Skin diseases, often trivialized as mere cosmetic issues, carry consequences that extend far beyond the surface of the body. The latest data indicate that skin diseases are the fourth leading cause of non-fatal disease burden worldwide. However, beyond physical discomfort, these ailments also carry significant psychological burdens, deeply impacting the lives of those who struggle with them. Research reveals a strong link between increased feelings of shame and heavier disease burden, leading to a significant deterioration in quality of life.
One of the main factors contributing to this psychological discomfort is a pervasive sense of shame. Shame, with its far-reaching consequences, leads to many psychological symptoms, including anxiety, diminished self-confidence, lower self-worth, anger and frustration, and social rejection. In dermatology, where appearance often equals well-being, the burden of shame is particularly burdensome.
Studies on the mutual interaction of dermatological diseases on psychological well-being unveil a complex relationship between visible skin conditions and self-worth. Skin diseases such as acne, psoriasis, and eczema often manifest in early life, profoundly influencing how young individuals perceive their bodies and communicate with others.
Acne, known as a “psychotraumatic factor,” significantly impacts self-worth, self-esteem, and interpersonal relationships. Research indicates that young patients perceive acne not only as a disease but also as a problem requiring a solution. Furthermore, the severity of acne correlates directly with self-worth, with moderate to severe acne posing greater psychosocial and emotional burdens for individuals.
As a pain psychologist and psychotraumatologist, I have witnessed firsthand the profound impact of skin-related shame on human psyche. It’s not just about visible scars but the invisible weight that shame adds to this journey.
In literature, there are conflicting results regarding self-esteem post-acne treatment. While some studies suggest improvement post-treatment, others indicate minimal changes in self-esteem and acceptance of appearance after treatment cessation.
Similarly, patients with psoriasis often struggle with lowered self-esteem and feelings of shame, embarrassment, and social stigma. Research underscores the significant impact of psoriasis on various aspects of patients’ lives, including self-esteem, body image, and quality of life. Additionally, hurtful remarks regarding appearance exacerbate self-esteem issues, hindering social participation, and leaving individuals feeling isolated.
Examining the impact of skin diseases on self-esteem underscores the importance of comprehensive psychological support throughout the treatment process. Patients’ self-esteem and perceived social support should be evaluated both before and after dermatological treatment, emphasizing the need for integrated care that addresses both the physical and psychological aspects of skin health.
Understanding the phenomenon of social support allows us to grasp its role in maintaining good mental well-being. Research indicates that social support significantly influences patients’ ability to cope with the disease, highlighting its importance alongside pharmacological treatment.
Social support positively impacts the overall health of acne patients, while its absence can exacerbate symptoms. Psychotherapy aids in better adjustment to the disease, reducing its detrimental impact on self-esteem and significantly improving quality of life.
„Shame robs me of my dignity, takes me away from myself.”
But – we don’t have to accept it. Reconnecting with oneself is possible. If you’re struggling with skin issues, remember, this shame isn’t yours. It’s been imposed on you like a cloak, but it was never yours. You can shed it and rebuild your self-confidence. Feel strong and valuable once more. Return the shame to those who imposed it on you.
Let’s remember that the depth of someone’s struggles isn’t always visible. By shedding light on emotional burdens, we can create a more compassionate environment where everyone’s skin stories are heard and accepted, preserving their sense of dignity.
