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Coping Strategies, Loneliness, and Resilience in Patients With Dermatosis (ESDaP3)

5. juni 2026 opdateret af: University Hospital, Brest

The European Society for Dermatology & Psychiatry (ESDaP) studies the connection between the skin and the mind. Two previous studies of this type were conducted in 13 and 15 European countries, respectively. The first study assessed the psychological impact of skin diseases (anxiety, depression, sleep disorders), and the second analyzed feelings of stigma, stress, and body dysmorphic disorder (an abnormal perception of one's body).

In this study, new psychological variables will be examined: coping strategies, loneliness, and resilience.

A total of 23 centers will participate in the ESDaP3 study, located in 15 European countries (Austria, France, Germany, Hungary, Italy, North Macedonia, the Netherlands, Norway, Poland, Spain, Sweden, Switzerland, Turkey, and the United Kingdom).

The aim of this study is to examine coping strategies, loneliness, and resilience among patients with a skin condition. Coping strategies refer to the various ways a person uses to manage a difficult or stressful situation. Resilience refers to a person's ability to cope with difficult situations, adapt to changes or challenges, and regain a sense of balance despite obstacles. Other factors will be assessed: sleep, anxiety and depression, and quality of life. A questionnaire will be given to your potential partner to assess the impact of the skin condition on their life at this time.

At the study's sole French site, Brest University Hospital, 250 patients with a skin condition and 125 people without a skin condition will be enrolled.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

At the time of enrollment, the following data will be collected:

  • Demographic data: initials (first and last name); age; gender; educational level; marital status; employment status; socioeconomic status.
  • General health status: EQ-5D-5L (VAS scale), suicidal thoughts, medical history (chronic skin disease, cardiovascular disease, pulmonary disease, diabetes, rheumatological disease, psychiatric illness)
  • Clinical data: Questions about the skin condition: duration, severity over the past year, current severity, frequency of flare-ups, current location of lesions, presence and intensity of pruritus, presence of associated sensations

Self-report questionnaires:

  • Coping strategies: Brief COPE questionnaire (dispositional format)
  • Loneliness: UCLA Loneliness Scale (ULS-8)
  • Resilience: Brief Resilience Scale (BRS)
  • Sleep: Insomnia Severity Index Questionnaire (ISI)
  • Anxiety: Generalized Anxiety Disorder 2 (GAD-2)
  • Depression: Patient Health Questionnaire-2 (PHQ-2)
  • Quality of life: Dermatology Life Quality Index (DLQI)
  • Well-being: Skin Well-Being Scale
  • Impact of dermatosis on the partner: FROM-16 (Family Reported Outcome Measure-16)

The estimated time to complete the questionnaires is 20 minutes; this will also be the duration of participation in this study.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

375

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Frankrig
      • Brest, Frankrig, 29200
        • Chu Brest

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Patients with skin conditions (inflammatory, autoimmune, cancerous, or genetic skin disorders)
  • Controls: individuals without skin disease
  • Adult participant
  • Participant enrolled in a Social Security system or equivalent
  • Participant who has given consent to participate in the study

Exclusion Criteria:

  • Participants who are unable to understand the protocol
  • Participants under legal guardianship (guardianship, conservatorship)
  • Participants subject to a future protection order, family authorization, or court-ordered protection
  • Participants who are unable to complete the questionnaires

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: Case group (Patients with skin disease)
Patients with skin conditions (inflammatory, autoimmune, cancerous, and genetic skin diseases)
Andet: Questionnaires
  • Coping strategies: Brief COPE questionnaire (dispositional format)
  • Loneliness: UCLA Loneliness Scale (ULS-8)
  • Resilience: Brief Resilience Scale (BRS)
  • Sleep: Insomnia Severity Index Questionnaire (ISI)
  • Anxiety: Generalized Anxiety Disorder 2 (GAD-2)
  • Depression: Patient Health Questionnaire-2 (PHQ-2)
  • Quality of life: Dermatology Life Quality Index (DLQI)
  • Well-being: Skin Well-Being Scale
  • Impact of dermatosis on the partner: FROM-16
Andet: Control group (people without skin conditions)
People without skin conditions
Andet: Questionnaires
  • Coping strategies: Brief COPE questionnaire (dispositional format)
  • Loneliness: UCLA Loneliness Scale (ULS-8)
  • Resilience: Brief Resilience Scale (BRS)
  • Sleep: Insomnia Severity Index Questionnaire (ISI)
  • Anxiety: Generalized Anxiety Disorder 2 (GAD-2)
  • Depression: Patient Health Questionnaire-2 (PHQ-2)
  • Quality of life: Dermatology Life Quality Index (DLQI)
  • Well-being: Skin Well-Being Scale
  • Impact of dermatosis on the partner: FROM-16

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
To assess adaptive coping in patients with skin conditions and compare them to those of a control group consisting of individuals with healthy skin.
Tidsramme: 1 day

Brief Coping Orientation to Problems Experienced Inventory (Brief COPE inventory) questionnaire (dispositional format) :

The questionnaire contains 28 items, divided into 14 coping strategies (2 items per strategy); each item is rated on a scale of 1 to 4:

  1. = I almost never do this
  2. = I do this sometimes
  3. = I do this often
  4. = I almost always do this

The analysis is conducted by subscale (each strategy), with scores ranging from 2 to 8.

The interpretation depends on the coping strategy being measured:

  • for adaptive strategies, a high score is generally positive
  • for less adaptive/dysfunctional strategies, a high score is generally negative
1 day
To assess loneliness in patients with skin conditions and compare them to those of a control group consisting of individuals with healthy skin.
Tidsramme: 1 day

UCLA Loneliness Scale - short Form (ULS-8)

The questionnaire consists of 8 items, each rated on a scale of 1 to 4:

  1. = Never
  2. = Rarely
  3. = Sometimes
  4. = Often

A high score indicates a high level of loneliness.
1 day
To assess resilience in patients with skin conditions and compare them to those of a control group consisting of individuals with healthy skin.
Tidsramme: 1 day

Brief Resilience Scale (BRS), it consists of 6 items.

Each item is rated on a scale of 1 to 5:

  1. = Strongly disagree
  2. = Disagree
  3. = Neither agree nor disagree
  4. = Agree
  5. = Strongly agree

The average of the 6 items is typically calculated (rather than the sum). Minimum score = 1, Maximum score = 5

A high score indicates greater resilience.
1 day

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assess patients' sleep compared to controls.
Tidsramme: 1 day

Insomnia Severity Index Questionnaire (ISI)

The ISI consists of 7 items.

Each item is rated on a scale of 0 to 4:

0 = No problem

  1. = Mild
  2. = Moderate
  3. = Severe
  4. = Very severe

Total score: Minimum = 0, Maximum = 28

A high score indicates a more severe form of insomnia.
1 day
Assess patients' anxiety levels compared to controls.
Tidsramme: 1 day

Generalized Anxiety Disorder 2 (GAD-2)

The GAD-2 consists of 2 items.

Each item is scored on a scale of 0 to 3:

0 = Never

  1. = Several days
  2. = More than half the days
  3. = Almost every day

Total score: Minimum = 0, Maximum = 6

A high score indicates a higher level of anxiety.
1 day
Assess patients' depression levels compared to a control group.
Tidsramme: 1 day

Patient Health Questionnaire-2 (PHQ-2)

The PHQ-2 consists of 2 items.

Each item is scored on a scale of 0 to 3:

0 = Never

  1. = Several days
  2. = More than half the days
  3. = Almost every day

Total score: Minimum = 0, Maximum = 6

A high score indicates a higher level of depressive symptoms
1 day
Assess patients' quality of life in comparison with a control group.
Tidsramme: 1 day

Dermatology Life Quality Index (DLQI)

The DLQI consists of 10 items.

Each item is scored on a scale of 0 to 3:

0 = Not at all / Not applicable

  1. = A little
  2. = A lot
  3. = Very much

Total score: Minimum = 0, Maximum = 30

A high score indicates a greater impact of the skin condition on quality of life
1 day
Assess patients' well-being in comparison with a control group.
Tidsramme: 1 day

Skin Well Being Scale (SWBS)

The SWBS consists of 5 items.

Each item is rated on a scale of 0 to 5:

0. All the time

  1. Most of the time
  2. More than half the time
  3. Less than half the time
  4. Sometimes
  5. Never

Total score: Minimum = 0, Maximum = 25

A lower score indicates better skin well-being.
1 day
Assessing the impact of dermatosis on the partner
Tidsramme: 1 day

Family Reported Outcome Measure (FROM-16)

The FROM-16 consists of 16 items.

Each item is rated on a scale of 0 to 2:

0 = Not at all

  1. = A little
  2. = A lot

Total score: Minimum = 0, Maximum = 32

A high score indicates a greater impact of the illness on the quality of life of family members.
1 day

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University Hospital, Brest

Samarbejdspartnere

Cardiff University
Karolinska Institutet
Lund University
University of Bergen
University Hospital Muenster
University of Amsterdam
Leiden University Medical Center
Sisli Hamidiye Etfal Training and Research Hospital
Universidad de Zaragoza
Wroclaw Medical University
Szeged University
University of Skopje
University of Rzeszow
Malmö University
University of La Laguna
University of Graz
University of Stavanger
Universidade do Algarve
Justus-Liebig University Gießen Medical Center
The Royal London Hospital, UK

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juli 2026

Primær færdiggørelse (Anslået)

1. juli 2029

Studieafslutning (Anslået)

1. oktober 2029

Datoer for studieregistrering

Først indsendt

27. maj 2026

Først indsendt, der opfyldte QC-kriterier

5. juni 2026

Først opslået (Faktiske)

10. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

10. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 29BRC25.0465
  • 2025-A02798-41 (Anden identifikator: Agence Nationale de Sécurité du Médicament et des produits de santé)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

All collected data that underlie results in a publication

IPD-delingstidsramme

Data will be available beginning three years and ending fifteen years following the final study report completion

IPD-delingsadgangskriterier

Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL

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