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Concerns about self-image in Northeastern Thai patients with systemic sclerosis |
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| รหัสดีโอไอ | |
| Creator | Nawanant Piyavhakul |
| Title | Concerns about self-image in Northeastern Thai patients with systemic sclerosis |
| Contributor | Sarita Panthongviriyakul, Papan Vadhanavikkit, Pongsatorn Paholpak, Chingching Foocharoen |
| Publisher | Asia-Pacific Journal of Science and Technology |
| Publication Year | 2565 |
| Journal Title | Asia-Pacific Journal of Science and Technology |
| Journal Vol. | 27 |
| Journal No. | 5 |
| Page no. | 7 |
| Keyword | Systemic sclerosis, Scleroderma, Self-image |
| URL Website | https://www.tci-thaijo.org/index.php/APST |
| Website title | https://so01.tci-thaijo.org/index.php/APST/article/view/252628/ |
| ISSN | 2539-6293 |
| Abstract | Systemic sclerosis (SSc) affects appearance and causes concerns about self-image. This study explored concerns about self-image in patients with SSc in Thailand. A total of 100 patients with SSc completed a Brief-Satisfaction with Appearance Scale (brief-SWAP), a self-report questionnaire assessing subjective dissatisfaction and perceived social impact from concerns of self-image, and the Thai Hospital Anxiety and Depression Scale (Thai HADS). The participants included 69 females and 31 males with a mean age of 60.3 ? 7.3 years. Diffuse cutaneous SSc accounted for 67% with a median of disease duration of 5.9 years. The mean score of the brief-SWAP was 18.1 ? 8.4. Mild and moderate depression were found in 14% and 3%, respectively. Mild and moderate anxiety were found in 16% and 7%, respectively. Analyses found the significant predictive regression model for the brief SWAP (p< 0.001, R2 = 0.221) with following predictors: HADS anxiety subscale, ischemic ulcers, and skin involvement on the hands/fingers (all p<0.05). For subjective dissatisfaction, the significant regression model (p< 0.05, R2 = 0.186) showed the following significant predictors: the amount of the daily dose of prednisolone and ischemic ulcer. For perceived social impact, the significant regression model (p< 0.001, R2 = 0.378) had the following significant predictors: the HADS anxiety sub-scale and hand deformities. Concerns about self-image in patients with SSc were significantly correlated with levels of anxiety and with areas of skin involvement. Patients having ischemic ulcers showed a higher level of concern regarding self-image and should be carefully assessed for psychological well-being. |
