Although the disease does not cause physical pain, the psychological effects can be difficult to manage. The hardest part of Vitiligo is living with the psychological effects of the disease. What is known is that vitiligo, while not contagious or life-threatening, also causes significant emotional pain. Your doctor should explain heavy psychological effects and socio-ecomonic burden of vitiligo, like a substantial loss of income because of regular phototherapy sessions during clinic's regular working hours or missed school time. In some cases, this could be true; after all, it's common knowledge that anyone who strays from a certain socially acceptable look, may face discrimination. Psychological interventions should be offered as a way of improving coping mechanisms in patients severely affected by vitiligo. Children often lose vital days from school. Vitiligo (vit-ill-EYE-go) is a disorder in which white patches of skin appear on different parts of the body. Good patient information ensures that anyone who has just received a diagnosis of vitiligo is prepared and fully aware of the next steps of their pathway. Vitiligo and Self-Esteem: Psychological Effects. Quality of life in patients with vitiligo. Some people lose color inside their mouths. There is a possibility of development of vitiligo due to increased psychological stress that increases the level of neuroendocrine hormones which activate the immune system and increase the level of neuropeptides subsequently. We performed a questionnaire-based study of 1541 adults with vitiligo to evaluate the impact of psychological stressors in this patient population. 8. The psychological effect of vitiligo on patients is greatly influenced by their original background color [5, 6]. The psychological effect can be complicated as the emotional trauma may differ according to when the condition first presented. Effect of vitiligo on self-reported health-related quality of life. Br J Dermatol 2005;152:1165-72. In addition, vitiligo patients experience severe psychological effects [31, 32] and exhibit anxiety , depression , social stigma and impaired quality of life [35, 36]. These pathophysiological the changes may be the triggering or precipitating factors for the pathogenesis of vitiligo. What causes this color loss is still a mystery. Currently, there are over 75 studies listed on clinicaltrials.gov looking for answers and solutions to this disfiguring condition. Vitiligo beginning in childhood can be associated with significant psychological trauma that may have long lasting effects on the personal self-esteem of these children. Given the appreciable comorbidity, it is important to consider these observations in the management of patients, for example in patient–physician interaction but also in treatment strategies and evaluation of treatments. Psychological effects. Vitiligo is the loss of skin pigmentation caused by autoimmune destruction of melanocytes. These effects range from mild embarrassment to a severe loss of self-confidence and social anxiety, especially for those who have lesions on exposed skin. [ 71 , 72 ] With regard to the pediatric population, adolescents are more likely to report lower quality-of-life measures and greater psychological and emotional distress than young children. The patients with darker phototypes were of Caribbean, South Indian, or Middle Eastern ancestry. It can also affect hair and the inside of the mouth. It is not life-threatening. How Vitiligo Impacted My Life; The Psychological Effects of Vitiligo; Why I Shared My Story; Update On Progress; My Vitiligo Poetry; Contact Me; Vitiligo Blog. Medically reviewed by Lisa Schuster, Ph.D. Vitiligo is a skin condition in which people lose skin pigment and develop patches of lighter skin, called macules. The most common complaint I hear from my readers and vitiligo friends is that they feel like vitiligo has robbed them of a chance for a normal life. The exact cause of vitiligo is unknown. Parsad D, Dogra S, Kanwar A. OBJECTIVE: Vitiligo is a chronic skin disease that causes loss of pigment, resulting in irregular pale patches of skin. How intense and troubling the diagnosis is … Although vitiligo's medical effects have been studied extensively, little attention has been paid to its psychological impact or to the effects of psychological state on the illness itself. 2 In addition to the physical effects of vitiligo, this condition exerts adverse psychological effects and causes social stigmatization. Vitiligo is a common inflammatory skin disease with a worldwide prevalence of 0.5% to 2.0% of the population. A section of hair can turn white. Research continues. [citation needed] Ultraviolet light treatments are normally carried out in a hospital clinic. The discolored areas usually get bigger with time. Vitiligo (vit-ih-LIE-go) is a disease that causes loss of skin color in patches. The disease has profound psychological consequences. We do know that vitiligo is not contagious. The disease is disfiguring, with a major psychological impact on children and their parents. It is ... A serious potential side effect involves the risk of developing skin cancer, the same risk as an overexposure to natural sunlight. Despite this, we found only one study assessing psychological therapy for vitiligo. Embarrassment, shame and social anxiety associated with sweat-soaked or stained clothing, wet palms, puddling feet, and/or a dripping face/scalp can be severe. The worldwide prevalence of vitiligo in adults ranges from 1–2%. Health Qual Life Outcomes 2003;1:58. But vitiligo can be life-altering. Some people develop low self-esteem. The effects are compounded by the numerous attempts by patients to find cures for Vitiligo. These cells are called melanocytes (ma-LAN-o-sites). The Effects on Patients' Lives: Social Embarrassment and Psychological Effects . The condition can affect the skin on any part of the body. Vitiligo occurs when cells that produce melanin die or stop functioning. Karelson M, Silm H, Kingo K. Quality of life and emotional state in vitiligo in an estonian sample: comparison with psoriasis and healthy controls. A recent survey stratified 300 patients by skin phototype, including 234 patients with fair skin and 66 patients with dark skin. Study characteristics. Review question. It is hoped that the improvements in scientific understandings will in future lead to more effective treatments for vitiligo. Stress increases the levels of catecholamines, neuropeptides, and cortisol that are higher in vitiligo patients [ 37 – 39 ] suggesting their role in the pathogenesis of vitiligo. Vitiligo can also affect the mucous membranes (such as the tissue inside the mouth and nose) and the eye. Children with vitiligo usually avoid sport or restrict such activities. Children with vitiligo may be teased and bullied at school. One of the most pronounced side effects of vitiligo is the emotional distress that usually accompanies the diagnosis. [68, 69, 70] Specifically, visible vitiligo lesions have been associated with more emotional distress and stigmatization than nonvisible lesions. The psychological effects of vitiligo. Facebook; twitter; copy link; Article written by Charity Nyawira . The psychological effects of Vitiligo The psychological effects of Vitiligo. Even an eye can lose some of its color. We review the psychosocial effects of vitiligo, how patients deal with them and the psychiatric morbidity in vitiligo patients. Identifying key components for psychological intervention for people with vitiligo . Although vitiligo's medical effects have been studied extensively, little attention has been paid to its psychological impact or to the effects of psychological state on the illness itself. The assumption is often made that the psychological burden of vitiligo is greater in racial/ethnic groups with darker skin. It should also mention the risks of vitiligo, such as serious sunburn. In the pediatric population, the exact prevalence of vitiligo is unknown, although many studies state that most cases of vitiligo are acquired early in life. Vitiligo is a disease which can have profound psychological effects, and clinicians should make an assessment of the psychological and quality of life effects of vitiligo on adults and children. Psychosocial effects of vitiligo Ongenae, K; Beelaert, L; Geel, N; Naeyaert, J‐M 2006-01-01 00:00:00 A limited number of studies have paid attention to the psychosocial well‐being of patients affected with vitiligo. Normally, the color of hair and skin is determined by melanin. An important aspect of vitiligo is the psychological effect of the disease. Little is known about the impact of psychological stressors preceding vitiligo onset on symptoms associated with vitiligo and the extent of disease. Research shows that vitiligo can cause significant psychological effects. We review the psychosocial effects of vitiligo, how patients deal with them and the psychiatric morbidity in vitiligo patients. Vitiligo may result in psychological stress and those affected may be stigmatized. In vitiligo, the immune system attacks the melanocytes which produce our skin colour, leaving the person with white patches - as well as complete uncertainty as to the progress of the condition - whether/where new patches may develop, over an indefinite time in the future, with varying social and psychological effects. And they all come with some significant adverse side effects. What treatments work best to help manage vitiligo? Skin disfigurement, may be a barrier to privileges and opportunities due to prejudices of society toward one whose appearance is atypical. As vitiligo often causes severe emotional distress, self-consciousness, anxiety and depression, counseling and support group participation is highly recommended. Posted on January 26, 2021. hug (2) like (1) comment (1) share. 9. “Vitiligo may primarily affect a person’s skin, but the disfigurement that results can lead to emotional and psychological complications,” said lead investigator I. Caroline Le Poole, Ph.D., of Loyola University Chicago. This happens because the cells that make pigment (color) in the skin are destroyed. Vitiligo can also affect other parts of your body. 1 The pathogenesis of vitiligo is multifactorial, and includes autoimmune, genetic, and environmental factors. 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