{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:31:09Z","timestamp":1790893869936,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["T32HP42015"],"award-info":[{"award-number":["T32HP42015"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hidradenitis suppurativa (HS) is a chronic auto\u2010inflammatory disease that is highly associated with adverse psychopathology and impaired body image. Previous studies show that patients with HS are also impacted by social stigma associated with their skin disease. Over time, these experiences can influence the way in which patients feel about themselves, leading to internalized skin bias (ISB).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the validity and reliability of the Internalized Skin Bias Questionnaire (ISBQ) in an HS population and to determine the association of this instrument with markers of HS severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey with 72\u2010h retest was sent to adult patients with HS from March to November 2021. Reliability for the ISBQ was evaluated using Cronbach\u2019s alpha and the Concordance Correlation Coefficient (CCC). Construct validity was evaluated using Pearson Correlation Coefficients with similar measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Internal consistency for the ISBQ instrument was 0.89 with a CCC of 0.88. The ISBQ had moderate correlation (<jats:italic>r\u2009=\u2009<\/jats:italic>0.63) with the experienced skin stigma questionnaire as well as the BDI\u2010II (<jats:italic>r\u2009=\u2009<\/jats:italic>0.66) and the psychosocial subscale of the HiSQOL (<jats:italic>r\u2009=\u2009<\/jats:italic>0.65). ISBQ scores differed significantly across different stages of disease severity (<jats:italic>P<\/jats:italic>\u2009=\u20090.04). There was no significant difference between those with different durations of disease (<jats:italic>P<\/jats:italic>\u2009=\u20090.47).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study shows that the ISBQ is a valid and reliable instrument that can be used to assess the psychosocial construct of ISB especially in a population of HS patients. Further, ISB places a prevalent negative impact on the psychopathology of patients with HS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.18007","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T10:22:57Z","timestamp":1645006977000},"page":"1118-1124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Internalized skin bias: validation study to explore the impact of the internalization of social stigma on those with hidradenitis suppurativa"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5860-1074","authenticated-orcid":false,"given":"M.","family":"Butt","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences Penn State College of Medicine  Hershey PA USA"},{"name":"Department of Dermatology Penn State Milton S. Hershey Medical Center  Hershey PA USA"},{"name":"Department of Family and Community Medicine Penn State Milton S. Hershey Medical Center  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.M.","family":"Chinchilli","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Penn State College of Medicine  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.L.","family":"Leslie","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Penn State College of Medicine  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Khesroh","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Penn State College of Medicine  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.F.","family":"Helm","sequence":"additional","affiliation":[{"name":"Department of Dermatology Penn State Milton S. Hershey Medical Center  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Flamm","sequence":"additional","affiliation":[{"name":"Department of Dermatology Penn State Milton S. Hershey Medical Center  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.S.","family":"Kirby","sequence":"additional","affiliation":[{"name":"Department of Dermatology Penn State Milton S. Hershey Medical Center  Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rigby","sequence":"additional","affiliation":[{"name":"Department of Surgery \u2013 Division of Minimally Invasive Surgery Penn State Milton S. 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