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首页> 外文期刊>The Open Dermatology Journal >The Impact of Vitiligo on Patients' Psychological Status and Sexual Function: Cross-Sectional Questionnaire-Based Study
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The Impact of Vitiligo on Patients' Psychological Status and Sexual Function: Cross-Sectional Questionnaire-Based Study

机译:白癜风对患者心理状态和性功能的影响:横断面问卷的研究

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Introduction: Vitiligo is a chronic pigmentary cutaneous disorder. Although vitiligo is not a life-threatening disease, it seriously affects patients' psychological status and Quality-of-Life (QoL). Moreover, the effect of vitiligo on genital image severely affects sexual function, especially in females. Patients Methods: This cross-sectional questionnaire-based study had targeted patients with vitiligo of both genders. 173 patients who had responded to the given questionnaires were included and their responses were statistically analyzed. Patients’ files were revised for extraction of demographic and clinical data and the previous evaluation of the Vitiligo Area Scoring Index (VASI) score. Results and Discussion: Median VIS-22 score was in the range of 21-49, but 109 patients had a median score of 28. Seventy-eight patients had mild and 15 patients had moderate depression. Regression analysis defined the sense of being unattractive, disappointed in self and discouragement about the future as the most significant underlying causes of depression. Ninety-two patients had sexual dysfunction and scoring of satisfaction by the sexual act was the highest while scoring for the desire was the lowest. Regression analysis revealed that female gender, high ASEX and VASI scores are the significant predictors for high BDI-II. ROC curve analysis defined a high ASEX score as a significant predictor for a high BDI-II score. Conclusion: The obtained results indicated a deleterious effect of vitiligo on patients’ psychological status that may progress to depression. The effects of the disease on body image, especially the genital area, induced sexual dissatisfaction with an impact on sexual function. Altogether, raise a suggested adjuvant role for psychotherapy in patients with vitiligo which might even indirectly lead to improvement of vitiligo.
机译:介绍:白癜风是一种慢性色素皮肤病。虽然白癜风不是危及生命的疾病,但它严重影响了患者的心理状态和生活质量(QOL)。此外,白癜风对生殖器形象的影响严重影响性功能,特别是在女性中。患者的方法:这种基于横断面调查问卷的研究患有两种性别的白癜风患者。 173名已讨论给定调查问卷的患者,他们的反应在统计学上分析。对患者的文件进行了修订,以提取人口统计和临床资料,并对白癜风地区评分指数(VASI)评估进行评价。结果与讨论:中位数VIS-22分数在21-49分,但109名患者中位数为28分。七十八名患者患有温和,15名患者中度抑郁症。回归分析定义了没有吸引力的感觉,对自我感到失望,对未来的沮丧是最重要的抑郁症的潜在原因。九十二名患者发生了性功能障碍和对性行法的满足度是最高的,而欲望的得分是最低的。回归分析显示,女性性别,高ASEX和VASI评分是高BDI-II的重要预测因子。 ROC曲线分析定义了高ASX评分作为高BDI-II分数的重要预测因子。结论:所得成果表明白癜风对患者对抑郁症的心理状态进行有害影响。疾病对体内图像,特别是生殖器面积的影响,对性函数的影响引起了性不满。完全,提高白癜风患者心理治疗的建议佐剂作用,甚至可能间接导致白癜风的改善。

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