{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T15:13:21Z","timestamp":1788534801799,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dermatitis\u00ae"],"abstract":"<jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Abstract:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    Allergic contact dermatitis (ACD) is a chronic inflammatory skin condition with a substantial impact on daily functioning. Although psychosocial factors such as stress, resilience, and social support influence disease burden in other inflammatory dermatoses, their role in ACD remains poorly defined.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    To compare perceived stress, resilience, and perceived social support between patients with clinically confirmed ACD and matched healthy controls and to examine their associations with key clinical variables.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Methods:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    We conducted a cross-sectional case\u2013control study involving 225 adults with exclusive ACD, diagnosed through clinically relevant patch testing, and 225 matched controls without dermatologic disease. Participants completed the Perceived Stress Scale, the Connor\u2013Davidson Resilience Scale, and the Multidimensional Scale of Perceived Social Support. Clinical severity, chronicity, and occupational exposure were also recorded. Group comparisons and multivariable linear regressions were performed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    Patients with ACD reported significantly higher perceived stress (41.0 \u00b1 7.1 vs 36.0 \u00b1 6.7;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) and markedly lower resilience (61.8 \u00b1 17.3 vs 79.0 \u00b1 3.1;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) compared to the control group. In contrast, no significant differences were observed in perceived social support between groups (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.11).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    ACD is associated with substantial psychological vulnerability characterized by elevated stress and reduced resilience. Integrating psychosocial screening into routine management may improve clinical outcomes and patient care.\n                  <\/jats:p>","DOI":"10.1177\/17103568261425899","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:27:02Z","timestamp":1773224822000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Stress, Resilience, and Social Support in Patients With Allergic Contact Dermatitis"],"prefix":"10.1177","author":[{"given":"Francisco Jos\u00e9","family":"Navarro-Trivi\u00f1o","sequence":"first","affiliation":[{"name":"From the,  Department of Contact Eczema and Immunoallergic Diseases, Dermatology, University Hospital San Cecilio, Granada, Spain"},{"name":"Instituto Biosanitario de Granada, Ibs, Granada, Spain"},{"name":"Department of Dermatology, University Hospital San Cecilio, Granada, Spain"},{"name":"Escuela Internacional de Posgrado, University of Granada, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Prados-Carmona","sequence":"additional","affiliation":[{"name":"Instituto Biosanitario de Granada, Ibs, Granada, Spain"},{"name":"Department of Dermatology, University Hospital San Cecilio, Granada, Spain"},{"name":"Escuela Internacional de Posgrado, University of Granada, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Ruiz-Villaverde","sequence":"additional","affiliation":[{"name":"Instituto Biosanitario de Granada, Ibs, Granada, Spain"},{"name":"Department of Dermatology, University Hospital San Cecilio, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Isabel","family":"Peralta-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain"},{"name":"Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Granada, Granada, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2011.08.004"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000354763"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.12788\/cutis.0868"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2023.03.006"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.16921"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15913"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jid.5701079"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2012.02071.x"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajcd.1997.2717"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljad312"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.20069"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17330"},{"key":"e_1_3_1_14_2","volume-title":"En Un villano llamado estr\u00e9s: C\u00f3mo impacta en nuestra salud","author":"Peralta-Ramirez MI","year":"2019","unstructured":"Peralta-Ramirez MI. El estr\u00e9s: De h\u00e9roe a villano. In: En Un villano llamado estr\u00e9s: C\u00f3mo impacta en nuestra salud. Pir\u00e1mide; 2019."},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2024.10.016"},{"issue":"2","key":"e_1_3_1_16_2","first-page":"34","article-title":"Resilience and post-traumatic growth among cancer patients: A moderated mediation analysis through perceived social support and stress","volume":"17","author":"Zahra K","year":"2024","unstructured":"Zahra K, , Khan S, , Sadia R, et al. Resilience and post-traumatic growth among cancer patients: A moderated mediation analysis through perceived social support and stress. 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