دانلود رایگان مقاله انگلیسی تاثیر بیماری ملاسما در عزت نفس: مطالعه آزمایشی - الزویر 2018

abstract

Melasma is a common disorder of hyperpigmentation characterized by tan or brown macules and patches affecting sun-exposed areas, particularly the face. Melasma has been shown to have a significant impact on the quality of life and self-esteem of those affected. We interviewed six patients who were diagnosed with moderate-to-severe melasma with regard to the effect of their disorder on their self-esteem. All patients reported a significant negative effect on their quality of life and self-esteem. With successful therapy using a triple combination of cream and oral tranexamic acid to treat their melasma, all reported a marked improvement in self-esteem. Physicians who treat patients with melasma should be aware of its profound psychosocial effects and the improvement that successful melasma treatment can have on self-esteem.

Conclusion

QoL describes many factors such as physical health, interpersonal relationships, and social well-being (Lieu and Pandya, 2012). As shown by the current study’s interviews, QoL and self-esteem appear to be significantly impacted by melasma. Patients refused to leave their house, felt inferior to others, and incessantly thought about their melasma. Physicians who treat patients with melasma should aim to not only improve pigmentary changes but also improve QoL and self-esteem. Further research into this subject area should be performed, perhaps by conducting prospective studies using a validated tool that is specific for self-esteem such as the Rosenberg Scale for self-esteem of patients with melasma from different backgrounds and skin types before and after treatment (Rosenberg, 1965).