Psychological distress and investment in one's appearance in patients with pemphigus

J Eur Acad Dermatol Venereol. 2011 Mar;25(3):285-9. doi: 10.1111/j.1468-3083.2010.03780.x.

Abstract

Background: Pemphigus vulgaris is a chronic disease not currently curable. Physical involvement and the impact of chronic therapies can lead patients to changes in psychological and relational areas.

Objectives: To provide a measure of psychological distress, dysfunctional investment in one's appearance, and their relationship.

Methods: Self-administered questionnaires (ASI, HADS) were given to 74 pemphigus inpatients.

Results: Strong associations between psychological distress and dysfunctional investment in one's appearance were observed [adjusted odds ratio (OR)=7.36, 95% confidence intervals (CI) 1.20-45.11; OR 5.38, 95% CI 0.81-35.87, respectively, for appearance stereotyping and body-image vulnerability], together with a perceived high disease severity (OR 6.03, 95% CI 1.90-23.46).

Conclusions: Our results are compatible with the idea that some forms of psychological distress could be in part due to one's perception of his/her own body image.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Body Image*
  • Chronic Disease
  • Female
  • Health Surveys*
  • Humans
  • Male
  • Middle Aged
  • Pemphigus / physiopathology
  • Pemphigus / psychology*
  • Retrospective Studies
  • Self Concept