Evidence map›Paper›PMID 40677472›Full record

ReviewCureus2025

Stigma, Bullying, and Resilience: Psychosocial Outcomes in Marginalized Adolescents With Visible Dermatologic Conditions.

Andres D Parga, Taryn M Liska

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

2 authors.

Andres D PargaMedicine, Hospital Corporation of America (HCA) Florida Oak Hill Hospital, Brooksville, USA.
Taryn M LiskaIntensive Care Unit, Banner Health University Medical Center, Phoenix, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Visible skin diseases such as acne, eczema, vitiligo, and keloids exert a disproportionate psychosocial burden on marginalized adolescents, particularly among Indigenous, Latinx, and migrant youth. This review illuminates how the cycle of stigma, bullying (both in-person and online), and discrimination is amplified by intersecting cultural, racial, and socioeconomic factors, leading to elevated rates of depression, anxiety, self-harm, and suicide risk. However, despite the gravity of these challenges, psychosocial distress remains routinely underdiagnosed and undertreated in these populations, with significant barriers to mental health care and a lack of culturally competent interventions. Drawing from a broad and interdisciplinary evidence base, we explore not only the epidemiology and risk factors unique to minoritized youth but also the powerful influence of cultural identity, family support, traditional practices, and peer mentorship in shaping resilience. Our review uniquely highlights integrative and creative therapies as promising adjuncts to conventional care. We emphasize the centrality of internalized stigma as a therapeutic target and urge a shift toward trauma-informed care. The findings presented call for coordinated action among dermatologists, pediatricians, psychiatrists, psychologists, educators, and family members as key stakeholders in supporting the psychosocial needs of adolescents with visible skin disease. We recommend systematic psychosocial screening, routine use of validated quality-of-life and stigma measures, family- and community-centered support, and the integration of mental health resources into dermatologic care. Ultimately, by embracing culturally sensitive, multi-level strategies and addressing persistent policy and research gaps, we can not only mitigate the harms of visible skin disease but also transform vulnerability into resilience and agency for the most underserved youth.

Indexed as

acnealopecia areataatopic dermatitisdermatologyhidradenitis suppurativapediatric dermatologypsoriasispsychodermatologyskin of colorvitiligo

Identifiers

PMID40677472
PMCPMC12267875

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.