Ann Plast Reconstr Surg | Volume 9, Issue 1 | Research Article | Open Access

Comprehensive Evaluation of Psychosocial Sequelae and Quality of Life Alterations in Vitiligo Patients Employed in Indian Government Sectors: A Pre- and Post Therapeutic Analysis

Kumar V1,2, Kapoor R3, Gulhane A4, Shome D4*, Khot AJP4, Mhatre P1 and Bellani D1

1Department of Research, The Esthetic Clinics, Mumbai, Maharashtra, India
2Department of Public Health Dentistry, GD Pol Foundation YMT Dental College and Hospital, Navi Mumbai, India
3Department of Dermatology, Cosmetic Dermatology & Dermato-Surgery, India
4Department of Facial Plastic Surgery and Facial Cosmetic Surgery, The Esthetic Clinics, Mumbai, Maharashtra, India

*Correspondance to: Debraj Shome 

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Abstract

Aim and Background: Vitiligo, an acquired dermatosis characterized by the autoimmune-mediated destruction of melanocytes, significantly compromises the Quality of Life (QoL) of affected individuals, particularly regarding psychological well-being. This detrimental impact is markedly exacerbated among government employees in India, where societal stigma and conspicuous disfigurement intensify psychological distress.
Methodology: This descriptive cross-sectional pilot study was conducted across multiple dermatological institutions in Maharashtra, India, involving a cohort of 430 government employees afflicted with vitiligo undergoing therapeutic interventions. Assessment was conducted utilizing four validated psychometric instruments: the Dermatology Life Quality Index (DLQI), Vitiligo Impact Scale-22 (VIS-22), Toronto Alexithymia Scale-20 (TAS-20), and Vitiligo Quality of Life (VitiQoL). Data were meticulously analyzed using IBM SPSS® Statistics for Windows Version 21.0.
Results: The mean scores were DLQI at 21.79, VIS-22 at 49.54, TAS-20 at 67.86, and VitiQoL at 45.44. Notably, comparative analysis revealed significant pre- and post-treatment score differentials: DLQI improved by 3.32 points, VIS-22 by 30 points, TAS-20 by 14.83 points, and VitiQoL increased by 60.35 points. These findings elucidate a substantial attenuation of the psychosocial burden associated with vitiligo following therapeutic intervention and a concomitant enhancement in overall QoL.
Conclusion: The results underscore the imperative for targeted interventions that encompass comprehensive psychological support and evidence-based strategies to mitigate disease progression among government employees afflicted with vitiligo, thereby addressing both the somatic and psychosocial dimensions of this condition.

Keywords:

Vitiligo; Depigmented patches; Psychological impact; Quality of Life

Citation:

Kumar V, Kapoor R, Gulhane A, Shome D, Khot AJP, Mhatre P. Comprehensive Evaluation of Psychosocial Sequelae and Quality of Life Alterations in Vitiligo Patients Employed in Indian Government Sectors: A Pre- and Post-Therapeutic Analysis. Ann Plast Reconstr Surg. 2025; 9(1): 1122..

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