{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T23:53:13Z","timestamp":1781308393199,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T00:00:00Z","timestamp":1525046400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003810","name":"Hospital de Cl\u00ednicas de Porto Alegre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003810","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Periorbital hyperchromia (<jats:styled-content style=\"fixed-case\">POH<\/jats:styled-content>) is a multifactorial condition, precipitated or aggravated by sleep disorders, which negatively affects quality of life (QoL). The aim of this study was to evaluate the impact of <jats:styled-content style=\"fixed-case\">POH<\/jats:styled-content> on QoL, sleep quality, and dissatisfaction of affected patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study of male and female patients over 18\u00a0years, participants were examined, their demographic data were registered, and Dermatology Quality of Life Index (<jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content>), Pittsburgh Sleep Quality Index (<jats:styled-content style=\"fixed-case\">PSQI<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">BR<\/jats:styled-content>), and Visual Analogue Scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) were used to assess dissatisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients (n\u00a0=\u00a0100) were mostly women (91%) with a mean age of 36.9\u00a0years and <jats:styled-content style=\"fixed-case\">POH<\/jats:styled-content> duration of 18.32\u00a0years. Phototypes <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> (24%) and <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> (60%) were predominant. A total of 33% reported 4\u20106\u00a0hours and 66% reported over 6\u00a0hours of sleep per night. <jats:styled-content style=\"fixed-case\">POH<\/jats:styled-content> was classified as mild (59%), moderate (37%), or severe (4%). Mean dissatisfaction with <jats:styled-content style=\"fixed-case\">POH<\/jats:styled-content> was 6.9, <jats:styled-content style=\"fixed-case\">PSQI<\/jats:styled-content> was 6.04, and <jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content> was 4.92. There was a significant difference in the dissatisfaction scale (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.005) between men and women. Women reported worse QoL (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and higher dissatisfaction (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001). A correlation between <jats:styled-content style=\"fixed-case\">DLQI<\/jats:styled-content> and disease duration was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Periorbital hyperchromia negatively impacts patients\u2019 QoL. Dissatisfaction is directly related to disease severity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12549","type":"journal-article","created":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T07:40:07Z","timestamp":1525074007000},"page":"230-235","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Association between clinical characteristics, quality of life, and sleep quality in patients with periorbital hyperchromia"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5869-7766","authenticated-orcid":false,"given":"Carolina Rocha","family":"Barone","sequence":"first","affiliation":[{"name":"Federal University of Rio Grande do Sul Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Catucci","family":"Boza","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul Porto Alegre 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