{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T11:53:44Z","timestamp":1792756424224,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People with skin disease suffer due to disease\u2010related physical symptoms, as well as due to significant psychosocial burden. A major contributor of this burden is the experience of stigmatization. Research indicates that people with visible skin diseases deal with both social stigma and self\u2010stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This systematic literature review aimed to aggregate existing research on correlates and mechanisms that contribute to self\u2010stigmatization among people with atopic dermatitis, psoriasis, vitiligo, alopecia areata or hidradenitis suppurativa and to, ultimately, identify targets for psychosocial interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The review followed PRISMA guidelines. Four databases, PubMed, OVID, Web of Science and PsycINFO were searched for peer\u2010reviewed articles. Studies were identified by two independent researchers and were eligible if they (1) assessed adults with one of five chronic skin diseases\u2014atopic dermatitis, psoriasis, vitiligo, alopecia areata or hidradenitis suppurativa, (2) measured self\u2010stigma or relevant synonyms, (3) evaluated psychosocial correlates, predictors or explanatory mechanisms of self\u2010stigma and (4) were published in German or English in a peer\u2010reviewed journal. The Johanna Briggs Institute Checklist for Analytical Cross Sectional Studies was used to evaluate the quality of studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010seven studies were included with a mean quality rating of 7.04 (out\u00a0of 8). Social stigma, coping strategies (such as lack of acceptance) and lack of social support were identified as main predictors of self\u2010stigma. Although study quality was good, all but one study had a cross\u2010sectional design that does not allow examining causal relationships among the determinants of self\u2010stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings from the present review revealed several psychosocial variables that are malleable and potentially suitable as intervention targets. Those variables such as acceptance should be targeted in evidence\u2010based interventions specifically developed to reduce self\u2010stigma to, ultimately, improve mental health of people affected.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.20314","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T05:04:50Z","timestamp":1725858290000},"page":"622-630","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Predictors and mechanisms of self\u2010stigma in five chronic skin diseases: A systematic review"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5291-5550","authenticated-orcid":false,"given":"Caroline F. Z.","family":"Stuhlmann","sequence":"first","affiliation":[{"name":"German Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5995-1025","authenticated-orcid":false,"given":"Juliane","family":"Traxler","sequence":"additional","affiliation":[{"name":"German Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Paucke","sequence":"additional","affiliation":[{"name":"German Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4110-9961","authenticated-orcid":false,"given":"Neuza","family":"da Silva Burger","sequence":"additional","affiliation":[{"name":"German Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3080-497X","authenticated-orcid":false,"given":"Rachel","family":"Sommer","sequence":"additional","affiliation":[{"name":"German Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.2014.530"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.27.1.363"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15682"},{"key":"e_1_2_11_5_1","unstructured":"World Health Organization.Global Report on Psoriasis.2016. Available at:https:\/\/www.who.int\/publications\/i\/item\/9789241565189(last accessed 14 September 2023)."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000084751"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.14234"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16436"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.13841"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-019-4411-y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2340\/actadv.v103.3962"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000404"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17110"},{"key":"e_1_2_11_14_1","unstructured":"Bundesinstitut f\u00fcr Arzneimittel und Medizinprodukte.CHMP Ausschuss f\u00fcr Humanarzneimittel. Available at:https:\/\/www.bfarm.de\/DE\/Das\u2010BfArM\/EU\u2010und\u2010Internationales\/CHMP\u2010Ausschuss\/_node.html(last accessed: 19 July 2024)."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205009"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13748"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447303300309"},{"key":"e_1_2_11_19_1","volume-title":"JBI manual for evidence synthesis","author":"Moola S","year":"2020"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1300\/J010v45n02_06"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2009.00690.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0959-8049(00)00353-1"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14910"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-011-9174-5"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.IDOJ_503_15"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.IDOJ_345_20"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.10.040"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-020-00368-w"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.12740\/PP\/68848"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.4103\/TJD.TJD_14_19"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(89)70007-4"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15168"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2015.1010678"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2016.08.004"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-3464"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1990.tb02131.x"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09077.x"},{"issue":"1","key":"e_1_2_11_38_1","first-page":"1","article-title":"Selbstbild und psychosoziale Belastungen von Patienten mit Psoriasis vulgaris","volume":"37","author":"Buchheim P","year":"1992","journal-title":"Psychother Psychosom Med Psychol"},{"issue":"2","key":"e_1_2_11_39_1","first-page":"92","article-title":"Body image assessment and quality of life in patients with atopic dermatitis","volume":"2","author":"Miko\u0142ajczyk J","year":"2017","journal-title":"Przegl Dermatol"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-021-02032-8"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.12740\/PP\/68948"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.5114\/hpr.2017.63824"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137152"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2017.6058"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.12729"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs10090142"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.01.047"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17833"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11165-004-3437-y"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0586-7"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3083.2000.00085.x"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1031"}],"container-title":["Journal of the European Academy of Dermatology and Venereology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.20314","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:42:24Z","timestamp":1760884944000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.20314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,9]]},"references-count":51,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/jdv.20314"],"URL":"https:\/\/doi.org\/10.1111\/jdv.20314","archive":["Portico"],"relation":{},"ISSN":["0926-9959","1468-3083"],"issn-type":[{"value":"0926-9959","type":"print"},{"value":"1468-3083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,9]]},"assertion":[{"value":"2024-01-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}