Review Article

A Review of the Impact of Occupational Contact Dermatitis on Quality of Life

Table 1

Generic and dermatology-specific quality of life instruments used in occupational contact dermatitis.

InstrumentNumber of questionsDomainsScoring

Generic QoL instrument
 SF-36 [810]36(i) Physical functioningEach domain is transformed into a score of 0–100. The scores are then summarised into mental (MCS) and physical components (PCS). Higher score indicates less impaired QoL.
(ii) Role limitations due to physical difficulty
(iii) Bodily pain
(iv) General health
(v) Vitality
(vi) Social functioning
(vii) Role limitations due to emotion
(viii) Mental health
(ix) Health transition
 NHP [11, 12]38(i) Energy levelPositive responses in a domain are summed up or weighting items to calculate a score ranging from 0–100.
(ii) Emotional reactions
(iii) Physical mobility
(iv) Pain
(v) Social isolation
(vi) Sleep
 SIP [13]136(i) PhysicalScores are calculated per scale, domain, and as an overall score ranging from 0–100.
(ii) Psychosocial
(iii) Independent categories
 GHQ [14, 15]28(i) Somatic symptomsA total score (range: 0–84) or a domain score is obtained by summing up each item.
(ii) Anxiety and insomnia
(iii) Social dysfunction
(iv) Severe depression
 DUKE [16]17(i) Health Score from individual item is summed and transformed to obtain a total score ranging from 0–100. Higher score indicates less impairment to QoL.
(ii) Dysfunction

Dermatology-specific QoL instrument
 DLQI [17, 18]10(i) Symptoms and feelingsA total score between 0–30 is obtained by summing the score of each question. Lower score indicates less impaired QoL.
(ii) Daily activities
(iii) Leisure
(iv) Work/school
(v) Personal relationships
(vi) Treatment
 Skindex [1921]16, 17, 29, 61(i) EmotionsEach domain is scored individually with a possible score ranging from 0–100. Lower score indicates less impaired QoL.
(ii) Functioning
(iii) Symptoms
 DSQL [22, 23]52(i) PsychosocialA summary score was calculated by adding all raw scores from each item.
(ii) Activities
(iii) Symptoms
 DQOLS [24]41(i) Physical symptomsThe score for each domain is calculated separately, transforming to a score ranging from 0–100.
(ii) Daily activities
(iii) Social activities
(iv) Work/school experience
(v) Self perception
(vi) SF-36 vitality subscale
(vii) SF-36 mental health subscale

SF-36: Short-Form Health Survey; NHP: Nottingham Health Profile; SIP: Sickness Impact Profile; WHOQOL: World Health Organisation Quality of Life; GHQ: General Health Questionnaire; DUKE: Duke Health Profile; DLQI: Dermatology Life Quality Index; DSQL: Dermatology-specific Quality of Life; DQOLS: Dermatology Quality of Life Scales.