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Living with vitiligo: Dealing with difference
Abstract
OBJECTIVES: Individuals with a disfigurement are at risk of experiencing psychological distress, but the level of this distress is only marginally associated with clinical severity. This study examines the experience of living with the skin condition vitiligo with a view towards understanding its impact and the ways in which participants deal with this chronic and disfiguring disease. DESIGN: The qualitative method Interpretative Phenomenological Analysis was used. METHODS: In a semi-structured interview, seven white female vitiligo sufferers were asked to describe their experiences from the time the vitiligo first became apparent to the time of the interview. They were encouraged to elaborate on their own reactions and how they dealt with the reactions of others. RESULTS: Initially, participants felt overwhelmed by their illness but over time they developed several strategies in order to 'contain' their difference in appearance within manageable limits. The behavioural strategies of avoidance and concealment had several disadvantages, whereas cognitive strategies were less problematic but difficult to sustain consistently. Social support served to facilitate the development of coping methods associated with acceptance of difference. However, maintaining this acceptance was a struggle and the process fragile. CONCLUSIONS: Living with vitiligo was a continuous struggle. The results are consistent with Leventhal's (1970) notion that coping is a problem-solving process and with Moos and Schaefer's (1984) contention that dealing with a chronic disease involves the development of a variety of strategies in order to regain equilibrium. Further research is needed to examine whether the experiences described here are common to other disfiguring conditions.
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“Other amendable factors that have been found to be associated with psychological distress due to a visible difference are psychological flexibility and cognitive strategies (Shepherd et al., 2019; Thompson et al., 2002).”
From A Novel Psychological Group Intervention Targeting Appearance-Related Distress Among People With a Visible Disfigurement (Inside Out): A Case Study (2023) · cites this paper as Thompson et al., 2002
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BackgroundGuideline for the diagnosis and management of vitiligo
Gawkrodger, D. J., Ormerod, A. D., Shaw, L., Mauri-Sole, I., Whitton, M. E., Watts, M. J., Anstey, A. V., Ingham, J., & Young, K. (2008) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2008.08881.x · Cited by 332
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BackgroundStigmatization experience, coping and sense of coherence in vitiligo patients
Schmid‐Ott, G., Hw, K., Jecht, E. W., Shimshoni, R., Lazaroff, I., Schallmayer, S., Calliess, I. T., Malewski, P., Lamprecht, F., & Götz, A. (2007) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2006.01897.x · Cited by 142
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Bennis, I., Brouwere, V. D., Belrhiti, Z., Sahibi, H., & Boelaert, M. (2018) · BMC Public Health · doi:10.1186/s12889-018-5260-9 · Cited by 131
Skin scar preconceptions must be challenged: Importance of self-perception in skin scarring
Brown, B. C., Moss, T., McGrouther, D. A., & Bayat, A. (2009) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2009.03.019 · Cited by 134
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“Although non-fatal in nature, vitiligo causes severe negative psychosocial impact on the affected individuals, such as social stigmatization and decreased quality of life [4,5].”
British Association of Dermatologists guidelines for the management of people with vitiligo 2021
Eleftheriadou, V., Atkar, R., Batchelor, J., McDonald, B., Novakovic, L., Patel, J. V., Ravenscroft, J., Rush, E., Shah, D., Shah, R., et al. (2022) · British Journal of Dermatology · doi:10.1111/bjd.20596 · Cited by 122
Thompson, A. R., Clarke, S. A., Newell, R. J., Gawkrodger, D. J., & The Appearance Research Collaboration (ARC) (2010) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2010.09828.x · Cited by 121
Self-citationOsinubi, O., Grainge, M. J., Hong, L., Ahmed, A., Batchelor, J., Grindlay, D. J. C., Thompson, A. R., & Ratib, S. (2017) · British Journal of Dermatology · doi:10.1111/bjd.16049 · Cited by 119
Qualitative Research Methods in Psychology
Biggerstaff, D. L. (2012) · InTech eBooks · doi:10.5772/38931 · Cited by 127
“It is now widely used within British psychology (e.g. Clare, 2003; Duncan et al., 2001; French et al., 2005; Smith, 2011; Thompson et al. 2002).”
MethodHenning, S. W., Jaishankar, D., Barse, L. W., Dellacecca, E. R., Lancki, N., Webb, K. C., Janusek, L. W., Mathews, H. L., Price, R. N., & Poole, I. C. L. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227909 · Cited by 103
“In addition, vitiligo patients experience severe psychological effects [31, 32] and exhibit anxiety [33], depression [13], social stigma [34] and impaired quality of life [35, 36].”
BackgroundReynolds, F. A., & Prior, S. J. (2003) · Qualitative Health Research · doi:10.1177/1049732303257108 · Cited by 101
“The problems inherent in quantitative measurements of coping have been noted recently in other qualitative research into living with chronic illness (Thompson et al., 2002).”
BackgroundBudania, A., Parsad, D., Kanwar, A. J., & Dogra, S. (2012) · British Journal of Dermatology · doi:10.1111/bjd.12007 · Cited by 91
Schut, C., Dalgard, F. J., Bewley, A., Evers, A. W. M., Gieler, U., Lien, L., Sampogna, F., Ständer, S., Tomas-Aragones, L., Vulink, N. C. C., et al. (2022) · British Journal of Dermatology · doi:10.1111/bjd.21021 · Cited by 91
“2 Appearance-related distress associated with visible skin diseases is an issue in dermatological conditions, 3,4 which can be associated with stigmatization.”
BackgroundQuality of life with vitiligo: Comparison of male and female muslim patients in Iran
Borimnejad, L., Yekta, Z. P., Nasrabadi, A. N., & Firooz, A. (2006) · Gender Medicine · doi:10.1016/s1550-8579(06)80201-9 · Cited by 89
Singh, C., Parsad, D., Kanwar, A. J., Dogra, S., & Kumar, R. (2013) · British Journal of Dermatology · doi:10.1111/bjd.12325 · Cited by 88
Recognition of need in health care consultations: a qualitative study of people with psoriasis
Nelson, P. A., Chew-Graham, C. A., Griffiths, C. E. M., Cordingley, L., & on behalf of the IMPACT Team (2012) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2012.11217.x · Cited by 81
The importance of mindfulness in psychosocial distress and quality of life in dermatology patients
Montgomery, K., Norman, P., Messenger, A. G., & Thompson, A. R. (2016) · British Journal of Dermatology · doi:10.1111/bjd.14719 · Cited by 75
Shame as a social phenomenon: A critical analysis of the concept of dispositional shame
Leeming, D., & Boyle, M. (2004) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/1476083041839312 · Cited by 73
Edwards, C. R., Thompson, A. R., & Blair, A. (2007) · Journal of Health Psychology · doi:10.1177/1359105307071747 · Cited by 68
Shah, R., Hunt, J., Webb, T. L., & Thompson, A. R. (2014) · British Journal of Dermatology · doi:10.1111/bjd.12990 · Cited by 59
The lived experience of alopecia areata: A qualitative study
Welsh, N., & Guy, A. (2009) · Body Image · doi:10.1016/j.bodyim.2009.03.004 · Cited by 57
Shepherd, L., Reynolds, D. P., Turner, A., O’Boyle, C. P., & Thompson, A. R. (2019) · Burns · doi:10.1016/j.burns.2018.11.015 · Cited by 59
Transcriptional profiling of melanocytes from patients with vitiligo vulgaris
Strömberg, S., Gry, M., Asplund, A., Rimini, R., Lundeberg, J., Nilsson, P., Pontén, F., & Olsson, M. J. (2008) · Pigment Cell & Melanoma Research · doi:10.1111/j.1755-148x.2007.00429.x · Cited by 54
“Patchy loss of skin pigment can have severe consequences on the affected individual, particularly in countries with a predominantly dark- skinned population, resulting in severe social stigmatiza- tion and impaired quality of life (Porter and Beuf, 1991; Thompson et al., 2002).”
BackgroundUnderstanding adjustment to disfigurement: the role of the self-concept
Moss, T., & Carr, T. (2004) · Psychology and Health · doi:10.1080/08870440410001722967 · Cited by 53
“Individuals are prone to suffer problems including depression, anxiety, shame and interpersonal difficulties (MacGregor, 1990; Moss, 1997a; Thompson, Kent and Smith, 2002 ).”
BackgroundVitiligo: concise evidence based guidelines on diagnosis and management
Gawkrodger, D. J., Ormerod, A. D., Shaw, L., Mauri-Sole, I., Whitton, M. E., Watts, M. J., Anstey, A. V., Ingham, J., & Young, K. (2010) · Postgraduate Medical Journal · doi:10.1136/pgmj.2009.093278 · Cited by 53
“Cognitive behavioural therapy strategies rather than avoidance or concealment may be associated with better coping.”
BackgroundA systematic review of self-help for disfigurement: Effectiveness, usability, and acceptability
Muftin, Z., & Thompson, A. R. (2013) · Body Image · doi:10.1016/j.bodyim.2013.07.005 · Cited by 49
Yurkowski, K., Martin, J., Lévesque, C., Bureau, J., Lafontaine, M., & Cloutier, P. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.05.006 · Cited by 62
Autologous Cultured Melanocytes in Vitiligo Treatment
Czajkowski, R., Placek, W. J., Drewa, T. A., Kowaliszyn, B., Sir, J., & Weiss-Rostkowska, W. (2007) · Dermatologic Surgery · doi:10.1097/00042728-200709000-00002 · Cited by 50
Quality of Life in Pediatric Dermatology
Brown, M. M., Chamlin, S. L., & Smidt, A. C. (2013) · Dermatologic Clinics · doi:10.1016/j.det.2012.12.010 · Cited by 48
Macleod, R., Shepherd, L., & Thompson, A. (2016) · Health Psychology · doi:10.1037/hea0000391 · Cited by 57
Ethical Dilemmas for Clinical Psychologists in Conducting Qualitative Research
Thompson, A. R., & Russo, K. (2011) · Qualitative Research in Psychology · doi:10.1080/14780887.2012.630636 · Cited by 42
“Andrew Thompson is employed in a health setting and has undertaken research largely in relation to chronic illness, particularly disfigurement (eg, Thompson, Kent & Smith 2002 ) and also in relation to the practice of mental health clinicians (eg, Thompson, Donnison et al.”
MethodThe Role of Identity in Adjustment among Survivors of Oesophageal Cancer
Clarke, C., McCorry, N., & Dempster, M. (2010) · Journal of Health Psychology · doi:10.1177/1359105310368448 · Cited by 41
Kent, G. G. (2002) · Psychology and Health · doi:10.1080/08870440290029601 · Cited by 41
Grandfield, T., Thompson, A., & Turpin, G. (2005) · Journal of Health Psychology · doi:10.1177/1359105305057316 · Cited by 40
Textile Art Promoting Well‐being in Long‐term Illness: Some General and Specific Influences
Reynolds, F. A. (2004) · Journal of Occupational Science · doi:10.1080/14427591.2004.9686532 · Cited by 47
Rafique, R., & Hunt, N. C. (2015) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.3402/qhw.v10.26039 · Cited by 39
“Thompson, Kent, and Smith (2002) propose that living with an appearance-changing illness is not linear and incremental.”
BackgroundThe effects of trichotillomania disclosure on peer perceptions and social acceptability
Marcks, B. A., Woods, D. W., & Ridosko, J. L. (2005) · Body Image · doi:10.1016/j.bodyim.2005.05.003 · Cited by 37
Sharratt, N. D., Jenkinson, E., Moss, T., Clarke, A. M., & Rumsey, N. (2018) · Body Image · doi:10.1016/j.bodyim.2018.08.002 · Cited by 36
“Kent and Thompson (2002) described a process in which social signals regarding the distinctive and defective nature of one’s appearance help form internal and external shame schemas in which the individual appraises themselves as inadequate and believes that others will reject them or discriminate…”
BackgroundResultInvestigating factors associated with depression of vitiligo patients in Singapore
Chan, M. F., Chua, T. L., Goh, B. K., Aw, C. W. D., Thng, S. T. G., & Lek, S. M. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03777.x · Cited by 34
“Although some patients learn to accept the differences through social support, it is a difficult struggle as one vacillates between acceptance and avoidance of social support (Thompson et al. 2002), especially spousal support (Borimnejad et al. 2006).”
BackgroundZucchelli, F., Donnelly, O., Williamson, H., & Hooper, N. (2018) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.32.3.171 · Cited by 30
“These include social anxiety and isolation, body image dissatisfaction, shame and self-stigma, and poor quality of life (Clarke, Thompson, Rumsey, Jenkinson, & Newell, 2014; Rumsey & Harcourt, 2012; Thompson et al., 2002).”
BackgroundExperiences of rosacea and its treatment: an interpretative phenomenological analysis
Johnston, S. A., Krasuska, M., Millings, A., Lavda, A. C., & Thompson, A. R. (2017) · British Journal of Dermatology · doi:10.1111/bjd.15780 · Cited by 33
Potential Role of Neurogenic Inflammatory Factors in the Pathogenesis of Vitiligo
Yu, R., Huang, Y., Zhang, X., & Zhou, Y. (2012) · Journal of Cutaneous Medicine and Surgery · doi:10.1177/120347541201600404 · Cited by 32
Tour, S. K., Thomas, K. S., Walker, D., Leighton, P. A., Yong, A. S. W., & Batchelor, J. (2014) · BMC Dermatology · doi:10.1186/1471-5945-14-10 · Cited by 30
“Living with vitiligo can be a continuous struggle, with the psychological characteristics of each individual determining their ability to adjust to and cope with disfigurement [5].”
BackgroundThe Parental Experience of Caring for a Child with Type 1 Diabetes
Rifshana, F., Breheny, M., Taylor, J. E., & Ross, K. J. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0806-5 · Cited by 30
“IPA is also useful for exploring process.”
MethodInfluentialTeasdale, E. J., Müller, I., Sani, A. A., Thomas, K. S., Stuart, B. L., & Santer, M. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-018652 · Cited by 29
“concealment and cognitive strategies to try to deal with the impact of vitiligo.(9) Another qualitative interview study”
BackgroundComparison of Melanocytes Transplantation Methods for the Treatment of Vitiligo
Czajkowski, R. (2004) · Dermatologic Surgery · doi:10.1097/00042728-200411000-00007 · Cited by 28
Thompson, A. R., & Broom, L. (2009) · Diversity & Equality in Health and Care · Cited by 28
British Gujarati Indian Immigrants' and British Caucasians' Beliefs about Health and Illness
Jobanputra, R., & Furnham, A. F. (2005) · International Journal of Social Psychiatry · doi:10.1177/0020764005060851 · Cited by 26
Ghriwati, N. A., Sutter, M. E., Pierce, B. S., Perrin, P. B., WIECHMAN, S. A., & Schneider, J. C. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.04.011 · Cited by 25
Reynolds, F. A. (2003) · British Journal of Occupational Therapy · doi:10.1177/030802260306601203 · Cited by 24
“Nevertheless, some IPA researchers, such as Thompson et al (2002) , have used co-researchers to help validate the analysis.”
MethodInvestigating factors associated with quality of life of vitiligo patients in S ingapore
Chan, M. F., Thng, S. T. G., Aw, C. W. D., Goh, B. K., Lek, S. M., & Chua, T. L. (2013) · International Journal of Nursing Practice · doi:10.1111/ijn.12179 · Cited by 22
Hewitt, R. M., Ploszajski, M., Purcell, C., Pattinson, R., Jones, B. E., Wren, G. H., Hughes, O., Ridd, M. J., Thompson, A. R., & Bundy, C. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.1024879 · Cited by 26
Dyslexia: Investigating Self-Harm and Suicidal Thoughts/Attempts as a Coping Strategy
Alexander‐Passe, N. (2015) · Journal of Psychology & Psychotherapy · doi:10.4172/2161-0487.1000224 · Cited by 25
“IPA has been used in become more popular with researchers [64-67].”
MethodResearching Appearance: Models, Theories, and Frameworks
Thompson, A. R. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199580521.013.0010 · Cited by 21
Acceptance and commitment therapy for appearance anxiety: three case studies
Shepherd, L., Turner, A., Reynolds, D. P., & Thompson, A. R. (2020) · Scars, Burns & Healing · doi:10.1177/2059513120967584 · Cited by 19
Self-citationHolla, A. P., Sahni, K., Kumar, R., Kanwar, A. J., Mehta, S. D., & Parsad, D. (2013) · Dermatologic Surgery · doi:10.1111/dsu.12394 · Cited by 18
“It can have significant psychosocial consequences, which are usually underestimated.(2) Leukotrichia is defined as white hair.”
BackgroundLived Experience of Women Suffering from Vitiligo: A Phenomenological Study
Borimnejad, L., Yekta, Z. P., & Nasrabadi, A. N. (2015) · The Qualitative Report · doi:10.46743/2160-3715/2006.1677 · Cited by 18
Mechanistic and “Natural” Body Metaphors and Their Effects on Attitudes to Hormonal Contraception
Walker, S. H. (2012) · Women & Health · doi:10.1080/03630242.2012.728190 · Cited by 17
‘Coping Quite Well with a Few Difficult Bits’
Prior, J., & O’Dell, L. (2009) · Journal of Health Psychology · doi:10.1177/1359105309338972 · Cited by 17
Alexander‐Passe, N. (2015) · Journal of Psychology & Psychotherapy · doi:10.4172/2161-0487.1000215 · Cited by 17
“IPA has been used in many research studies [60-64].”
MethodBody image, intimacy and diabetes
Shaban, C. (2010) · European Diabetes Nursing · doi:10.1002/edn.163 · Cited by 16
The Experience of Stroke for Men in Retirement Transition
Lobeck, M., Thompson, A. R., & Shankland, M. C. (2005) · Qualitative Health Research · doi:10.1177/1049732305280772 · Cited by 16
Ghotane, S. G., Challacombe, S. J., & Gallagher, J. E. (2019) · BDJ Open · doi:10.1038/s41405-019-0011-2 · Cited by 15
“A peculiar time in my life”: making sense of illness and recovery with gynaecological cancer
Phillips, E., Montague, J., & Archer, S. (2017) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2017.1364603 · Cited by 18
Quality of life, depression, and anxiety in Turkish children with vitiligo and their parents
Önen, Ö., Kundak, S., Erkuran, H. Ö., Kutlu, A., & Çakaloz, B. (2018) · Psychiatry and Clinical Psychopharmacology · doi:10.1080/24750573.2018.1454385 · Cited by 15
“Decline in social support has been defined as a significant and major area of problem for patients [51].”
BackgroundChan, M. F., & Chua, T. L. (2012) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2012.02047.x · Cited by 15
Mata-Greve, F., WIECHMAN, S. A., McMullen, K. A., Roaten, K., Carrougher, G. J., & Gibran, N. S. (2021) · Burns · doi:10.1016/j.burns.2021.11.003 · Cited by 14
Krasuska, M., Lavda, A. C., Thompson, A. R., & Millings, A. (2017) · British Journal of Dermatology · doi:10.1111/bjd.16268 · Cited by 13
The parent and child experience of childhood vitiligo: An interpretative phenomenological analysis
Moss, K., Johnston, S., & Thompson, A. (2020) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104520905052 · Cited by 8
“Email: thompsona18@cardiff.ac.uk In previous studies using interpretative phenomenological analysis (IPA), adults with vitiligo have described the sense of being visibly different and the fear of stigmatisation as a predominant concern (Thompson et al., 2002, 2010).”
MethodPost-Traumatic Stress in Vitiligo Patients: A Neglected but Real-Existing Psychological Impairment
Liu, J.-W., Tan, Y., Chen, T., Liu, W., Qian, Y.-T., & Ma, D.-L. (2022) · Clinical Cosmetic and Investigational Dermatology · doi:10.2147/ccid.s350000 · Cited by 11
Psychosocial impact of vitiligo in patients with skin of color
Mehta, N., & Gupta, V. (2022) · Dermatological Reviews · doi:10.1002/der2.148 · Cited by 10
“Semi‐structured interviews have been largely used to study the psychosocial effects of vitiligo by researchers.(17,47,48) These include a pre‐defined set of open‐ended questions that serve as a guide during the interview, however, the interviewer is free to probe into issues that emerge during the interview process an…”
MethodA Qualitative Study Exploring Matters of Ill-being and Well-being in Norwegian Activation Policy
Ohls, C. (2016) · Social Policy and Society · doi:10.1017/s1474746416000397 · Cited by 14
“A n a l y s i s The researcher conducted an interpretative phenomenological analysis (IPA) of the interviews, which is an acknowledged approach especially in qualitative health and psychological studies (Biggerstaff and Thompson, 2008; Thompson et al., 2002).”
MethodOsinubi, O., Grainge, M. J., Hong, L., Ahmed, A. R. S. M., Batchelor, J. M., Grindlay, D., Thompson, A. R., & Ratib, S. (2018) · British Journal of Dermatology · doi:10.1111/bjd.16511 · Cited by 9
Moss, T., & Rosser, B. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199580521.013.0022 · Cited by 8
Thomas, K. S., Batchelor, J., Bath-Hextall, F. J., Chalmers, J. R., Clarke, T., Crowe, S., Delamere, F. M., Eleftheriadou, V., Evans, N. J., Firkins, L., et al. (2016) · Programme Grants for Applied Research · doi:10.3310/pgfar04180 · Cited by 8
Siemann, I., Custers, J., van den Heuvel-Djulic, S., Pouwels, S., Kwakkenbos, L., & Spillekom-van Koulil, S. (2023) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2022.03.005 · Cited by 7
Post-diagnostic lived experiences of individuals with essential tremor
Moore, J., Eccles, F. J. R., & Simpson, J. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1574915 · Cited by 8
Psychosocial adjustment to visible difference
Moss, T., & Rosser, B. A. (2008) · UWE Research Repository (UWE Bristol) · Cited by 7
Psicodermatologia e as Intervenções do Psicólogo da Saúde
Ludwing, M. W. B., Muller, M. C., Drehmer, L. B. R., Calvetti, P. Ü., da Silva, L. M., Hauber, L., & Facchin, T. H. J. (2008) · Mudanças - Psicologia da Saúde · doi:10.15603/2176-1019/mud.v16n1p37-42 · Cited by 7
Phillips, E., Elander, J., & Montague, J. (2014) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2014.915391 · Cited by 7
Yu, R., Broady, R. C., Huang, Y., Wang, Y., Yu, J., Gao, M., Levings, M. K., Wei, S., Zhang, S., Xu, A., et al. (2013) · PLoS ONE · doi:10.1371/annotation/fbf9e317-e3ab-4f9a-b317-3de6abff890f · Cited by 7
Foster, E. (2010) · University of Hertfordshire Research Archive (University of Hertfordshire) · Cited by 6
Karaaziz, M., Razzaghi, P., Keskindag, B., & Güney, H. (2024) · Current Psychology · doi:10.1007/s12144-023-04693-z · Cited by 6
Day, M. R., Heapy, C., Norman, P., Emerson, L., Murphy, R., Hughes, O., & Thompson, A. R. (2024) · British Journal of Health Psychology · doi:10.1111/bjhp.12763 · Cited by 5
“Interpretative phenomenological analysis (IPA: Larkin et al., 2006; Smith et al., 2009) has been previously used to develop nuanced accounts of health conditions, including those affecting appearance (e.g., Moss et al., 2020; Rafique & Hunt, 2015; Thompson et al., 2002; Thompson & Broom, 2009).”
Guest, E., Williamson, H., & Harcourt, D. (2023) · Body image · doi:10.1016/j.bodyim.2023.101656 · Cited by 6
Zucchelli, F., Donnelly, O., Sharratt, N., Hooper, N., & Williamson, H. (2021) · European Journal of Counselling Psychology · doi:10.46853/001c.22012 · Cited by 9
“Participants’ accounts of spontaneously reappraising thoughts relating to their appearance are in accordance with qualitative findings, whereby vitiligo patients reported organically using self-talk as a cognitive coping strategy (Thompson et al., 2002).”
MethodResultVitiligo Therapy in Children: A Case for Considering Excimer Laser Treatment
Patel, N. N., O’Haver, J., & Hansen, R. C. (2010) · Clinical Pediatrics · doi:10.1177/0009922810363169 · Cited by 6
“In a series of interviews conducted with adult vitiligo patients, exploring the psychological effects of living with vitiligo, patients who recounted their experiences in childhood described being called a “witch” or “jig saw skin,” and suggested that the disease was easier to cope with as an adult.(18) It is not unti…”
BackgroundUnderstanding Iconography: A method to allow Rich Picture Interpretation to improve
Berg, T. (2013) · Edinburgh Napier Research Repository (Edinburgh Napier University) · doi:10.13140/rg.2.2.20445.61923 · Cited by 6
Taylor, N., Maduesesi, O., Vasiliou, V. S., & Thompson, A. R. (2024) · Journal of Health Psychology · doi:10.1177/13591053241261684 · Cited by 8
“When compared with the findings of Thompson et al. (2002, 2010) where the participants were drawn from the UK, the participants in this study described having less initial awareness and knowledge about vitiligo, and this is similar to the findings of Borimnejad et al. (2006) with a sample of…”
InfluentialTour, S. K., Thompson, A. R., Howard, R. A., & Larkin, M. (2021) · JMIR Dermatology · doi:10.2196/29980 · Cited by 4
“The visibility of skin conditions can be associated with additional distress [9,10].”
Background
Metadata
- Authors
- Thompson, A. R., Kent, G., & Smith, J. A.
- Affiliations
- University of Sheffield (GB)
- Birkbeck, University of London (GB)
- Corresponding author
- Thompson, Andrew R.
- Venue
- British Journal of Health Psychology
- Publisher
- Wiley
- Published
- 2002-05
- Volume
- 7
- Issue
- 2
- Pages
- 213-225
- ISSN
- 1359-107X (ISSN-L)
- 2044-8287
- OpenAlex
- W2143838698
- Cited by
- 141
- References
- 5
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 9 · 2017: 9 · 2016: 5 · 2015: 9 · 2014: 6 · 2013: 10 · 2012: 9
- FWCI
- 8.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- BIROn (Birkbeck, University of London) (submittedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- vitiligo, coping strategies, disfigurement, psychological distress, concealment, avoidance, social support, acceptance of differences, chronic disease, lived experience
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