Table 2.

Themes and Sub-Themes

Themes	Sub-Themes
Overwhelming disease burden	Affected couple relationship
	Challenges in skin care
	Issues with treatment adherence
	Financial strain
Lack of support system	Looking forward to professional guidance
	Desiring social support
Coping strategies
Emotional - centered coping strategies	Active acceptance and normalization
	Passive acceptance and internalized stigma
	Avoidance of disease - related problems
Problem - centered coping strategies	Proactive acquisition of disease knowledge
	Active confrontation of illness - related issues
	Behavioral habit alteration