BT11 Impact of teledermatology in a resource-limited setting: how the community responds to psychodermatology

Abstract Chronic dermatological conditions such as psoriasis, vitiligo, eczema, hair fall and acne often come with a range of psychosocial issues, including mental health challenges and sexual health dysfunction. These concerns are exacerbated by the stigma associated with visible skin diseases, leading to reduced quality of life and treatment adherence. By integrating teledermatology services with positive psychology and sexual health counselling, this study offers a comprehensive model for addressing the multifaceted needs of patients. Our objective was to evaluate the efficacy of a holistic intervention programme combining teledermatology services, positive psychology and sexual health counselling in improving dermatological outcomes, emotional wellbeing and sexual health in patients with chronic skin conditions. A cross-sectional study was conducted with 60 patients diagnosed with chronic dermatological conditions. Participants were divided into two groups: an intervention group (n = 30) receiving teledermatology consultations, positive psychology exercises and sexual health counselling, and a control group (n = 30) receiving standard in-person care. Primary outcomes were measured using the Dermatology Life Quality Index (DLQI), Sexual Quality of Life Questionnaire (SQoL) and Positive and Negative Affect Schedule (PANAS). Statistical analysis was performed using paired t-tests and Anova to compare pre- and postintervention results. Statistical analysis revealed significant improvements in the intervention group. DLQI scores improved by an average of 32% (P < 0.01), with patients experiencing fewer dermatology-related restrictions in daily activities. PANAS results showed a 25% increase in positive affect and a 20% reduction in negative affect (P < 0.05). Sexual health outcomes also improved, with SQoL scores increasing by 28% compared with a 10% improvement in the control group (P < 0.01). The intervention group saw a 40% reduction in sexual health-related anxiety, with relationship satisfaction increasing in 45% of patients. Teledermatology reduced logistical barriers by 35%, leading to higher retention and adherence rates, especially in remote areas. The integration of teledermatology, positive psychology and sexual health support in psychodermatology significantly improves both physical and psychosocial outcomes in patients with chronic skin conditions. This comprehensive model not only addresses dermatological symptoms but also enhances emotional resilience and sexual wellbeing, leading to improved treatment adherence and overall quality of life. These findings underscore the importance of holistic, patient-centred care in dermatology, particularly for patients in underserved areas.