{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:52:22Z","timestamp":1787014342282,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hidradenitis suppurativa (HS) can severely affect the quality of life (QoL) and is linked to psychological distress, including anxiety, depression, and reduced self\u2010esteem. Stigmatization due to physical appearance may significantly contribute to the psychological burden and impact on QoL for HS patients. This study investigates the association between stigmatization, depression, anxiety, and health\u2010 and disease\u2010related variables among HS patients in Europe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>This observational cross\u2010sectional multicenter study was conducted across 22 dermatological outpatient clinics in 17 European countries. Data collected included sociodemographic variables, general health variables, disease\u2010related variables, perceived stigmatization (PSQ), and mental health (PHQ\u20102, GAD\u20102).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 5487 dermatological patients, 142 (2.6%) were diagnosed with HS, and data from 135 patients (70.1% women, mean age 38.2\u2009years) who completed the PSQ questionnaire were analyzed. Scores on the stigmatization measure indicated that significant stigmatization levels were present in the sample. Linear regression models revealed a significant relationship between stigmatization and both the duration of HS and the presence of itch. Similar findings were noted for the PSQ \u201cconfused\/staring behavior\u201d scale with depression. The PSQ \u201cabsence of friendly behavior\u201d scale was inversely associated with general health status, whereas the \u201chostile behavior\u201d scale was positively linked to depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HS patients experience significant stigmatization linked to disease duration, itch, and depression. Comprehensive management, including screening for psychosocial co\u2010morbidity, is essential, as is providing access to psychological interventions that support patients to both manage internal distress and the potential reactions of others.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijd.17569","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T07:14:54Z","timestamp":1731309294000},"page":"861-869","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Stigmatization and perceived health status in patients with hidradenitis suppurativa: an observational multicenter study in Europe"],"prefix":"10.1111","volume":"64","author":[{"given":"Servando E.","family":"Marron","sequence":"first","affiliation":[{"name":"Aragon Psychodermatology Research Group Zaragoza  Zaragoza Spain"},{"name":"Department of Dermatology University Hospital Miguel Servet, IIS Arag\u00f3n  Zaragoza Spain"},{"name":"Department of Medicine, Psychiatry and Dermatology University of Zaragoza  Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Gracia\u2010Caza\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Miguel Servet, IIS Arag\u00f3n  Zaragoza Spain"},{"name":"Department of Medicine, Psychiatry and Dermatology University of Zaragoza  Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Sampogna","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit Istituto Dermopatico dell'Immacolata (IDI)\u2010IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Schut","sequence":"additional","affiliation":[{"name":"Institute of Medical Psychology Justus\u2010Liebig\u2010University  Gie\u00dfen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9905-8485","authenticated-orcid":false,"given":"Joerg","family":"Kupfer","sequence":"additional","affiliation":[{"name":"Institute of Medical Psychology Justus\u2010Liebig\u2010University  Gie\u00dfen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence J.","family":"Dalgard","sequence":"additional","affiliation":[{"name":"Division of Mental Health and Addiction Vestfold Hospital Trust  T\u00f8nsberg Norway"},{"name":"Department of Dermatology and Venereology Skane University Hospital  Malmo Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Bewley","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust &amp; Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"van Beugen","sequence":"additional","affiliation":[{"name":"Health, Medical and Neuropsychology Department Leiden University  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Gieler","sequence":"additional","affiliation":[{"name":"VitosKlinik  Gie\u00dfen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Lien","sequence":"additional","affiliation":[{"name":"Faculty of Social and Health Sciences Inland Norway University of Applied Sciences  Elverum Norway"},{"name":"Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders Innlandet Hospital Trust  Brumunddal Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"St\u00e4nder","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Center for Chronic Pruritus University Hospital M\u00fcnster  M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nienke","family":"Vulink","sequence":"additional","affiliation":[{"name":"Amsterdam University Medical Centers University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Y.","family":"Finlay","sequence":"additional","affiliation":[{"name":"Division of Infection and Immunity, School of Medicine Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz J.","family":"Legat","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldine","family":"Titeca","sequence":"additional","affiliation":[{"name":"Clinique Notre Dame de Gr\u00e2ce  Gosselies Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0712-2540","authenticated-orcid":false,"given":"Gregor B.","family":"Jemec","sequence":"additional","affiliation":[{"name":"Department of Dermatology Zealand University Hospital  Roskilde Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Misery","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital of Brest  Brest France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csanad","family":"Szabo","sequence":"additional","affiliation":[{"name":"Institute of Psychology University of Szeged  Szeged Hungary"},{"name":"Department of Dermatology and Allergology University of Szeged  Szeged Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vesna","family":"Grivcheva\u2010Panovska","sequence":"additional","affiliation":[{"name":"University St Cyril and Methodius, School of Medicine PHI University Clinic of Dermatology  Skopje North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia","family":"Spillekom\u2010van Koulil","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences, Department of Medical Psychology Radboud University Medical Centre  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora","family":"Balieva","sequence":"additional","affiliation":[{"name":"Department of Dermatology Stavanger University Hospital  Stavanger Norway"},{"name":"Faculty of Health Sciences University of Stavanger  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek C.","family":"Szepietowski","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Reich","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Institute of Medical Sciences Medical College of Rzesz\u00f3w University  Rzesz\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4808-6398","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Roque Ferreira","sequence":"additional","affiliation":[{"name":"Department of Dermatology Coimbra University Hospital  Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrey","family":"Lvov","sequence":"additional","affiliation":[{"name":"Central State Medical Academy of Department of PresidentialAffairs  Moscow Russia"},{"name":"Medical Research and Educational Centre Lomonosov Moscow State University  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitry","family":"Romanov","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychosomatics I.M. 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