{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T16:54:34Z","timestamp":1784566474829,"version":"3.55.0"},"reference-count":79,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T00:00:00Z","timestamp":1682467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services","award":["ext FF_1436"],"award-info":[{"award-number":["ext FF_1436"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objectives: To investigate the illness perceptions of patients with occupational skin diseases (OSDs). Design: Cross-sectional study. Setting: Specialised healthcare centre for inpatient and outpatient individual prevention in occupational dermatology in Germany. Participants: A total of 248 patients with hand eczema (55.2% female; average age: 48.5 years, SD: 11.9) were included in the final analyses. Measures: A modified and recently validated version of the \u2018Revised Illness Perception Questionnaire\u2019 (IPQ-R) was used to assess illness perceptions. Severity of skin disease was evaluated with the Patient-Oriented Eczema Measure (POEM), the Osnabrueck Hand Eczema Severity Index (OHSI), and a single, self-reported global item. The Erlangen Atopy Score (EAS) was used for atopy screening. Results: We found strong illness identity, high emotional impact, and long timeline beliefs, meaning that study participants perceive their OSD on the hands as a highly symptomatic, emotionally burdening, and chronic condition. Results suggest that hand eczema has a major impact on how participants manage their own lives, particularly during everyday life and occupational activities. Study participants predominantly identified irritant or sensitising substances and activities at work as well as skin protection regimes as causes of their disease. Conclusions: Healthcare workers should consider the illness perceptions as well as the disease burden of patients with an OSD on the hands in clinical practice. Multi-professional approaches to patient care should be sought. Illness perception in (occupational) dermatological patients should be the subject of further research.<\/jats:p>","DOI":"10.3390\/ijerph20095652","type":"journal-article","created":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T02:18:34Z","timestamp":1682561914000},"page":"5652","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Illness Perceptions of Patients with Occupational Skin Diseases in a Healthcare Centre for Tertiary Prevention: A Cross-Sectional Study"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6584-0161","authenticated-orcid":false,"given":"Marc","family":"Rocholl","sequence":"first","affiliation":[{"name":"Institute for Health Research and Education, Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"},{"name":"Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Wilke","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Education, Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"},{"name":"Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Meyer","sequence":"additional","affiliation":[{"name":"Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swen Malte","family":"John","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Education, Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"},{"name":"Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1214-1399","authenticated-orcid":false,"given":"Michaela","family":"Ludewig","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Education, Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"},{"name":"Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabr\u00fcck, Am Finkenh\u00fcgel 7a, 49076 Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,26]]},"reference":[{"key":"ref_1","unstructured":"European Agency for Safety and Health at Work (2008). 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