{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:26:56Z","timestamp":1747186016447,"version":"3.40.5"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR002014"],"award-info":[{"award-number":["UL1 TR002014"]}],"id":[{"id":"10.13039\/100006108","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":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The psychological impacts of skin disease are well documented, with patients reporting increased anxiety, depression and poorer quality of life. More recent studies suggest that adverse psychopathology is associated with re\u2010direction of skin\u2010disease\u2010related social stigma towards oneself or internalized skin bias (ISB).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To refine the Internalized Skin Bias Questionnaire (ISBQ) to reflect the construct of ISB with additional skin\u2010specific biases as well as to evaluate its psychometric properties in a diverse sample of individuals with various skin conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two\u2010part observational design including consensus\u2010building surveys among a dermatology expert group and a cross\u2010sectional survey among participants with self\u2010reported dermatological conditions to assess instrument psychometric properties. Eligible participants completed an online survey comprised of the revised ISBQ (ISBQ\u2010R), the Questionnaire on Experiences with Skin Diseases\u2010Short Form (QES\u2010SF), the Dermatology Life Quality Index (DLQI), the Beck Depression Inventory\u2010II (BDI\u2010II) and the Burns Anxiety Inventory (BAI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 33 experts participated including 22 (66.7%) dermatologists or dermatology researchers and 11 (33.3%) patients. Except for three items in the first round, all items received high agreement for inclusion from the expert group. The revised survey was completed by 214 participants who identified mostly as female (<jats:italic>n<\/jats:italic>\u2009=\u2009185; 86.9%), White (<jats:italic>n<\/jats:italic>\u2009=\u2009182; 85.5%) and non\u2010Hispanic\/Latino (<jats:italic>n<\/jats:italic>\u2009=\u2009200; 93.4%). Adding and modifying new items resulted in an instrument with stronger internal consistency (Cronbach's alpha\u2009=\u20090.92) and a stronger correlation with other existing stigma measures (QES\u2010SF; <jats:italic>\u03c1<\/jats:italic>\u2009=\u20090.72).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ISBQ\u2010R is a modified instrument with stronger internal consistency and a stronger correlation with other existing stigma measures. Additionally, the study further expanded upon previous research by exploring a two\u2010factor structure, suggesting that the ISBQ\u2010R could be used as a single\u2010 or a dual\u2010factor instrument depending on investigator goals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.20370","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T12:54:22Z","timestamp":1728478462000},"page":"846-854","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychometric properties of the revised internalized skin bias questionnaire"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5860-1074","authenticated-orcid":false,"given":"Melissa","family":"Butt","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine Penn State College of Medicine  Hershey Pennsylvania USA"},{"name":"Department of Public Health Sciences Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pritika","family":"Singh","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Keeler","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine Penn State College of Medicine  Hershey Pennsylvania USA"},{"name":"Department of Psychiatry Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Claire","family":"Hollins","sequence":"additional","affiliation":[{"name":"Department of Dermatology Penn State Milton S. Hershey Medical Center  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joslyn S.","family":"Kirby","sequence":"additional","affiliation":[{"name":"Department of Dermatology Penn State Milton S. 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