Anxiety, depression, and nature of acne vulgaris in adolescents
ABSTRACT The reported prevalence of acne in adolescence is variable; improved treatment may have modified its prevalence and severity; acne has been related to psychiatric morbidity for many years.
Two thousand six hundred and fifty-seven high school students were examined, and adolescents with acne were interviewed about the subject of acne vulgaris. The severity of acne was graded using the Global Acne Grading System (GAGS). The Hospital Anxiety and Depression (HAD) scale was evaluated for one of every two subjects with acne (n = 308) and for the same number of sex-matched control subjects (n = 308) to determine the prevalence of depression and anxiety.
Six hundred and fifteen of the subjects (23. 1%) were determined to have acne. Acne prevalence in girls and boys was 16.1% and 29.2%, respectively (P < 0.001). Two hundred and twenty-five (15.8%) of 1424 boys and only 109 (8.8%) of 1233 girls had moderate or severe/very severe acne (P < 0.001), but the GAGS scores in the groups of boys and girls with acne were not significantly different. The acne and control groups showed no significant differences in the HAD anxiety and depression subscale scores. The HAD anxiety subscale scores of girls were significantly higher than those of boys in the acne group. The severity of acne was not correlated with the HAD anxiety or depression subscale scores.
Acne results in higher anxiety in adolescent girls. Although acne and moderate/severe acne are more common in adolescent boys, the severity of acne was found to be similar in boys and girls with acne. Adolescent girls are more vulnerable than boys to the negative psychological effects of acne.
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ABSTRACT: Abstract Background: Acne vulgaris is a common skin disease whose influence on body image is believed to be an important cause of psychological problems in patients with this disease. Aims: The aim of this study is to compare the frequency of anxiety and depression symptoms between patients with acne vulgaris and healthy individuals and to evaluate the levels of these symptoms in relation to the severity of acne as well as patient's age and sex. Study design: Cross-sectional study. Methods: Ninety-seven patients with acne vulgaris and 88 healthy individuals (without acne) of both sexes, aged 18-35 years were enrolled in the study from December 2011 to January 2012. Depression Anxiety Stress Scale (DASS) was used to assess anxiety and depression symptoms in both groups (patient and control group). Results: Anxiety symptoms were present in 72.2 % of patients and 46 % of controls with a significant difference between the two groups (P<0.05). Depression symptoms were present in 46.8 % of patients and 35.9 % of controls, but the difference was not statistically significant (P >0.05). The level of anxiety and depression symptoms was not significant in relation to severity of disease, sex and age of patients (P>0.05). Conclusions: There is a strong correlation of acne vulgaris with anxiety symptoms. Symptoms of depression in acne patients were not significantly more frequent compared to the control group. The level of anxiety and depression symptoms in patients with acne was not related to the severity of acne, sex and age of patients. Key-words: acne vulgaris, anxiety, depression,
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ABSTRACT: Summary Aim: The purpose of the present study was to evaluate the mental state (depression and anxiety) in the acne vulgaris patients, as well as age, gender, education, localization of the eruptions, duration and origin of the disease and to relate these data to the psychological peculiarities. These data were then to be used in the treatment scheme. Patients and Methods: The observation involved 80 patients (55 females and 25 males) aged 16–50. The control group consisted of 45 healthy subjects without any skin disorders. The psychological status was assessed with the Beck Depression Inventory (BDI) and Spielberger’s State and Trait Anxiety Inventory (STAI). Results: In acne patients depression was expressed more in females than in males. High trait anxiety was expressed in patients with high education. BDI and STAI revealed significant differences in the psychological triggering factors. Psychological state did not significantly depend on age, duration of the disease, localization of the eruption, or acne severity. Patients and control group did not differ significantly in psychological parameters. Healthy females tended to be depressed significantly more often than healthy males, but the degree of education did not correlate with the psychological data. The correlation between BDI and STAI was significant both in patients and in the control group. In acne patients, correlation between the BDI and state anxiety scales was positive, while in the control group it was negative. The expressed disturbance of psychological state, i.e., high scores in the BDI and high levels of state and trait anxiety was found in 10 acne patients, but not in the control group. Conclusion: Disturbance of the psychological state with signs of depression or anxiety as well as mixed depression and anxiety is frequently associated with acne. This should be taken into consideration in the treatment scheme.Dermatology and Psychosomatics / Dermatologie und Psychosomatik 01/2002; 3(2):95-98. DOI:10.1159/000064500
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ABSTRACT: The purpose of this study was to assess the impact of acne on the quality of life. Its secondary objective was to assess the influence of gender of students and severity of symptoms on the quality of life. . A cross sectional study was conducted on 100 students at Sultan Qaboos University (SQU) (40 males and 60 females) diagnosed with acne who attended the Student Clinic during a period of three months from September to December 2009. The Acne Quality Of Life index (Acne-QoL) questionnaire was used to assess the patient's quality of life in four different domains: self-perception, social, emotional, and acne symptoms. . Acne affected all areas of the patients, quality of life with the emotional domain found to be the most affected. Overall, female patients reported more adverse QoL effects. The mean score for self-perception for female students was 2.5 and 2.8 for males (p=0.300). The role-social domain approached a significant difference between genders (p=0.078). There was a statistically significant correlation between severity of acne symptoms and the other three domains. The correlation was highest between acne symptoms score and self-perception score. . This study showed that acne affects the quality of life of affected SQU students treated by primary care physicians at the Student Clinic. Therefore, physicians should take into account the effect of acne on the persons' quality of life when individualizing treatment.01/2015; 30(1):42-7. DOI:10.5001/omj.2015.08