Skip to main content
Erschienen in: International Journal of Behavioral Medicine 6/2022

03.02.2022 | Brief Report

Self-disgust in Patients with Dermatological Diseases

verfasst von: Anne Schienle, Albert Wabnegger

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 6/2022

Einloggen, um Zugang zu erhalten

Abstract

Background

Dermatological diseases can be associated with symptoms such as oozing pus, weeping, and/or bleeding, which represent primary disgust elicitors. This study examined the role of self-disgust in people with different skin conditions (e.g., hidradenitis suppurativa, psoriasis, lichen sclerosus).

Methods

A self-selected sample of 200 dermatology patients completed questionnaires for the assessment of self-disgust, experienced stigmatization, symptoms of depression, anxiety, and somatization. Multiple regression analysis and mediation analysis were computed to examine the relationship between self-disgust and the other selected variables.

Results

Sixty-four percent of the patients reported elevated self-disgust. Sex, age, depression, and perceived stigmatization were predictors of self-disgust. Depression mediated the relationship between stigmatization (e.g., staring by others) and self-disgust.

Conclusions

This study points to the important role of self-disgust in dermatological conditions. Public health programs to counteract stigmatization of patients with skin diseases as well as therapy approaches that help decrease patients’ self-disgust and increase self-acceptance are urgently needed.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Rozin P, Haidt J, McCauley CR. Disgust. Lewis M, Haviland JM (Eds.), Handbook of emotions, Guilford Publications, New York; 2000. Rozin P, Haidt J, McCauley CR. Disgust. Lewis M, Haviland JM (Eds.), Handbook of emotions, Guilford Publications, New York; 2000.
2.
Zurück zum Zitat Schaller M, Duncan, LA. The behavioral immune system: its evolution and social psychological implications. Forgas JP, Haselton MG, von Hippel W (Eds.). Evolution and the social mind: evolutionary psychology and social cognition. Routledge/Taylor & Francis Group; 2007;293–307. Schaller M, Duncan, LA. The behavioral immune system: its evolution and social psychological implications. Forgas JP, Haselton MG, von Hippel W (Eds.). Evolution and the social mind: evolutionary psychology and social cognition. Routledge/Taylor & Francis Group; 2007;293–307.
3.
Zurück zum Zitat Wahl AK, Gjengedal E, Hanestad BR. The bodily suffering of living with severe psoriasis: in-depth interviews with 22 hospitalized patients with psoriasis. Qual Health Res. 2002;12:250–61.CrossRefPubMed Wahl AK, Gjengedal E, Hanestad BR. The bodily suffering of living with severe psoriasis: in-depth interviews with 22 hospitalized patients with psoriasis. Qual Health Res. 2002;12:250–61.CrossRefPubMed
4.
Zurück zum Zitat Overton PG, Markland FE, Taggart HS, Bagshaw GL, Simpson J. Self-disgust mediates the relationship between dysfunctional cognitions and depressive symptomatology. Emotion. 2008;8:379–85.CrossRefPubMed Overton PG, Markland FE, Taggart HS, Bagshaw GL, Simpson J. Self-disgust mediates the relationship between dysfunctional cognitions and depressive symptomatology. Emotion. 2008;8:379–85.CrossRefPubMed
5.
Zurück zum Zitat Powell PA, Overton PG, Simpson JE. The revolting self: perspectives on the psychological, social, and clinical implications of self-directed disgust. London: Karnak; 2005. Powell PA, Overton PG, Simpson JE. The revolting self: perspectives on the psychological, social, and clinical implications of self-directed disgust. London: Karnak; 2005.
6.
Zurück zum Zitat Schienle A, Ille R, Arendasy M. Diagnostics of self-disgust in the context of depression [German: Diagnostik von Selbstekel im Rahmen der Depression]. Verhaltenstherapie. 2014;24:15–20.CrossRef Schienle A, Ille R, Arendasy M. Diagnostics of self-disgust in the context of depression [German: Diagnostik von Selbstekel im Rahmen der Depression]. Verhaltenstherapie. 2014;24:15–20.CrossRef
7.
Zurück zum Zitat Ille R, Schöggl H, Kapfhammer HP, Arendasy M, Sommer M, Schienle A. Self-disgust in mental disorders—symptom-related or disorder-specific? Compr Psychiatry. 2014;55:938–43.CrossRefPubMed Ille R, Schöggl H, Kapfhammer HP, Arendasy M, Sommer M, Schienle A. Self-disgust in mental disorders—symptom-related or disorder-specific? Compr Psychiatry. 2014;55:938–43.CrossRefPubMed
8.
9.
Zurück zum Zitat Schienle A, Schwab D, Höfler C, Freudenthaler HH. Self-disgust and its relationship with lifetime suicidal ideation and behavior. Crisis. 2020;41:344–50.CrossRefPubMed Schienle A, Schwab D, Höfler C, Freudenthaler HH. Self-disgust and its relationship with lifetime suicidal ideation and behavior. Crisis. 2020;41:344–50.CrossRefPubMed
10.
Zurück zum Zitat Germain N, Augustin M, François C, Legau K, Bogoeva N, Desroches M, Toumi M, Sommer R. Stigma in visible skin diseases—a literature review and development of a conceptual model. J Eur Acad Dermatol Venereol. 2021;35:1493–504.CrossRefPubMed Germain N, Augustin M, François C, Legau K, Bogoeva N, Desroches M, Toumi M, Sommer R. Stigma in visible skin diseases—a literature review and development of a conceptual model. J Eur Acad Dermatol Venereol. 2021;35:1493–504.CrossRefPubMed
11.
Zurück zum Zitat Azlan HA, Overton PG, Simpson J, Powell PA. Disgust propensity has a causal link to the stigmatization of people with cancer. Int J Behav Med. 2020;43:377–90.CrossRef Azlan HA, Overton PG, Simpson J, Powell PA. Disgust propensity has a causal link to the stigmatization of people with cancer. Int J Behav Med. 2020;43:377–90.CrossRef
12.
Zurück zum Zitat Kurzban R, Leary MR. Evolutionary origins of stigmatization: the functions of social exclusion. Psychol Bull. 2001;127:187–208.CrossRefPubMed Kurzban R, Leary MR. Evolutionary origins of stigmatization: the functions of social exclusion. Psychol Bull. 2001;127:187–208.CrossRefPubMed
13.
Zurück zum Zitat Donigan JM, Pascoe VL, Kimball AB. Psoriasis and herpes simplex virus are highly stigmatizing compared with other common dermatologic conditions: a survey-based study. J Am Acad Dermatol. 2015;73:525–6.CrossRefPubMed Donigan JM, Pascoe VL, Kimball AB. Psoriasis and herpes simplex virus are highly stigmatizing compared with other common dermatologic conditions: a survey-based study. J Am Acad Dermatol. 2015;73:525–6.CrossRefPubMed
14.
Zurück zum Zitat Pearl RL, Wan MT, Takeshita J, Gelfand JM. Stigmatizing attitudes toward persons with psoriasis among laypersons and medical students. J Am Acad Dermatol. 2019;80:1556–63.CrossRefPubMed Pearl RL, Wan MT, Takeshita J, Gelfand JM. Stigmatizing attitudes toward persons with psoriasis among laypersons and medical students. J Am Acad Dermatol. 2019;80:1556–63.CrossRefPubMed
15.
Zurück zum Zitat Böhm D, Schwanitz P, Stock Gissendanner S, Schmid-Ott G, Schulz W. Symptom severity and psychological sequelae in rosacea: results of a survey. Psychol Health Med. 2014;19:586–91.CrossRefPubMed Böhm D, Schwanitz P, Stock Gissendanner S, Schmid-Ott G, Schulz W. Symptom severity and psychological sequelae in rosacea: results of a survey. Psychol Health Med. 2014;19:586–91.CrossRefPubMed
16.
Zurück zum Zitat Łakuta P, Marcinkiewicz K, Bergler-Czop B, Brzezińska-Wcisło L. How does stigma affect people with psoriasis? Postepy Dermatol Alergol. 2017;34:36–41.CrossRefPubMedPubMedCentral Łakuta P, Marcinkiewicz K, Bergler-Czop B, Brzezińska-Wcisło L. How does stigma affect people with psoriasis? Postepy Dermatol Alergol. 2017;34:36–41.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Van Beugen S, Maas J, Van Laarhoven AI, et al. Implicit stigmatization-related biases in individuals with skin conditions and their significant others. Health Psychol. 2016;35:861–5.CrossRefPubMed Van Beugen S, Maas J, Van Laarhoven AI, et al. Implicit stigmatization-related biases in individuals with skin conditions and their significant others. Health Psychol. 2016;35:861–5.CrossRefPubMed
18.
Zurück zum Zitat Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed
19.
Zurück zum Zitat Schienle A, Wabnegger A. The structural neuroanatomy of self-disgust: a VBM analysis with a non-clinical sample. Pers Individ Differ. 2019;149:174–8.CrossRef Schienle A, Wabnegger A. The structural neuroanatomy of self-disgust: a VBM analysis with a non-clinical sample. Pers Individ Differ. 2019;149:174–8.CrossRef
20.
Zurück zum Zitat Müller A, Smits D, Claes L, et al. Validation of the German version of the Perceived Stigmatization Questionnaire/Social Comfort Questionnaire in adult burn survivors. Burns. 2016;42:790–6.CrossRefPubMed Müller A, Smits D, Claes L, et al. Validation of the German version of the Perceived Stigmatization Questionnaire/Social Comfort Questionnaire in adult burn survivors. Burns. 2016;42:790–6.CrossRefPubMed
21.
Zurück zum Zitat Franke GH. Brief Symptom Inventory von L.R. Derogatis (brief version of the SCL-90-R) – German Version: Manual. Göttingen: Beltz Test; 2000. Franke GH. Brief Symptom Inventory von L.R. Derogatis (brief version of the SCL-90-R) – German Version: Manual. Göttingen: Beltz Test; 2000.
22.
Zurück zum Zitat Koumaki D, Efthymiou O, Bozi E, Katoulis AC. Perspectives on perceived stigma and self-stigma in patients with hidradenitis suppurativa. Clin Cosmet Investig Dermat. 2019;12:785–90.CrossRef Koumaki D, Efthymiou O, Bozi E, Katoulis AC. Perspectives on perceived stigma and self-stigma in patients with hidradenitis suppurativa. Clin Cosmet Investig Dermat. 2019;12:785–90.CrossRef
23.
Zurück zum Zitat Schmid-Ott G, Schallmayer S, Calliess IT. Quality of life in patients with psoriasis and psoriasis arthritis with a special focus on stigmatization experience. Clin Dermatol. 2007;25:547–54.CrossRefPubMed Schmid-Ott G, Schallmayer S, Calliess IT. Quality of life in patients with psoriasis and psoriasis arthritis with a special focus on stigmatization experience. Clin Dermatol. 2007;25:547–54.CrossRefPubMed
24.
Zurück zum Zitat Topp J, Andrees V, Weinberger NA, et al. Strategies to reduce stigma related to visible chronic skin diseases: a systematic review. J Eur Acad Dermatol Venereol. 2019;33:2029–2038. Topp J, Andrees V, Weinberger NA, et al. Strategies to reduce stigma related to visible chronic skin diseases: a systematic review. J Eur Acad Dermatol Venereol. 2019;33:2029–2038.
25.
Zurück zum Zitat Powell PA, Simpson J, Overton PG. Self-affirming trait kindness regulates disgust toward one’s physical appearance. Body Image. 2015;12:98–107.CrossRefPubMed Powell PA, Simpson J, Overton PG. Self-affirming trait kindness regulates disgust toward one’s physical appearance. Body Image. 2015;12:98–107.CrossRefPubMed
Metadaten
Titel
Self-disgust in Patients with Dermatological Diseases
verfasst von
Anne Schienle
Albert Wabnegger
Publikationsdatum
03.02.2022
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 6/2022
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-022-10058-w

Weitere Artikel der Ausgabe 6/2022

International Journal of Behavioral Medicine 6/2022 Zur Ausgabe