Evidence map›Paper›PMID 40259009›Full record

ArticleScientific reports2025

Facets of shame and their impact on quality of life in patients with atopic dermatitis and psoriasis.

Carsten Spitzer, Laura Lübke, Clara Wülfing, Katharina Meier, Georgios Kokolakis, Dennis Niebel, Caroline Mann, Ante Karoglan, Steffen Emmert, Alexander Thiem

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carsten SpitzerDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany. carsten.spitzer@med.uni-rostock.de.ORCID http://orcid.org/0000-0002-2711-285X
Laura LübkeDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.ORCID http://orcid.org/0009-0009-4217-3958
Clara WülfingDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.
Katharina MeierDepartment of Dermatology, Venereology and Allergology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-4687-3195
Georgios KokolakisDepartment of Dermatology, Venereology and Allergology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-8042-7885
Dennis NiebelDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0003-2069-0486
Caroline MannDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.ORCID http://orcid.org/0000-0001-7044-2216
Ante KaroglanDermatology Practice, Berlin, Germany.ORCID http://orcid.org/0000-0002-6100-5927
Steffen EmmertClinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, Rostock, Germany.ORCID http://orcid.org/0000-0001-5630-4204
Alexander ThiemClinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, Rostock, Germany.ORCID http://orcid.org/0000-0001-9504-4281

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shame is a complex emotion with different facets. Skin shame is a specific aspect of body shame, which involves the skin perceived as inferior or flawed. Its role in atopic dermatitis (AD) and psoriasis is not well investigated. This explorative study pursued three objectives: First, the comparative analysis of shame and its facets in AD and psoriasis. Second, analysis of the association of skin shame with other shame facets, depression, and anxiety. Third, exploration of the unique impact of shame and its different facets on quality of life (QoL) in AD and psoriasis patients. This cross-sectional online survey encompassing German-speaking patients included several self-report measures on skin and general shame, depression, and anxiety as well as the Dermatology Life Quality Index (DLQI), Patient-Oriented Eczema Measure (POEM), and Psoriasis Symptoms and Signs Diary (PSSD). Data from 413 adult participants with AD (N = 162) or psoriasis (N = 251) were analyzed. There were no significant differences in skin or general shame, depression, or anxiety between those with AD or psoriasis. Skin shame as well as other aspects of shame were associated with younger age, female sex, depression, anxiety, and QoL. Analysis of AD and psoriasis subsamples revealed significant correlations of disease severity with skin shame, depression, anxiety, and DLQI. Hierarchical linear regression analyses indicated that skin shame was the second most important determinant of QoL after self-assessed disease severity. Systematic consideration of shame in AD and psoriasis is necessary in order to effectively reduce disease burden and enhance QoL.

Indexed as

Dermatitis, AtopicPsoriasisQuality of LifeShameAdultAgedAnxietyCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedSelf ReportSurveys and QuestionnairesYoung AdultAtopic dermatitisCross-sectional studyPsoriasisQuality of lifeShame

Identifiers

PMID40259009
PMCPMC12012170

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.