Perceived Stress, Stress Coping Strategies, and Body Image Among Facial Dermatosis

Hazel Ezgi Kaya; İlknur Kıvanç Altunay; Aslı Aksu

doi:10.5826/dpc.1503a5054

Perceived Stress, Stress Coping Strategies, and Body Image Among Facial Dermatosis

Authors

Hazel Ezgi Kaya University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, Dermatology Department
İlknur Kıvanç Altunay University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, Dermatology Department https://orcid.org/0000-0002-1354-7123
Aslı Aksu University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, Dermatology Department https://orcid.org/0000-0003-3979-7486

Keywords:

Facial Dermatoses, Perceived Stress, Coping Stragies, Body Image

Abstract

Introduction: Considering its visible nature, facial dermatoses may result in more prominent psychosocial effects.

Objectives: We aimed to compare quality of life, anxiety, depression, perceived stress, stress coping strategies, and body image in individuals with facial and trunk dermatosis.

Methods: A total of 120 patients; 60 with facial dermatosis, 60 with trunk dermatosis and 60 healthy volunteers were included in the study. Demographic and clinical features were recorded and participants were evaluated with Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Stress Coping Attitudes Inventory (SCAI), and Body Image Scale (BIS).

Results: In trunk dermatosis patient group, the DLQI, HADS and PSS scores were significantly higher, while the BIS scores were significantly lower than the facial dermatosis group and the controls (p=0.001 for each). Avoidance subscores of the SCAI were significantly higher in the trunk dermatosis group compared to the facial dermatosis group (p=0.005). Acceptance/Cognitive Restructuring subscore of the SCAI was found to be higher in the facial dermatosis than the trunk dermatosis group (p=0.037). A significant positive correlation was found between the PSS score and HADS-Anxiety score (β= 0.426 p<0.001) and between DLQI and HADS-Anxiety score (β=0.271 p=0.023).

Conclusion: Patients with trunk dermatosis experienced more stress, anxiety, depression, distortion of body perception, and the impact on quality of life was more pronounced. This situation was thought to be related to the fact that patients with facial dermatosis used positive coping strategies, and in patients with trunk dermatosis, negative strategies were more common.

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