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Submitted
6 December 2022
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7 June 2023
Published
10 June 2023
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Abstract

Highlights:


1. This research investigated a previously unexplored relationship between stress levels and seborrheic dermatitis in Indonesia.
2. It has been shown that a significant proportion of medical students are susceptible to sleep problems, which can negatively impact their academic performance and mental health.
3. This recent study found that seborrheic dermatitis affects men on average more frequently than women.


 


Abstract :


Seborrheic dermatitis is a common skin disease in the form of superficial inflammation with a papulosquamous morphology that often occurs in sebaceous gland-rich areas. Emotional stress is one of the contributing factors to the susceptibility of individuals to seborrheic dermatitis, while lack of sleep is associated with its exacerbation. This study aims to investigate the relationship between stress levels and seborrheic dermatitis cases among the class of 2020 students at the Faculty of Medicine, Universitas Tarumanagara, Jakarta, Indonesia. This study used an analytical-observational approach with a cross-sectional design. The sampling technique used was simple random sampling. The samples were from 114 medical students from the class of 2020 at Universitas Tarumanagara. The data were collected using an online Google Forms questionnaire and a dermatological assessment. The data were analyzed through statistical software, IBM SPSS Statistics for Windows, version 26.0 (IBM Corp., Armonk, N.Y., USA), using the Chi-square hypothesis test. The results showed a significant relationship between sex and seborrheic dermatitis cases (p=0.000). However, there was no significant relationship between stress levels and seborrheic dermatitis cases among the respondents (p=0.591). In conclusion, factors other than stress levels might contribute to the development or exacerbation of seborrheic dermatitis among the participants. Further research is needed to explore the potential underlying mechanisms and additional factors influencing the development and progression of seborrheic dermatitis. 

Keywords

Stress level seborrheic dermatitis skin inflammation human and health

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How to Cite
Eldy, & Hari Darmawan. (2023). Stress Levels and Seborrheic Dermatitis in the Class of 2020 Medical Students at a University in Indonesia. Folia Medica Indonesiana, 59(2), 115–122. https://doi.org/10.20473/fmi.v59i2.41208
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References

  1. Bekhbat M, Neigh GN (2018). Sex differences in the neuro-immune consequences of stress: Focus on depression and anxiety. Brain, Behavior, and Immunity 67, 1–12. doi: 10.1016/j.bbi.2017.02.006.
  2. Borda LJ, Perper M, Keri JE (2019). Treatment of seborrheic dermatitis: a comprehensive review. Journal of Dermatological Treatment 30, 158–169. doi: 10.1080/09546634.2018. 1473554.
  3. Borda LJ, Wikramanayake TC (2015). Seborrheic dermatitis and dandruff: A comprehensive review. Journal of Clinical and Investigative Dermatology. doi: 10.13188/2373-1044.1000019.
  4. Castillo DE, Gunczler I, França K, et al (2019). Seborrheic dermatitis. In Advances in Integrative Dermatology: 71–88. John Wiley & Sons, Ltd, Chichester, UK. Available at: https://onlinelibrary.wiley.com/doi/10.1002/9781119476009.ch6.
  5. Cheong WK, Yeung CK, Torsekar RG, et al (2015). Treatment of seborrhoeic dermatitis in Asia: A consensus guide. Skin Appendage Disorders 1, 187–196. doi: 10.1159/000444682.
  6. Choe SJ, Kim D, Kim EJ, et al (2018). Psychological stress deteriorates skin barrier function by activating 11β-hydroxysteroid dehydrogenase 1 and the HPA Axis. Scientific Reports 8, 6334. doi: 10.1038/s41598-018-24653-z.
  7. Cömert A, Akbaş B, Kılıç EZ, et al (2013). Psychiatric comorbidities and alexithymia in patients with seborrheic dermatitis: A questionnaire study in Turkey. American Journal of Clinical Dermatology 14, 335–342. doi: 10.1007/s40257-013-0019-7.
  8. Elgash M, Dlova N, Ogunleye T, et al (2019). Seborrheic dermatitis in skin of color: Clinical considerations. Journal of drugs in dermatology : JDD 18, 24–27.
  9. Emre S, Metin A, Demirseren DD, et al (2012). The association of oxidative stress and disease activity in seborrheic dermatitis. Archives of Dermatological Research 304, 683–687. doi: 10.1007/s00403-012-1254-0.
  10. Enos C, Patel T, Patel S, et al (2017). Seborrheic dermatitis. In Stress and Skin Disorders. Springer 165–169.
  11. Gary G (2013). Optimizing treatment approaches in seborrheic dermatitis. The Journal of clinical and aesthetic dermatology 6, 44–49.
  12. Graves BS, Hall ME, Dias-Karch C, et al. (2021). Gender differences in perceived stress and coping among college students. PLoS One 16, e0255634. doi: 10.1371/journal.pone. 0255634.
  13. Gül A, Karaaslan Ö, E Ç (2017). Personality traits and common psychiatric conditions in patients with seborrheic dermatitis. Archives of Clinical Psychiatry (Sí£o Paulo) 44, 6–9. doi: 10.1590/0101-60830000000106.
  14. Habibi M, Dehghani M, Pooravari M, et al. (2017). Confirmatory factor analysis of persian version of depression, anxiety and stress (DASS-42): Non-clinical sample. Razavi International Journal of Medicine. doi: 10.5812/rijm.12021.
  15. Herwandha KG, Prastuti E (2021). Attachment and age as predictors of the emotional maturity of University students. KnE Social Sciences 1–20. doi: 10.18502/kss.v4i15.8185.
  16. Kountul YPD, Kolibu FK, Korompis GEC (2018). Hubungan jenis kelamin dan pengaruh teman sebaya dengan tingkat stres mahasiswa Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi Manado. Kesmas: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi. Available at: https://ejournal. unsrat.ac.id/index.php/kesmas/article/view/22558.
  17. Makara-Studzińska M, Tyburski E, Załuski M, et al (2022). Confirmatory factor analysis of three versions of the depression anxiety stress scale (DASS-42, DASS-21, and DASS-12) in polish adults. Frontiers in Psychiatry. doi: 10.3389/fpsyt.2021.770532.
  18. Malak A (2014). Pola penyakit kulit non-infeksi pada anak di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode 2009-2011. e-CliniC. doi: https://doi.org/10.35790/ecl.v2i1.4556.
  19. Marlina, Sinaga RM (2021). Correlation of stress levels and the incidence of pityriasis sicca in final year students of the Faculty of Medicine, Universitas Sumatera Utara Class of 2017. Sumatera Medical Journal 4, 1–6.
  20. McEwen BS (2006). Protective and damaging effects of stress mediators: central role of the brain. Dialogues in Clinical Neuroscience 8, 367–381. doi: 10.31887/DCNS.2006.8.4/ bmcewen.
  21. McHugh ML (2013). The Chi-square test of independence. Biochem Medica143–149. doi: 10.11613/BM.2013.018.
  22. Minister of Health of the Republic of Indonesia (2018). Hasil utama RISKESDAS 2018. Badan Penelit dan Pengemb Kesehat Kementeri Kesehat RI103. Available at: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf.
  23. Nabillah R (2021). Prevalensi dermatitis seboroik di Poli Kulit Dan Kelamin Rsud Meuraxa Kota Banda Aceh periode Tahun 2016-2019. Jurnal Health Sains 2, 112–119. doi: 10.46799/ jhs.v2i1.77.
  24. Nasrani L, Purnawati S (2015). Perbedaan tingkat stres antara laki-laki dan perempuan pada peserta yoga di kota Denpasar. J Med Udayana. Available at: https://ojs.unud.ac.id/index.php/eum/article/view/18109.
  25. Pendlebury GA, Oro P, Haynes W, et al. (2022). The impact of COVID-19 pandemic on dermatological conditions: A novel, comprehensive review. Dermatopathology 9, 212–243. doi: 10.3390/dermatopathology 9030027.
  26. Perotta B, Arantes-Costa FM, Enns SC, et al. (2021). Sleepiness, sleep deprivation, quality of life, mental symptoms and perception of academic environment in medical students. BMC Medical Education 21, 111. doi: 10.1186/s12909-021-02544-8.
  27. Piquero-Casals J, Hexsel D, Mir-Bonafé JF, et al (2019). Topical non-pharmacological treatment for facial seborrheic dermatitis. Dermatology and Therapy (Heidelb) 9, 469–477. doi: 10.1007/s13555-019-00319-0.
  28. Rao A, Douglas SC, Hall JM (2021). Endocrine disrupting chemicals, hormone receptors, and acne vulgaris: A connecting hypothesis. Cells 10, 1439. doi: 10.3390/cells10061439.
  29. Saeed A, Bahnassy A, Al-Hamdan N, et al (2016). Perceived stress and associated factors among medical students. Journal of Family and Community Medicine 23, 166. doi: 10.4103/2230-8229.189132.
  30. Sahidah KLR, Agustin T (2018). Correlation between duration of sun exposure and scalp seborrheic dermatitis severity score in the Dermatovenereology Clinic, Dr. Cipto Mangunkusumo General Hospital. In Proceedings of the 23rd Regional Conference of Dermatology, pp. 132–5. SCITEPRESS - Science and Technology Publications. Available at: https://www.scitepress.org/ DigitalLibrary/Link.aspx?doi=10.5220/0008152401320135.
  31. Saif GA Bin, Alotaibi HM, Alzolibani AA, et al (2018). Association of psychological stress with skin symptoms among medical students. Saudi Medical Journal 39, 59–66. doi: 10.15537/smj.2018.1.21231.
  32. Sari NLMAK (2019). Hubungan antara tingkat stres dengan kejadian dermatitis seboroik pada remaja (thesis). Universitas Trisakti. Available at: http://repository.trisakti.ac.id/ usaktiana/index.php/home/detail/detail_koleksi/0/SKR/judul/00000000000000100769/0.
  33. Sasseville D (2018). Seborrheic dermatitis in adolescents and adults. UpToDate. Available at: https://medilib.ir/uptodate/show/13669.
  34. Silvia E, Anggunan A, Effendi A, et al (2020). Hubungan antara jenis kelamin dengan angka kejadian dermatitis seboroik. J Jurnal Ilmiah Kesehatan Sandi Husada 11, 37–46. doi: 10.35816/jiskh.v11i1.216.
  35. Spector PE (2019). Do not cross me: Optimizing the use of cross-sectional designs. Journal of Business and Psychology 34, 125–137. doi: 10.1007/s10869-018-09613-8.
  36. Tucker D, Masood S (2023). Seborrheic dermatitis. Available at: http://www.ncbi.nlm.nih.gov /pubmed/24287710.
  37. Turkmen D, Altunisik N, Sener S, et al (2020). Evaluation of the effects of COVID"19 pandemic on hair diseases through a web"based questionnaire. Dermatologic Therapy. doi: 10.1111/dth.13923.
  38. Vallejo MA, Vallejo-Slocker L, Fernández-Abascal EG, et al (2018). Determining factors for stress perception assessed with the perceived stress scale (PSS-4) in Spanish and other European samples. Frontiers in Psychology. doi: 10.3389/fpsyg.2018.00037.
  39. Wahyudi R, Bebasari E, Nazriati E (2017). Gambaran tingkat stres pada mahasiswa Fakultas Kedokteran Universitas Riau tahun pertama. Jurnal Ilmu Kedokteran 9, 107. doi: 10.26891/JIK.v9i2.2015.107-113.
  40. Wang X, Cheng Z (2020). Cross-sectional studies. Chest 158, S65–S71. doi: 10.1016/j.chest.2020.03.012.
  41. West PW (2016). Simple random sampling of individual items in the absence of a sampling frame that lists the individuals. New Zealand Journal of Forestry Science 46, 15. doi: 10.1186/s40490-016-0071-1.
  42. Zander N, Sommer R, Schäfer I, et al (2019).
  43. Epidemiology and dermatological comorbidity of seborrhoeic dermatitis: population"based study in 161 269 employees. British Journal of Dermatology 181, 743–748. doi: 10.1111/bjd.17826.