More than skin deep: Understanding the psychosocial impact of living with vitiligo

Summary: Abstract Body: The physical manifestations of vitiligo, an autoimmune depigmenting skin disorder, significantly influence the psychosocial well-being of affected individuals. This scoping review explores the historical stigmatization of vitiligo and its subsequent role in perpetuating discrimination and societal exclusion. The study’s objective is to investigate the existing research on the psychosocial impacts of this disease, particularly highlighting its association with psychiatric illnesses. Current research demonstrates an almost five-fold increase in depression risk for vitiligo patients. Demographic factors such as female sex and visible lesion locations exacerbate this psychosocial burden. An exploratory review was conducted to examine the complex psychosocial consequences of vitiligo and its subsequent impacts on the quality of life and emotional well-being of individuals in this population. With the Dermatology Quality of Life Index (DLQI), Hospital Anxiety and Depression Scale, and other assessment tools utilized, the burden on quality of life and the significant psychosocial challenges caused by vitiligo could be quantified. Issues related to shame and embarrassment, engaging in social interactions, and clothing-related concerns were among the most significant burdens on daily life highlighted by the DLQI assessment tool. This comprehensive exploration emphasizes the intricate interplay of demographic and disease-related factors, highlighting the necessity for tailored management strategies to address the associated psychological comorbidities of vitiligo, such as depression, anxiety, low self-esteem, social isolation, maladaptive behaviors, stress disorders, and body dysmorphia. The heightened prevalence of mental health conditions, such as depression and anxiety, underscores the need for tailored interventions to address the psychological disorders in individuals with vitiligo. Emma Newquist¹, Faige Jeidel¹, Emma Woldenberg¹, Erica Glants¹, Debby Marsan¹, Geisy Pena Castillo¹, Suzanne Riskin¹ 1. Nova Southeastern University, Fort Lauderdale, FL, United States. Pigmentation, Melanoma, and Melanoma Immune Surveillance