{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:57:13Z","timestamp":1792612633664,"version":"4.5.0"},"reference-count":75,"publisher":"Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Derm Venereol"],"abstract":"<jats:p>Perceived stigmatization places a large psychosocial burden on patients with some skin conditions. Little is known about the experience of stigmatization across a wide range of skin diseases. This observational cross-sectional study aimed to quantify perceived stigmatization and identify its predictors among patients with a broad spectrum of skin diseases across 17 European countries. Self-report questionnaires assessing perceived stigmatization and its potential predictors were completed by 5,487 dermatology outpatients and 2,808 skin-healthy controls. Dermatological diagnosis, severity, and comorbidity were clinician-assessed. Patients experienced higher levels of perceived stigmatization than controls (p\u2009&lt;\u20090.001, d\u2009\u2009\u2009=\u20090.26); patients with psoriasis, atopic dermatitis, alopecia, and bullous disorders were particularly affected. Multivariate regression analyses showed that perceived stigmatization was related to sociodemographic (lower age, male sex, being single), general health-related (higher body mass index, lower overall health), disease-related (higher clinician-assessed disease severity, presence of itch, longer disease duration), and psychological (greater distress, presence of suicidal ideation, greater body dysmorphic concerns, lower appearance satisfaction) variables. To conclude, perceived stigmatization is common in patients with skin diseases. Factors have been identified that will help clinicians and policymakers to target vulnerable patient groups, offer adequate patient management, and to ultimately develop evidence-based interventions.<\/jats:p>","DOI":"10.2340\/actadv.v103.6485","type":"journal-article","created":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T12:44:03Z","timestamp":1687437843000},"page":"adv6485","source":"Crossref","is-referenced-by-count":78,"title":["Perceived Stigmatization among Dermatological Outpatients Compared with Controls: An Observational Multicentre Study in 17 European Countries"],"prefix":"10.2340","volume":"103","author":[{"given":"Sylvia","family":"Van Beugen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Schut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Kupfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antony P.","family":"Bewley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Y.","family":"Finlay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Gieler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Grazia-Caza\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora","family":"Balieva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1rbara R.","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor B.","family":"Jemec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Lien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Misery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Servando E.","family":"Marron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"St\u00e4nder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Zeidler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csan\u00e1d","family":"Szab\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek C.","family":"Szepietowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Reich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amna","family":"Elyas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilknur K.","family":"Altunay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franz J.","family":"Legat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vesna","family":"Grivcheva-Panovska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitry V.","family":"Romanov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrey N.","family":"Lvov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9raldine","family":"Titeca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Sampogna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nienke C.","family":"Vulink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Tom\u00e1s-Aragones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea W.M.","family":"Evers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence J.","family":"Dalgard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2023,6,22]]},"reference":[{"key":"33630","unstructured":"Michalek IM, Loring B, John SM. Global report on psoriasis. Geneva: World Health Organization, 2016. [accessed 18 December 2022]. Available from: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/204417\/9789241565189_eng.pdf.psoriasis?sequence=1."},{"key":"33631","doi-asserted-by":"crossref","unstructured":"van Beugen S, van Middendorp H, Ferwerda M, Smit, JV, Zeeuwen-Franssen MEJ, Kroft, EBM, et al. Predictors of perceived stigmatisation in patients with psoriasis. Br J Dermatol 2017; 176: 687-694.","DOI":"10.1111\/bjd.14875"},{"key":"33632","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/bjd.14875","DOI":"10.1111\/bjd.14875"},{"key":"33633","doi-asserted-by":"crossref","unstructured":"Wu JH, Cohen BA. The stigma of skin disease. Curr Opin Pediatr 2019; 31: 509-514.","DOI":"10.1097\/MOP.0000000000000792"},{"key":"33634","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1097\/MOP.0000000000000792","DOI":"10.1097\/MOP.0000000000000792"},{"key":"33635","doi-asserted-by":"crossref","unstructured":"Topp J, Andrees V, Weinberger N, Sch\u00e4fer I, Sommer R, Mrowietz U, et al. Strategies to reduce stigma related to visible chronic skin diseases: a systematic review. J Eur Acad Dermatol 2019; 33: 2029-2038.","DOI":"10.1111\/jdv.15734"},{"key":"33636","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.15734","DOI":"10.1111\/jdv.15734"},{"key":"33637","doi-asserted-by":"crossref","unstructured":"Germain N, Augustin M, Fran\u00e7ois C, Legau K, Bogoeva N, Desroches M, et al. Stigma in visible skin diseases - a literature review and development of a conceptual model. J Eur Acad Dermatol 2021; 35: 1493-1504.","DOI":"10.1111\/jdv.17110"},{"key":"33638","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.17110","DOI":"10.1111\/jdv.17110"},{"key":"33639","unstructured":"Goffman E. Stigma: notes on the management of spoiled identity. New York, USA: Simon and Schuster, 2009."},{"key":"33640","unstructured":"Heatherton TF, Kleck RE, Hebl MR, Hull JG, editors. The social psychology of stigma. New York: Guilford Press, 2003."},{"key":"33641","doi-asserted-by":"crossref","unstructured":"Van Brakel WH. Measuring health-related stigma - a literature review. Psychol Health Med 2006; 11: 307-334.","DOI":"10.1080\/13548500600595160"},{"key":"33642","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1080\/13548500600595160","DOI":"10.1080\/13548500600595160"},{"key":"33643","doi-asserted-by":"crossref","unstructured":"Dimitrov D, Szepietowski JC. Stigmatisation in dermatology with a special focus on psoriatic patients. Advances Hygiene Exper Med\/Postepy Higieny i Medycyny Doswiadczalnej 2017; 71: 1115-1122.","DOI":"10.5604\/01.3001.0010.6879"},{"key":"33644","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.5604\/01.3001.0010.6879","DOI":"10.5604\/01.3001.0010.6879"},{"key":"33645","doi-asserted-by":"crossref","unstructured":"Richards HL, Fortune DG, Griffiths CE, Main CJ. The contribution of perceptions of stigmatisation to disability in patients with psoriasis. J Psychosom Res 2001; 50: 11-15.","DOI":"10.1016\/S0022-3999(00)00210-5"},{"key":"33646","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/S0022-3999(00)00210-5","DOI":"10.1016\/S0022-3999(00)00210-5"},{"key":"33647","doi-asserted-by":"crossref","unstructured":"Wittkowski A, Richards HL, Griffiths CE, Main CJ. The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis. J Psychosom Res 2004; 57: 195-200.","DOI":"10.1016\/S0022-3999(03)00572-5"},{"key":"33648","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/S0022-3999(03)00572-5","DOI":"10.1016\/S0022-3999(03)00572-5"},{"key":"33649","doi-asserted-by":"crossref","unstructured":"Stangl AL, Earnshaw VA, Logie CH, van Brakel W, Simbayi LC, Barr\u00e9 I, et al. The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Med 2019; 17: 31.","DOI":"10.1186\/s12916-019-1271-3"},{"key":"33650","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1186\/s12916-019-1271-3","DOI":"10.1186\/s12916-019-1271-3"},{"key":"33651","doi-asserted-by":"crossref","unstructured":"Lu Y, Duller P, Van Der Valk P, Evers A. Helplessness as predictor of perceived stigmatisation in patients with psoriasis and atopic dermatitis. Dermatol Psychosom 2003; 4: 146-150.","DOI":"10.1159\/000073991"},{"key":"33652","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1159\/000073991","DOI":"10.1159\/000073991"},{"key":"33653","doi-asserted-by":"crossref","unstructured":"Schut C, Dalgard FJ, Bewley A, Evers AWM, Gieler U, Lien L, et al. Body dysmorphia in common skin diseases: results of an observational, cross- sectional multi- centre study among dermatological out- patients in 17 European countries. Br J Dermatol 2022; 187: 115-125.","DOI":"10.1111\/bjd.21021"},{"key":"33654","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/bjd.21021","DOI":"10.1111\/bjd.21021"},{"key":"33655","doi-asserted-by":"crossref","unstructured":"Jackson-Best F, Edwards N. Stigma and intersectionality: a systematic review of systematic reviews across HIV\/AIDS, mental illness, and physical disability. BMC Public Health 2018; 18: 1-19.","DOI":"10.1186\/s12889-018-5861-3"},{"key":"33656","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1186\/s12889-018-5861-3","DOI":"10.1186\/s12889-018-5861-3"},{"key":"33657","doi-asserted-by":"crossref","unstructured":"Turan JM, Elafros MA, Logie CH, Banik S, Turan B, Crockett KB, et al. Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Med 2019; 17: 1-15.","DOI":"10.1186\/s12916-018-1246-9"},{"key":"33658","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1186\/s12916-018-1246-9","DOI":"10.1186\/s12916-018-1246-9"},{"key":"33659","doi-asserted-by":"crossref","unstructured":"Yosipovitch G, DeVore A, Dawn A. Obesity and the skin: skin physiology and skin manifestations of obesity. J Am Ac Dermatol 2007; 56: 901-916.","DOI":"10.1016\/j.jaad.2006.12.004"},{"key":"33660","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.jaad.2006.12.004","DOI":"10.1016\/j.jaad.2006.12.004"},{"key":"33661","doi-asserted-by":"crossref","unstructured":"Dalgard FJ, Bewley A, Evers AW, Gieler U, Lien L, Sampgona F, et al. Stigmatisation and body image impairment in dermatological patients: protocol for an observational multicentre study in 16 European countries. BMJ Open 2018; 8: e024877.","DOI":"10.1136\/bmjopen-2018-024877"},{"key":"33662","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1136\/bmjopen-2018-024877","DOI":"10.1136\/bmjopen-2018-024877"},{"key":"33663","doi-asserted-by":"crossref","unstructured":"Lawrence JW, Fauerbach JA, Heinberg LJ, Doctor M, Thombs BD. The reliability and validity of the Perceived Stigmatisation Questionnaire (PSQ) and the Social Comfort Questionnaire (SCQ) among an adult burn survivor sample. Psychol Assess 2006; 18: 106.","DOI":"10.1037\/1040-3590.18.1.106"},{"key":"33664","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1037\/1040-3590.18.1.106","DOI":"10.1037\/1040-3590.18.1.106"},{"key":"33665","doi-asserted-by":"crossref","unstructured":"Masnari O, Landolt MA, Roessler J, Weingaertner SK, Neuhaus K, Meuli M, et al. Self-and parent-perceived stigmatisation in children and adolescents with congenital or acquired facial differences. J Plast Reconstr Aesthet Surg 2012; 65: 1664-1670.","DOI":"10.1016\/j.bjps.2012.06.004"},{"key":"33666","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.bjps.2012.06.004","DOI":"10.1016\/j.bjps.2012.06.004"},{"key":"33667","doi-asserted-by":"crossref","unstructured":"Masnari O, Schiestl C, R\u00f6ssler J, G\u00fctlein SK, Neuhaus K, Weibel L, et al. Stigmatisation predicts psychological adjustment and quality of life in children and adolescents with a facial difference. J Pediatr Psychol 2013; 38: 162-172.","DOI":"10.1093\/jpepsy\/jss106"},{"key":"33668","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1093\/jpepsy\/jss106","DOI":"10.1093\/jpepsy\/jss106"},{"key":"33669","doi-asserted-by":"crossref","unstructured":"de Oliveira Freitas N, Pitta NC, Dantas RAS, Farina Jr JA, Rossi LA. Comparison of the perceived stigmatisation measures between the general population and burn survivors in Brazil. Burns 2020; 46: 416-422.","DOI":"10.1016\/j.burns.2019.07.035"},{"key":"33670","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.burns.2019.07.035","DOI":"10.1016\/j.burns.2019.07.035"},{"key":"33671","doi-asserted-by":"crossref","unstructured":"Luck-Sikorski C, Ro\u00dfmann P, Topp J, Augustin M, Sommer R, Weinberger NA. Assessment of stigma related to visible skin diseases: a systematic review and evaluation of patient reported outcome measures. J Eur Acad Dermatol 2021; 36: 499-525.","DOI":"10.1111\/jdv.17833"},{"key":"33672","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.17833","DOI":"10.1111\/jdv.17833"},{"key":"33673","doi-asserted-by":"crossref","unstructured":"Coons SJ, Rao S, Keininger DL, Hays RD. A comparative review of generic quality-of-life instruments. Pharmacoeconomics 2000; 17: 13-35.","DOI":"10.2165\/00019053-200017010-00002"},{"key":"33674","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.2165\/00019053-200017010-00002","DOI":"10.2165\/00019053-200017010-00002"},{"key":"33675","doi-asserted-by":"crossref","unstructured":"Kroenke K, Spitzer RL, Williams JB, L\u00f6we B. The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. Gen Hosp Psychiatry 2010; 32: 345-359.","DOI":"10.1016\/j.genhosppsych.2010.03.006"},{"key":"33676","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.genhosppsych.2010.03.006","DOI":"10.1016\/j.genhosppsych.2010.03.006"},{"key":"33677","doi-asserted-by":"crossref","unstructured":"Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24: 385-396.","DOI":"10.2307\/2136404"},{"key":"33678","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.2307\/2136404","DOI":"10.2307\/2136404"},{"key":"33679","doi-asserted-by":"crossref","unstructured":"Mancuso SG, Knoesen NP, Castle DJ. The Dysmorphic Concern Questionnaire: a screening measure for body dysmorphic disorder. Aust N Z J Psychiatry 2010; 44: 535-542.","DOI":"10.3109\/00048671003596055"},{"key":"33680","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3109\/00048671003596055","DOI":"10.3109\/00048671003596055"},{"key":"33681","doi-asserted-by":"crossref","unstructured":"Kurczynski T. Generalized distance and discrete variables. Biometrics 1970; 26: 525-534.","DOI":"10.2307\/2529106"},{"key":"33682","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.2307\/2529106","DOI":"10.2307\/2529106"},{"key":"33683","doi-asserted-by":"crossref","unstructured":"Halioua B, Bastien M, Taieb C, Thenie C, Veniard C, Noel M. Prevalence and predictors of perceived stigmatisation in adult patients with moderate to severe atopic dermatitis in France. J Eur Acad Dermatol 2023; 37: e80-e81.","DOI":"10.1111\/jdv.18515"},{"key":"33684","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.18515","DOI":"10.1111\/jdv.18515"},{"key":"33685","doi-asserted-by":"crossref","unstructured":"Schielein MC, Tizek L, Ziehfreund S, Sommer R, Biedermann T, Zink A. Stigmatisation caused by hair loss - a systematic literature review. J Dtsch Dermatol Ges 2020; 18: 1357-1368.","DOI":"10.1111\/ddg.14234"},{"key":"33686","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/ddg.14234","DOI":"10.1111\/ddg.14234"},{"key":"33687","doi-asserted-by":"crossref","unstructured":"Wang EQ, Radjenovic M, Castrill\u00f3n MA, Feng GHY, Murrell DF. The effect of autoimmune blistering diseases on work productivity. J Eur Acad Dermatol 2018; 32: 1959-1966.","DOI":"10.1111\/jdv.15062"},{"key":"33688","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.15062","DOI":"10.1111\/jdv.15062"},{"key":"33689","doi-asserted-by":"crossref","unstructured":"Willemse H, Geenen R, Van Loey NE. Reliability and structural validity of the Dutch version of Perceived Stigmatisation Questionnaire in adults with burns. Burns 2021; 47: 1381-1388.","DOI":"10.1016\/j.burns.2020.11.017"},{"key":"33690","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.burns.2020.11.017","DOI":"10.1016\/j.burns.2020.11.017"},{"key":"33691","doi-asserted-by":"crossref","unstructured":"Dietel FA, M\u00f6llmann A, B\u00fcrkner P-C, Wilhelm S, Buhlmann U. Interpretation bias across body dysmorphic, social anxiety and generalized anxiety disorder - a multilevel, diffusion model account. Cognit Ther Res 2021; 45: 715-729.","DOI":"10.1007\/s10608-020-10180-7"},{"key":"33692","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1007\/s10608-020-10180-7","DOI":"10.1007\/s10608-020-10180-7"},{"key":"33693","doi-asserted-by":"crossref","unstructured":"Forgas JP. Handbook of affect and social cognition. New York: Psychology Press, 2000.","DOI":"10.1016\/B0-08-043076-7\/01756-3"},{"key":"33694","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/B0-08-043076-7\/01756-3","DOI":"10.1016\/B0-08-043076-7\/01756-3"},{"key":"33695","doi-asserted-by":"crossref","unstructured":"Pompili M, Bonanni L, Gualtieri F, Trovini G, Persechino S, Baldessarini RJ. Suicidal risks with psoriasis and atopic dermatitis: Systematic review and meta-analysis. J Psychosom Res 2021; 141: 110347.","DOI":"10.1016\/j.jpsychores.2020.110347"},{"key":"33696","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.jpsychores.2020.110347","DOI":"10.1016\/j.jpsychores.2020.110347"},{"key":"33697","doi-asserted-by":"crossref","unstructured":"Williams SL, Fredrick EG. One size may not fit all: The need for a more inclusive and intersectional psychological science on stigma. Sex Roles 2015; 73: 384-390.","DOI":"10.1007\/s11199-015-0491-z"},{"key":"33698","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1007\/s11199-015-0491-z","DOI":"10.1007\/s11199-015-0491-z"},{"key":"33699","doi-asserted-by":"crossref","unstructured":"von St\u00fclpnagel C, Augustin M, D\u00fcpmann L, Da Silva N, Sommer R. Mapping risk factors for Cumulative Life Course Impairment (CLCI) in patients with chronic skin diseases - a systematic review. J Eur Acad Dermatol 2021; 35: 2166-2184.","DOI":"10.1111\/jdv.17348"},{"key":"33700","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.17348","DOI":"10.1111\/jdv.17348"},{"key":"33701","doi-asserted-by":"crossref","unstructured":"Thompson AR, Clarke SA, Newell R, Gawkrodger G, The Appearance Research Collaboration. Vitiligo linked to stigmatisation in British South Asian women: a qualitative study of the experiences of living with vitiligo. Br J Dermatol 2010; 163: 481-486.","DOI":"10.1111\/j.1365-2133.2010.09828.x"},{"key":"33702","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1365-2133.2010.09828.x","DOI":"10.1111\/j.1365-2133.2010.09828.x"},{"key":"33703","doi-asserted-by":"crossref","unstructured":"Overton SL, Medina SL. (2008). The stigma of mental illness. J Couns Dev 2008; 86: 143-151.","DOI":"10.1002\/j.1556-6678.2008.tb00491.x"},{"key":"33704","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1002\/j.1556-6678.2008.tb00491.x","DOI":"10.1002\/j.1556-6678.2008.tb00491.x"}],"container-title":["Acta Dermato-Venereologica"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/download\/6485\/19078","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/download\/6485\/19078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T12:48:19Z","timestamp":1687438099000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/view\/6485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,22]]},"references-count":75,"URL":"https:\/\/doi.org\/10.2340\/actadv.v103.6485","relation":{},"ISSN":["1651-2057","0001-5555"],"issn-type":[{"value":"1651-2057","type":"electronic"},{"value":"0001-5555","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6,22]]}}}