Uji Diagnostik Sensitive Skin Scale-10 (Sss-10) Versi Indonesia terhadap Lactic Acid Sting Test (Last) Scores pada Wanita Dewasa Muda di Yogyakarta

Sonia Diovani, dr. Sri Awalia Febriana, M.Kes., Sp.D.V.E, Subsp. D.A.I., Ph.D; dr. Agnes Sri Siswati, Sp.D.V.E., Subsp.D.T.

2025 | Tesis-Spesialis | S2 Ilmu Kesehatan Kulit dan Kelamin

Latar Belakang: Kulit sensitif merupakan kondisi subjektif yang ditandai dengan sensasi tidak nyaman pada kulit, seperti perih, terbakar, atau gatal, akibat rangsangan ringan tanpa disertai tanda-tanda iritasi yang jelas secara klinis. Penilaian kondisi ini dapat dilakukan secara subjektif menggunakan kuesioner atau secara objektif dengan tes seperti Lactic Acid Sting Test (LAST). Salah satu alat skrining yang berkembang adalah Sensitive Skin Scale-10 (SSS-10), namun belum diketahui nilai ambang batas (cut-off) dan validitas diagnostiknya dalam populasi Indonesia.

Tujuan: Menentukan nilai cut-off, sensitivitas, spesifisitas, dan parameter diagnostik lainnya dari SSS-10 versi Indonesia dengan menggunakan LAST sebagai pembanding pada wanita dewasa muda di Yogyakarta.

Metode: Penelitian ini merupakan studi uji diagnostik, menggunakan data primer dari registri penelitian kulit sensitif. Analisis meliputi perhitungan nilai cut-off, sensitivitas, dan spesifisitas, rasio kemungkinan dan akurasi.

Hasil: Analisis dilakukan pada 97 subjek yang memenuhi kriteria inklusi. SSS-10 versi Indonesia menunjukkan nilai cut-off optimal SSS-10 versi Indonesia adalah 16,5. Pada nilai ini diperoleh sensitivitas sebesar 73,91%, spesifisitas 76,47%, Likelihood Ratio (LR) + 3,14, Likelihood Ratio (LR) - 0,34, Nilai duga positif (NDP) 73,91%, Nilai Duga negatif (NDN) 76,47%, dan akurasi 75,26% terhadap LAST.

Kesimpulan: SSS-10 versi Indonesia dapat digunakan sebagai alat skrining yang andal untuk mendiagnosis kulit sensitif pada wanita dewasa muda, terutama di lingkungan klinis yang memerlukan metode penilaian cepat, sederhana, dan non-invasif.

Background: Sensitive skin is a subjective condition characterized by unpleasant sensations such as burning, stinging, itching, or tightness triggered by minimal stimuli, without visible clinical signs of irritation. The Sensitive Skin Scale-10 (SSS-10) is a questionnaire developed to assess the severity of sensitive skin. However, its diagnostic utility and optimal cut-off score have not yet been established in the Indonesian population. The Lactic Acid Sting Test (LAST) is commonly used as an objective comparator in clinical studies.

Objective: To determine the cut-off value, sensitivity, specificity, and other diagnostic parameters of the Indonesian version of SSS-10 by using LAST as the reference standard in young adult women in Yogyakarta.

Methods: This study is a diagnostic test study, utilizing primary data obtained from the sensitive skin research registry. The analysis includes the calculation of cut-off values, sensitivity, specificity, likelihood ratios, and accuracy.

Results: Analysis was performed on 97 participants who met the inclusion criteria. The optimal cut-off score of the Indonesian version of SSS-10 was 16.5. At this value, the scale achieved a sensitivity of 73.91%, specificity of 76.47%, Likelihood Hood (LR)+ of 3.14, Likelihood Hood (LR) – of 0.34, positive predictive value (PPV) of 73.91%, negative predictive value (NPV) of 76,47%, and overall accuracy of 75,26% when compared to LAST.

Conclusion: The Indonesian version of SSS-10 is a valid, practical, and non-invasive screening tool for detecting sensitive skin among young adult women. Its application may help improve diagnosis in clinical and research settings.

Kata Kunci : Sensitive Skin Scale-10 (SSS-10), Lactic Acid Sting Test (LAST), diagnostik.