Title: Comparison of Quality of Life, Depression and Self-Esteem in Patients of Vitiligo and Melasma
Authors: Dr Suyog V. Jaiswal, Dr Chitra S. Nayak, Dr Henal R. Shah, Dr Ravindra M. Kamath, Dr Khushboo Kadri
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.26
Abstract
Background: Skin is an important interface ofa human being with the world. Pigmentary disorders have psychological impact as well as impact on well-being and body image. The quality of life is affected adversely in both vitiligo and melasma patients, but psychosocial factors at work are different,
Aim: To assess and compare quality of life, self-esteem, depression and socio-demographic variables in patients of vitiligo and melasma.
Methodology: 50 consecutive patients each of vitiligo and melasma were interviewed in the Dermatology clinic. WHO QOL-BREF, Hamilton Depression Rating Scale & Rosenberg Self Esteem Scale were used for interview. Data obtained was analysed using statistical tests.
Results: The mean age was 34.8 (±13.34) & 39.78 (±7.65) years for patients of vitiligo & melasma respectively. The mean duration of illness was 8.04 (±7.95) years in Vitiligo and 4.36 (±4.15) years in melasma. 36% of vitiligo patients had changed their physician more than twice when compared to only 8% patients of melasma. Only 40% Melasma patients perceived it to be a major ailment, whilst 70% of Vitiligo patients reported it to be a major ailment and the difference was statistically significant (P-0.03). Female patients of vitiligo had significantly worse quality of life and self-esteem than female melasma patients. Depression was significantly worse in vitiligo patients.
Conclusion: Vitiligo has a more negative psychological impact especially on female patients than melasma.
Keywords: Vitiligo, Melasma, Quality of life, Depression, Self-esteem.
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