[Clinical and psychological correlation in acne: use of the ECLA and CADI scales].
The psychological consequences of acne are frequently unrelated to the severity of the actual lesions. Thus, a number of scales have been designed and validated to allow quantitation of the severity of acne, such as the ECLA scale (Echelle de Cotation des Lésions d'Acné or Acne Lesion Score Scale) while others are designed to evaluate quality of life, such as the CADI (Cardiff Acne Disability Index) questionnaire recently validated in the French language. The purpose of this study was to use both of these scales in individual applications in order to determine whether or not any correlation exists between the two specific tools and to determine the two groups of patients affected by acne.
One hundred and twenty-eight acne patients (21+/-6.8 years) seen by seven dermatologists were included in this study. The severity of their acne was evaluated using the ECLA scale; the seven participating dermatologists were trained in the use of this scoring system. In addition, patients completed the CADI quality-of-life questionnaire after their consultation. Each factor on the ECLA was compared with each item in the CADI questionnaire by means of analysis of variance.
There was no correlation between overall scores on the ECLA and CADI scales (r(2)=0.0242). However, a positive correlation was observed between overall CADI score and factors F1 and F3 in the ECLA scale (p=0.0085 and p=0.0373 respectively). In contrast, the global score on the ECLA scale was significantly correlated with item 5 of the CADI questionnaire, namely patients' perception of their acne (p=0.0035).
Acne, even in mild forms, has a detrimental psychological effect on patients. The ECLA score coupled with the CADI assessment system appear to be two useful and complementary scores for use in complete acne patient management.
Available from: Amal Kokandi
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ABSTRACT: Acne is a common disease especially among teenagers. It has a considerable psychological impact on affected individuals. The aim of this paper was to assess if the effect of acne on acne-related quality of life is correlated to acne clinical severity. 112 university female students attending the university medical clinics with acne complaints were examined. Cardiff Acne Disability Index (CADI) was used to assess acne-related quality of life, and global acne grading system (GAGS) was used to assess clinical severity of acne. There was no correlation between acne severity (GAGS scoring system) and quality of life impairment as assessed by CADI score (r = 0.145, P = .127). Additionally, CADI score did not correlate with disease duration or age of patients. We therefore conclude that acne clinical severity alone does not affect acne-related quality of life changes. Many other factors might play a role.
Dermatology Research and Practice 07/2010; 2010(7). DOI:10.1155/2010/410809
Journal of the European Academy of Dermatology and Venereology 11/2010; 25(12):1480-1. DOI:10.1111/j.1468-3083.2010.03926.x · 2.83 Impact Factor
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ABSTRACT: Through its visible clinical aspect, acne induces a significantly impaired body image which is not correlated to clinical severity. This diminished body image and the resulting psychosocial behaviour must be considered to optimize the treatment. In addition, depressive disorders related to bodily concern are frequently observed during adolescence period and faced with these bodily transformations, acne can be a source of anxiety. It is therefore important to spot the symptoms of depression and indeed treat them if they are persistent, because they impair "self-image" and have an influence on the wish to "take care of oneself".
Annales de Dermatologie et de Vénéréologie 11/2010; 137 Suppl 2(12):S62-5. DOI:10.1016/S0151-9638(10)70049-1 · 0.92 Impact Factor
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