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Hiebler-Ragger, M; Unterrainer, HF; Thompson, AR; Kellett, S; Aberer, E.
[German version of the Skin Shame Scale (SSS-24) : Validation with dermatological patients and dermatologically healthy individuals].
Hautarzt. 2020; 71(2):124-129
Web of Science PubMed FullText FullText_MUG


Autor/innen der Med Uni Graz:
Aberer Elisabeth
Hiebler-Ragger Michaela
Unterrainer Human-Friedrich

Dimensions Citations:

Plum Analytics:
Skin shame plays an important role in the psychological distress of dermatological patients. However, it is rarely examined in research or clinical practice due to the lack of availability of a robust measure of skin shame. This study sought to adapt and validate the Skin Shame Scale (SSS-24) for use in the German-speaking population. The SSS-24 questionnaire was completed by 488 dermatologically healthy (DH) individuals (66.6% women) and 339 dermatological patients (DP; 66.7% women). Participants also completed measures of general shame (SHAME) and of psychological distress (BSI[Brief Symptom Inventory]-18). The SSS-24 showed adequate psychometric properties and a high internal consistency in both samples (DH: α = 0.91; DP: α = 0.95). DP reported more skin shame than DH (p < 0.001) but in both samples more skin shame was associated with more general shame and more psychological distress (p < 0.001). Overall, the psychometric properties of the English original version were replicated in the German version of the SSS-24. Due to the strong associations with general shame and psychological distress, skin shame should be considered an important parameter in psychodermatology. The SSS-24 enables further research into the role of shame in skin conditions and provides a useful tool for identifying patients who might benefit from psychosocial interventions.
Find related publications in this database (using NLM MeSH Indexing)
Female -
Humans -
Male -
Psychometrics -
Quality of Life -
Reproducibility of Results -
Shame -
Skin Diseases - psychology
Surveys and Questionnaires -

Find related publications in this database (Keywords)
Psychosocial interventions
Validation of questionnaire
Psychological distress
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