000168574 001__ 168574
000168574 005__ 20260211123813.0
000168574 0247_ $$2doi$$a10.1016/j.jdin.2025.12.005
000168574 0248_ $$2sideral$$a148022
000168574 037__ $$aART-2025-148022
000168574 041__ $$aeng
000168574 100__ $$aBalieva, Flora
000168574 245__ $$aStress in dermatology patients: A multicenter observational study of 8295 outpatients and controls from 22 European clinics
000168574 260__ $$c2025
000168574 5060_ $$aAccess copy available to the general public$$fUnrestricted
000168574 5203_ $$aBackground
Skin diseases are symptomatic, visible, and stigmatizing and it is acknowledged that they can be associated with stress. However, large studies comparing disease-specific stress are scarce.
Objectives
To investigate stress in a large, diverse sample of patients with different skin conditions and identify predictors of stress.
Methods
A cross-sectional, multicenter study was conducted in 22 dermatology clinics across 17 European countries (response rate 82.4%). The study included 5487 patients diagnosed with various dermatological conditions and 2808 skin-healthy controls. The Perceived Stress Scale, 10 items was used to measure stress.
Results
Patients reported significantly higher stress levels, more stressful life events during the last 6 months, and more economic difficulties than controls. Patients with psychodermatological conditions, hyperhidrosis, hidradenitis suppurativa, atopic dermatitis, acne, and urticaria experienced the highest stress levels. 44% of the variance of perceived stress in patients with skin conditions could be predicted by sociodemographic data and disease-related and psychological variables (depression, anxiety, stigmatization, and body dysmorphic concerns).
Limitations
As with all cross-sectional studies, causality and directionality cannot be inferred.
Conclusion
Stress poses a significant psychosocial burden to dermatological patients, especially to vulnerable subgroups. Health interventions targeting stress may be essential to improve clinical outcomes.
000168574 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000168574 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000168574 700__ $$aSchut, Christina
000168574 700__ $$aSzabó, Csanád
000168574 700__ $$aSampogna, Francesca
000168574 700__ $$aDalgard, Florence J.
000168574 700__ $$aAltunay, Ilknur K.
000168574 700__ $$aBewley, Anthony
000168574 700__ $$aFerreira, Bárbara Roque
000168574 700__ $$aFinlay, Andrew Y.
000168574 700__ $$aGieler, Uwe
000168574 700__ $$aGracia-Cazaña, Tamara$$uUniversidad de Zaragoza
000168574 700__ $$aGrivcheva-Panovska, Vesna
000168574 700__ $$aJemec, Gregor B.
000168574 700__ $$aLegat, Franz J.
000168574 700__ $$aLien, Lars
000168574 700__ $$aLvov, Andrey
000168574 700__ $$0(orcid)0000-0001-5632-0351$$aMarron, Servando E.$$uUniversidad de Zaragoza
000168574 700__ $$aMisery, Laurent
000168574 700__ $$aReich, Adam
000168574 700__ $$aRomanov, Dmitry
000168574 700__ $$aKoulil, Saskia Spillekom-van
000168574 700__ $$aStänder, Sonja
000168574 700__ $$aSvensson, Ake
000168574 700__ $$aSzepietowski, Jacek C.
000168574 700__ $$aThompson, Andrew R.
000168574 700__ $$aTiteca, Geraldine
000168574 700__ $$0(orcid)0000-0003-1917-6906$$aTomás-Aragonés, Lucía
000168574 700__ $$aVulink, Nienke
000168574 700__ $$aZeidler, Claudia
000168574 700__ $$aKupfer, Jörg
000168574 7102_ $$11007$$2183$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cÁrea Dermatología
000168574 773__ $$g25, 69-77 (2025), [9 pp.]$$tJAAD International$$x2666-3287
000168574 8564_ $$s1902277$$uhttps://zaguan.unizar.es/record/168574/files/texto_completo.pdf$$yVersión publicada
000168574 8564_ $$s2399892$$uhttps://zaguan.unizar.es/record/168574/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000168574 909CO $$ooai:zaguan.unizar.es:168574$$particulos$$pdriver
000168574 951__ $$a2026-02-11-10:27:29
000168574 980__ $$aARTICLE