Bullous Dermatoses and Quality of Life: A Summary of Tools to Assess Psychosocial Health

Cutis. 2022 Jan;109(1):E14-E19. doi: 10.12788/cutis.0439.

Abstract

Autoimmune bullous dermatoses (ABDs), such as pemphigus and bullous pemphigoid (BP), cause cutaneous lesions that are painful and disfiguring. These conditions affect a patient's ability to perform everyday tasks, and individual lesions can take years to heal. Multiple small studies have examined how these conditions affect a patient's lifestyle. We systematically reviewed the trials that have evaluated the mental health of patients with bullous dermatoses. Of the 13 studies assessed, 2 domains of interest were primarily evaluated: quality of life (QOL) and psychological state. Quality of life predominantly was analyzed using the Dermatology Life Quality Index (DLQI). To evaluate psychological state, the General Health Questionnaire (GHQ) primarily was utilized. This review informs providers and summarizes the various ways that ABDs affect mental health.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Autoimmune Diseases*
  • Humans
  • Pemphigoid, Bullous* / diagnosis
  • Pemphigus*
  • Quality of Life
  • Skin Diseases, Vesiculobullous* / diagnosis