@misc{10481/107373,
year = {2025},
month = {10},
url = {https://hdl.handle.net/10481/107373},
abstract = {Background/Objectives: Allergic contact dermatitis (ACD) is a chronic inflammatory disease with a high prevalence, affecting various aspects of patients’ lives. Psychosocial factors
may influence disease management and outcomes, including perceived stress, locus of control, and self-efficacy. This study examines the presence of these factors in ACD and their
association with disease severity and patient characteristics. Methods: A cross-sectional
study included 225 adults with ACD and 225 healthy controls. Exclusion criteria were
other skin diseases, psychiatric disorders, or intellectual disabilities. Sociodemographic and
clinical variables, such as disease duration and severity, were recorded. Perceived stress,
locus of control, and self-efficacy were assessed using validated questionnaires. Statistical
analyses, including t-tests and multiple linear regression, were performed to explore group
differences and predictors of clinical and psychosocial outcomes. Results: ACD patients
exhibited higher perceived stress than controls (M = 39.36 vs. 24.74, p < 0.001), with stress
levels correlating with disease severity (B = 0.062, 95% CI [0.050, 0.074], p < 0.001). Female
sex (B = −5.896, p < 0.001) and lower education (B = −2.606, p = 0.035) predicted higher
stress. Locus of control and self-efficacy showed statistically significant but modest differences between groups. Conclusions: Perceived stress was significantly associated with the
severity of ACD, highlighting the necessity of incorporating psychological interventions
into disease management. Programs focused on stress reduction and patient education
should be integrated into clinical care to enhance outcomes. Longitudinal research is
essential to establish causal relationships and evaluate the long-term benefits of tailored
psychological support on disease progression and patient well-being.},
publisher = {MDPI},
keywords = {allergic contact dermatitis},
keywords = {Perceived stress},
keywords = {locus of control},
title = {Impact of Perceived Stress, Locus of Control, and Self-Efficacy on Allergic Contact Dermatitis},
doi = {10.3390/healthcare13192498},
author = {Navarro Triviño, Francisco José and Prados-Carmona, Álvaro and Ruíz-Villaverde, Ricardo and Peralta Ramírez, María Isabel},
}