21st Congress of the European Society of Dermatology and Psychiatry & 1st World Congress of Psychodermatology, İstanbul, Türkiye, 28 - 31 Mayıs 2025, ss.114-115, (Özet Bildiri)
Aim: Hidradenitis suppurativa (HS) is an important skin disease with a burden of mental illness. To reduce this burden, it is important to develop psychological resilience as a protective factor. We aimed to determine the effects of emotion regulation difficulties, self-perception and stigmatization, which are important conditions in HS patients, on psychological resilience and to examine them according to the stage of the disease. Materials and Methods: This cross-sectional study included 77 patients with HS attending a psychodermatology clinic between August and December 2024. Inclusion criteria were age ≥18 and absence of severe mental or physical disability. Data were collected using validated instruments: Difficulties in Emotion Regulation Scale Short Form, Brief Resilience Scale, 6-Item Stigmatization Scale, Social Comparison Scale, and Hurley staging for disease severity. Statistical analyses included one-way ANOVA, Pearson correlations, and multiple linear regression using SPSS 22, with significance set at P < 0.05. Results: The participants were 58.4% male, with a mean age of 36.79±13.16 years and a mean symptom duration of 9.48±7.46 years. As the severity of the disease increased, difficulty in emotional regulation and stigmatization worsened, while psychological resilience decreased. There was a significant negative correlation between resilience and both emotional dysregulation and stigmatization. Emotional regulation, stigmatization and self-perception scores accounted for 31.8% of the change in resilience (P < 0.001). Conclusion: The study identifies difficulties in emotion regulation and perceived stigma as significant predictors of reduced psychological resilience in patients with HS. While self-perception was correlated with resilience, its independent effect was not significant in multivariate analysis. Findings highlight the importance of addressing emotional coping skills and stigma in clinical interventions. Multidisciplinary strategies involving dermatology and mental health professionals are essential for the psychophysiological management of HS. Enhancing resilience through targeted psychosocial support may improve patient well-being and treatment outcomes.