Coping with Acne vulgaris
Department of Dermatology and Andrology, Justus Liebig University, Giessen, Germany.Dermatology (Impact Factor: 1.57). 02/1998; 196(1):108-15. DOI: 10.1159/000017842
The present study investigated how patients with acne vulgaris cope with their disease. By means of questionnaires, relations and interactions between acne and psyche were evaluated. In addition to the evaluation of a specific questionnaire for patients with chronic skin disorders (CSD), assessing psychosocial impairment by the disease, depression and social anxiety were investigated in patients with acne. The study included 50 patients with acne. The CSD showed significant correlations with Beck's depression inventory, the interaction-anxiety questionnaire and the health locus of control scale. The CSD revealed significant differences compared to a control group of 33 patients with healthy skin. Furthermore the patients' attitudes towards triggering factors and disease-related limitations in everyday life are presented. The results of the study demonstrate that patients with acne suffer from emotional distress and psychosocial problems caused by their disease; however, impairment is not correlated with the objective severity of acne.
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- "Considerable clinical anxiety (moderate to severe HAD-A≥10) was 39% in patients group and 13.5% in control group with a significant difference (P = 0.001). This result was similar to those of Yazici et al. study. in Turkey in which HADS was used to determine anxiety and depression.[2–4] In our study, depression was seen in 25.6% of the patients with no significant difference with control group. "
ABSTRACT: Acne vulgaris is a chronic inflammatory disease of the pilosebaceous units, which chiefly involves face and upper part of the trunk. Its prevalence is highest in adolescence, where the individual counters several psychosocial changes. Depression, suicidal thoughts, and low self esteem are reported in the patients with this disease. The goal of this study is to compare prevalence of anxiety and depression in the patients with acne vulgaris and normal population. In this cross-sectional study, 82 patients with acne vulgaris and 82 persons without acne who referred to a dermatology clinic and a specialized office for skin diseases in Rasht were studied. Anxiety and depression were evaluated by Hospital Anxiety and Depression Scale (HADS) questionnaire and severity of acne was evaluated by Global Acne Grading System (GAGS). Data were analyzed by SPSS ver. 14.0 software, independent T-test, multi variate analysis of covariance (MANCOVA) and chi-square test for comparison the quantitative and ordinal data, respectively; with α=0.05. Prevalence of anxiety and mean of anxiety scores were 68.3% and 9.17 ± 3.52, respectively, in patients group and 39.1% and 7.10 ± 3.07, respectively, in control group in which there was a significant difference (P = 0.001). Prevalence of depression and mean of depression scores were 25.6% and 5.34 ± 3.29, respectively, in patients group and 28.1% and 5.01 ± 3.32, respectively, in control group in which there was no significant difference. According to high prevalence of anxiety in patients with acne vulgaris, assessment of the screening mental status of the patients by simple questionnaire such as HADS is suggested.Indian Journal of Dermatology 03/2010; 55(4):352-4. DOI:10.4103/0019-5154.74539
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ABSTRACT: Port wine stains can be treated successfully with the dye laser in most cases. The indication for treatment is made on the basis of the emotional stress arising from the port wine stain. Studies of the extent of psychosocial stress to date have led to contradictory results. To address the question how many patients with port wine stain suffer psychosocial stress and how this group can further be characterized. Moreover, the specific expectations of treatment were to be elucidated. During dye laser treatment, 76 patients with port wine stains were evaluated by questionnaires regarding (a) emotional well-being, (b) quality of life, (c) body perception and (d) disease-specific stress and expectations of therapy. Patients with port wine stains showed significantly higher emotional stress than healthy controls. They were particularly impaired in quality of life with respect to their social life and felt less attractive than a healthy control group. Patients with high emotional stress placed high hopes on the laser therapy with regard to chances of employment and social contacts. The data point to the need for thorough patient consultation prior to laser therapy in order to avoid excessive expectations. Psychological consultation is recommended for emotionally labile PWS patients.Dermatology 02/1998; 197(4):353-60. DOI:10.1159/000018031 · 1.57 Impact Factor
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ABSTRACT: Ziel der vorliegenden Studie war ein Vergleich der psychischen Belastungen von Patienen mit verschiedenen Soforttypallergien und Urtikaria. Darüber hinaus sollte die Motivation der Patienten zu psychosozialen Behandlungsverfahren erhoben und eine Indikation zu psychosozialen Maßnahmen abgeleitet werden. 228 konsekutive stationäre Patienten mit Insektengiftallergien (Ins), Nahrungsmittel (NM)- und Medikamenten- (Med) Unverträglichkeit sowie Urtikaria (Urt) wurden mit validierten Fragebögen zu krankheitsspezifischen psychischen Belastungen und ihrer Motivation zu psychosozialen Therapiemaßnahmen befragt. Patienten mit Nahrungsmittelunverträglichkeit und Urtikaria wiesen gegenüber den Patienten mit Insektengiftallergien und Medikamentenunverträglichkeit signifikant höhere psychische Belastungen sowie höhere Motivation zu psychosozialen Behandlungsmaßnahmen auf. Das höchste Patienteninteresse bestand an Gesundheitsschulung (NM 78%, Urt 57%, Med 24%, Ins 17%), gefolgt von Entspannungsverfahren. Wichtigste Prädikatoren für die Therapiemotivation waren der Wunsch nach Eigenverantwortung, die erlebte Hilflosigkeit sowie soziale Einschränkungen. Unter strengen Indikationskriterien besteht nur bei einem kleineren Teil jeder Patientengruppe eine eindeutige Indikation zu psychozialen Maßnahmen. Der mögliche Bedarf an psychosozialer Unterstützung sollte dennoch im Behandlungskonzept allergischer Erkrankungen berücksichtigt werden. The aim of this study was to compare the psychological stress of patients with different forms of immediate type hypersensitivity and urticaria. Moreover, the patients’ motivation for different forms of psychological treatment was assessed and an indication for psychosocial support was defined. 228 consecutive inpatients with insect venom allergies (ins), food intolerance (food), drug hypersensitivities (dru) and urticaria (urt) were evaluated by validated questionnaires regarding psychological strain and motivation for psychosocial treatments. Patients with food intolerance and urticaria showed significantly elevated psychological stress and higher motivation for psychosocial support as compared to those with insect venom allergies and drug intolerance. Patient education was the favourite technique for the patients (food 78%, urt 57%, dru 24%, ins 17%), followed by relaxation treatment. The most important predictors for the motivation were the wish for self-responsibility, a feeling of helplessness and social limitations. If strong indication criteria are applied, psychosocial support is indicated in only small subgroups of each patient group. In spite of that, the management of allergic disease should consider the potential need for psychosocial support.Der Hautarzt 01/1999; 50(6):422-427. DOI:10.1007/s001050050935 · 0.56 Impact Factor
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