{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:31:10Z","timestamp":1790893870266,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T00:00:00Z","timestamp":1593216000000},"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":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To conduct a systematic review and meta\u2010synthesis of findings from qualitative research about sexuality and intimate relationship among patients with dermatological diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Over the last few decades, there has been an increase in clinical research investigating aspects related to sex and sexuality in patients living with dermatological diseases. In fact, studies recognise a negative impact on various aspects of intimacy, such as sexual function, self\u2010esteem and romantic relationships. The body of qualitative literature about sexuality in the context of dermatological diseases is emerging but consists mainly of small studies that would benefit from aggregation, synthesis and interpretation to highlight and summarise the overarching dimensions to this clinical issue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A systematic review and meta\u2010synthesis of qualitative studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>BioMed Central, Cochrane Library, MEDLINE, CINAHL, PsycINFO, PsycARTICLES, ERIC, Scopus, and Web of Science were searched between June\u2013November 2017 with no publication date limits. Screening and selection of studies was performed according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines (PRISMA). After retrieval, the qualitative data were subject to meta\u2010synthesis to identify overarching themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten qualitative studies were found. We identified four themes: (a) Embarrassment and shame; (b) Impaired sense of attractiveness and sexual avoidance; (c) Relationship issues; and (d) Lack of professional support. The patients in these studies adopted negative coping styles, such as avoidance and hiding their bodies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When assessing and evaluating patient care in dermatology, it is important that sexuality and the impact the disease could have on relationships is included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>An important part of nursing care is ensuring that patients are helped to develop positive coping strategies rather than negative ones. Patients with dermatological conditions also need advice and treatment to address any physically related sexual problems. Nurses need to be the initiators of these sensitive conversations to put patients at ease and work together to implement positive measures to reduce the sexuality\u2010related issues patients face.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15375","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T22:20:16Z","timestamp":1592000416000},"page":"3136-3153","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Dermatological diseases, sexuality and intimate relationships: A qualitative meta\u2010synthesis"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4224-8779","authenticated-orcid":false,"given":"Michela","family":"Barisone","sequence":"first","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9079-8460","authenticated-orcid":false,"given":"Annamaria","family":"Bagnasco","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hayter","sequence":"additional","affiliation":[{"name":"School of Health &amp; Social Work University of Hull Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5924-6441","authenticated-orcid":false,"given":"Silvia","family":"Rossi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-3364","authenticated-orcid":false,"given":"Giuseppe","family":"Aleo","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1081-6279","authenticated-orcid":false,"given":"Milko","family":"Zanini","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0862-071X","authenticated-orcid":false,"given":"Gianluca","family":"Catania","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona","family":"Pellegrini","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicoletta","family":"Dasso","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-1271","authenticated-orcid":false,"given":"Luca","family":"Ghirotto","sequence":"additional","affiliation":[{"name":"Arcispedale Santa Maria Nuova \u2010 IRCCS Direzione Scientifica Reggio Emilia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5886-5937","authenticated-orcid":false,"given":"Loredana","family":"Sasso","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2019.08.017"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2016.04.007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12418"},{"key":"e_1_2_12_5_1","first-page":"292","volume-title":"Caring for older people: Issues and innovations in care","author":"Bauer M.","year":"2009"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.13052"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1983-14472013000300021"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02767.x"},{"key":"e_1_2_12_9_1","first-page":"39","article-title":"Psoriasis: Experiencing a chronic dermatological disease","volume":"19","author":"Chrissopoulos A.","year":"1996","journal-title":"Curationis"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01601.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.11.016"},{"key":"e_1_2_12_12_1","unstructured":"Critical Appraisal Skills Programme.CASP qualitative research checklist. 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