title: Psychologic effects of vitiligo: a critical incident analysis.
abstract: BACKGROUND
  Qualitative and quantitative studies have shown that cutaneous diseases can have significant effects on psychologic well-being and social functioning in a variety of interpersonal situations.
  
  
  OBJECTIVE
  Our purpose was to assess the nature and extent of the social and psychologic difficulties associated with vitiligo using a combination of qualitative and quantitative methods.
  
  
  METHODS
  Six hundred fourteen members of the U.K. Vitiligo Society completed a questionnaire that included the 12-item version of the General Health Questionnaire (GHQ) and an open-ended question concerning the effects of the disease on their life.
  
  
  RESULTS
  Thirty-five percent of the respondents scored above the threshold on the GHQ. Analysis of the qualitative data indicated that vitiligo affects lives in a variety of ways consistent with perceived stigma and that some categories of response (such as avoidance of activities and negative reactions by others) were associated with higher GHQ scores.
  
  
  CONCLUSIONS
  Many persons with vitiligo show indications of significant distress that are related to specific types of social encounters and emotional disturbance.
authors.affiliation: Department of Psychiatry, Northern General Hospital, Sheffield, U.K.
authors.forename: G
authors.initials: G
authors.lastname: Kent
authors.forename: M
authors.initials: M
authors.lastname: Al'Abadie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014820:Vitiligo / Q000523:psychology*