Prevalence and Increase over Time of Twelve Self-reported Skin Symptoms: Data from Two Representative Samples from 1998 and 2015




cross-sectional studies, diagnostic self evaluation, skin symptoms, epidemiology


Point prevalence estimates for common skin symptoms vary widely. Most research has focussed on a few symptoms and a single point of observation. The aim of this study is to determine point prevalence rates for 12 self-reported skin symptoms in 1998 and 2015 and to assess changes in the reporting of skin symptoms over time. Symptoms were assessed by 2 national face-to-face household surveys of representative samples of the German general population (n1998=2,079, n2015=2,511). Point prevalence ranges were 6.8–26.2% in 1998 and 11.6–32.1% in 2015. Dandruff, body odour, pimples, and an itchy scalp were the 4 most common skin symptoms, each of which affected more than 20% of the population at both time-points. For almost all symptoms, a statistically significant increase, with very small to small effect sizes, was observed over time. The increase in skin symptoms over time is congruent with the increase in skin diseases reported by the Global Burden of Disease study.


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Karimkhani C, Dellavalle RP, Coffeng LE, Flohr C, Hay RJ, Langan SM, et al. Global skin disease morbidity and mortality: an update from the global burden of disease study 2013. JAMA Dermatol 2017; 153: 406-412.

Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol 2014; 134: 1527-1534.

Weisshaar E. How frequent is itch? Facts and thoughts of a long neglected aspect of itch. Curr Dermatol Rep 2017; 6: 243-247.

Ständer S, Weisshaar E, Mettang T, Szepietowski JC, Carstens E, Ikoma A, et al. Clinical classification of itch: a position paper of the international forum for the study of itch. Acta Derm Venereol 2007; 87: 291-294.

Naldi L, Cazzaniga S, Gonçalo M, Diepgen T, Bruze M, Elsner P, et al. Prevalence of self-reported skin complaints and avoidance of common daily life consumer products in selected European regions. JAMA Dermatol 2014; 150: 154-162.

Misery L, Rahhali N, Duhamel A, Taieb C. Epidemiology of dandruff, scalp pruritus and associated symptoms. Acta Derm Venereol 2013; 93: 80-81.

Dalgard FJ, Svensson Å, Holm J, Sundby J. Self-reported skin morbidity in Oslo. Associations with sociodemographic factors among adults in a cross-sectional study. Br J Dermatol 2004; 151: 452-457.

Miller IM, Zarchi K, Ellervik C, Jemec GBE. Self-reported skin morbidity in Denmark: a population-based cross-sectional study. Eur J Dermatol 2016; 26: 281-286.

Matterne U, Apfelbacher CJ, Loerbroks A, Schwarzer T, Büttner M, Ofenloch R, et al. Prevalence, correlates and characteristics of chronic pruritus: a population-based cross-sectional study. Acta Derm Venereol 2011; 91: 674-679.

Misery L, Myon E, Martin N, Consoli S, Boussetta S, Nocera T, et al. Sensitive skin: psychological effects and seasonal changes. J Eur Acad Dermatol Venereol 2007; 21: 620-628.

Misery L, Boussetta S, Nocera T, Perez-Cullell N, Taieb C. Sensitive skin in Europe. J Eur Acad Dermatol Venereol 2009; 23: 376-381.

Vos T, Allen C, Arora M, Barber RM, Brown A, Carter A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388: 1545-1602.

Beutel ME, Klein EM, Henning M, Burghardt J, Tibubos AN, Schmutzer G, et al. Time matters: Decreasing burden of somatic symptoms in the German general population from 1975 to 2013. J Psychosom Res 2018; 109: 91.

Brähler E, Hinz A, Scheer JW. Der Giessener Beschwerdebogen (Handbuch). 3. Bern: Huber; 2008.

Newson R. Parameters behind "non-parametric" statistics: Kendall's tau, Somers' D and median differences. Stata J 2001; 1: 1-20.

Göktaş A, İşçi Ö. A comparison and normality test of some measures of association via simulation for rectangular doubly ordered cross tables. Metod Zv 2011; 8: 17-37.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd edn. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.

R Development Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2008.

Zander N, Sommer R, Schäfer I, Reinert R, Kirsten N, Zyriax BC, et al. Epidemiology and dermatological comorbidity of seborrhoeic dermatitis: population-based study in 161 269 employees. Br J Dermatol 2019; 181: 743-748.

van de Kerkhof PCM, Franssen MEJ. Psoriasis of the scalp: diagnosis and management. Am J Clin Dermatol 2001; 2: 159-165.

Bhate K, Williams HC. Epidemiology of acne vulgaris. Br J Dermatol 2013; 168: 474-485.

Misery L, Loser K, Ständer S. Sensitive skin. J Eur Acad Dermatol Venereol 2016; 30: 2-8.

Misery L, Ständer S, Szepietowski JC, Reich A, Wallengren J, Evers AWM, et al. Definition of sensitive skin: an expert position paper from the special interest group on sensitive skin of the international forum for the study of itch. Acta Derm Venereol 2017; 97: 4-6.

Moraites E, Vaughn O, Hill S. Incidence and prevalence of hyperhidrosis. Dermatol Clin 2014; 32: 457-465.

Augustin M, Radtke M a, Herberger K, Kornek T, Heigel H, Schaefer I. Prevalence and disease burden of hyperhidrosis in the adult population. Dermatology 2013; 227: 10-13.

Arck PC, Slominski A, Theoharides TC, Peters EMJ, Paus R. Neuroimmunology of stress: skin takes center stage. J Invest Dermatol 2006; 126: 1697-1704.

Hunter HJA, Momen SE, Kleyn CE. The impact of psychosocial stress on healthy skin. Clin Exp Dermatol 2015; 40: 540-546.

Stewart TJ, Tong W, Whitfeld MJ. The associations between psychological stress and psoriasis: a systematic review. Int J Dermatol 2018; 57: 1275-1282.

Rousset L, Halioua B. Stress and psoriasis. Int J Dermatol 2018; 57: 1165-1172.

Dalgard FJ, Svensson Å, Gieler U, Tomas Aragones L, Lien L, Poot F, et al. Dermatologists across Europe underestimate depression and anxiety: results from 3635 dermatological consultations. Br J Dermatol 2018; 179: 464-470.

Rief W, Buhlmann U, Wilhelm S, Borkenhagen A, Brähler E. The prevalence of body dysmorphic disorder: a population-based survey. Psychol Med 2006; 36: 877-885.

Mataix J, Silvestre JF. Cutaneous adverse reactions to tattoos and piercings. Actas Dermosifiliogr 2009; 100: 643-656.

Müller A, Claes L, Smits D, Brähler E, De Zwaan M. Prevalence and correlates of self-harm in the German general population. PLoS One 2016; 11: 1-17.

Phillips KA, Menard W, Fay C, Weisberg R. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics 2005; 46: 317-325.

Gieler T, Schmutzer G, Braehler E, Schut C, Peters E, Kupfer J. Shadows of beauty - prevalence of body dysmorphic concerns in Germany is increasing: data from two representative samples from 2002 and 2013. Acta Derm Venereol 2016; 96: 83-90.

Dalgard FJ, Svensson Å, Holm JØ, Sundby J. Epidemiology and Health Services Research self-reported skin complaints: validation of a questionnaire for population surveys. Br J Dermatol 2003; 149: 794-800.


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How to Cite

Reich, H., Brähler, E., Gieler, U., & Kupfer, J. (2022). Prevalence and Increase over Time of Twelve Self-reported Skin Symptoms: Data from Two Representative Samples from 1998 and 2015. Acta Dermato-Venereologica, 102, adv00804.