Concerns about Self-image in Northeastern Thai Patients with Systemic Sclerosis
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Abstract
Systemic sclerosis (SSc) affects appearance and causes concerns of self-image. This study explored concerns of self-image in patients with SSc in Thailand. A total of 100 patients with SSc completed Brief-Satisfaction with Appearance Scale (brief-SWAP), a self-report questionnaire assessing subjective dissatisfaction, and perceived social impact from concerns of self-image, and Thai Hospital Anxiety and Depression Scale (Thai HADS). The participants included 69 females and 31 males with a mean age of 60.3 ± 7.3 years. Diffuse cutaneous SSc accounted for 67% with a median of disease duration of 5.9 years. The mean score of the brief-SWAP was 18.1 ± 8.4. Mild and moderate depression were found in 14% and 3%, respectively. Mild and moderate anxiety were found in 16% and 7%, respectively. Analyses found the significant predictive regression model for the brief SWAP (p < 0.001, R2 = 0.221) with following predictors: HADS anxiety subscale, ischemic ulcers, and skin involvement at hands/fingers (all p <0.05). For subjective dissatisfaction, the significant regression model (p < 0.05, R2 = 0.186) had following significant predictors: amount of daily dose of prednisolone, and ischemic ulcer. For perceived social impact, the significant regression model (p < 0.001, R2 = 0.378) had following significant predictors: HADS anxiety subscale and hand deformities. Concerns about self-image in patients with SSc were significantly correlated with levels of anxiety, and areas of skin involvement. Patients with ischemic ulcers had a higher level of concerns for self-image and should be carefully assessed for psychological well-being.
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