Vitiligo can induce considerable psychosocial stress and psychiatric comorbidity. Then, it is important to recognize and manage the psychological component not only to improve coping but also to obtain a better treatment response.
The training in assertiveness, relaxation skills and help in building self-confidence would have substantial effects on quality of life as well as treatment outcomes. In fact, social and psychological well-being increase when patients with facial disfigurement are helped to develop social skills and to confront their difficulties. There is need for a standardized quality of life evaluation tool which can quantify the psychosocial stress of vitiligo subject and which could be used for treatment evaluation.
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