Front Psychiatry. 2021;12(July):1–11. doi: 10.3389/fpsyt.2021.674460.
Jeon C, Yan D, Nakamura M, Sekhon S, Bhutani T, Berger T, et al. Frequency and Management of Sleep Disturbance in Adults with Atopic Dermatitis: A Systematic Review. Dermatol Ther (Heidelb). 2017;7(3):349–64. doi: 10.1007/s13555-017-0192-3.
Bawany F, Northcott CA, Beck LA, Pigeon WR. Sleep Disturbances and Atopic Dermatitis: Relationships, Methods for Assessment, and Therapies. J Allergy Clin Immunol Pract. 2021;9(4):1488–500. doi: 10.1016/j.jaip.2020.12.007.
Nall R. Eczema flare up: What causes and triggers eczema? [Internet]. MedicalNewsToday. 2023 [cited 2023 Jul 21]. Available from: https://www. medicalnewstoday.com/articles/what-causes- eczema-to-flare-up
Arima K, Gupta S, Gadkari A, Hiragun T, Kono T, Katayama I, et al. Burden of atopic dermatitis in Japanese adults: Analysis of data from the 2013 National Health and Wellness Survey. J Dermatol. 2018;45(4):390–6. doi: 10.1111/1346- 8138.14218.
Ali FM, Johns N, Salek S, Finlay AY. Correlating the Dermatology Life Quality Index with psychiatric measures: A systematic review. Clin Dermatol [Internet]. 2018;36(6):691–7. doi:10.1016/j. clindermatol.2018.08.014
Guo F, Yu Q, Liu Z, Zhang C, Li P, Xu Y, et al. Evaluation of life quality, anxiety, and depression in patients with skin diseases. Med J. 2020;99(44):e22983–e22983. doi: 10.1097/ MD.0000000000022983.