Self-disgust in Patients with Dermatological Diseases

Int J Behav Med. 2022 Dec;29(6):827-832. doi: 10.1007/s12529-022-10058-w. Epub 2022 Feb 3.

Abstract

Background: Dermatological diseases can be associated with symptoms such as oozing pus, weeping, and/or bleeding, which represent primary disgust elicitors. This study examined the role of self-disgust in people with different skin conditions (e.g., hidradenitis suppurativa, psoriasis, lichen sclerosus).

Methods: A self-selected sample of 200 dermatology patients completed questionnaires for the assessment of self-disgust, experienced stigmatization, symptoms of depression, anxiety, and somatization. Multiple regression analysis and mediation analysis were computed to examine the relationship between self-disgust and the other selected variables.

Results: Sixty-four percent of the patients reported elevated self-disgust. Sex, age, depression, and perceived stigmatization were predictors of self-disgust. Depression mediated the relationship between stigmatization (e.g., staring by others) and self-disgust.

Conclusions: This study points to the important role of self-disgust in dermatological conditions. Public health programs to counteract stigmatization of patients with skin diseases as well as therapy approaches that help decrease patients' self-disgust and increase self-acceptance are urgently needed.

Keywords: Depression; Dermatological disease; Self-disgust; Stigmatization.

MeSH terms

  • Anxiety
  • Anxiety Disorders
  • Disgust*
  • Humans
  • Psoriasis* / complications
  • Surveys and Questionnaires